This report presents and compares the 30 month follow-up hospital audit findings in a series evaluating national health care responsiveness to family violence. Previous reports in the series were the baseline and 12 month follow-up audit (see Koziol-McLain et al, 2004 and 2006) and these qualitative findings are one aspect the wider evaluation (see Koziol-McLain et al, 2006; Vallant et al, 2007; and Adams et al, 2007). The objective of the audit was to answer two questions: How are New Zealand District Health Boards (DHBs) performing in terms of institutional support of family violence prevention? And is institutional change sustained over time? The modified 'Delphi' tool (Delphi Instrument for Hospital-Based Domestic Violence Programmes) was applied during visits to 27 hospitals within 21 District Health Boards nationwide. This methodology includes two sections: the first concentrates on partner abuse programme elements, while the second focuses on child abuse and neglect programme elements. The authors' findings are that collaboration with community agencies, staff training and intervention services are now present in the majority of hospitals in relation to both partner abuse and child abuse and neglect, and significant progress continues to be made in programme development in response to both. The authors argue that while these are significant improvements, programme implementation is still in the intermediate stages and they express concerns that several hospitals have yet to start developing a system response to family violence and lack Family Violence Intervention Coordinators. The authors argue that further improvement will flow on from dedicated DHB resourcing.

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