![Page 1: London Assembly Tackling FGM Conference (Health)](https://reader031.vdocuments.mx/reader031/viewer/2022030308/58ed6cc41a28aba0558b458d/html5/thumbnails/1.jpg)
The role and responsibility of London’s frontline professional
practitioners – Health
London assembly tackling FGM conference
Vanessa Lodge – [email protected] Director of Nursing NC&E London NHS England FGM national lead
![Page 2: London Assembly Tackling FGM Conference (Health)](https://reader031.vdocuments.mx/reader031/viewer/2022030308/58ed6cc41a28aba0558b458d/html5/thumbnails/2.jpg)
Our responsibilities in Health
• Support the physical and mental health needs of women and girls who have undergone FGM though high quality service provision
Care
• Safeguard women and girls from FGM
• Mandatory duty to report to the police
• Legal powers
Protect • Educate women and girls on the mental and physical health implications of FGM
• Raise awareness
• Training
Prevent
![Page 3: London Assembly Tackling FGM Conference (Health)](https://reader031.vdocuments.mx/reader031/viewer/2022030308/58ed6cc41a28aba0558b458d/html5/thumbnails/3.jpg)
Partnership Working
Legal duties
Prosecution
Collecting and sharing data
Developing Policy
Campaigns
Prevention Awareness
Safeguarding
Training
Empowering women and girls
Commissioning services
Police
Social Care
Education Voluntary
Sector
Communities
Health
![Page 4: London Assembly Tackling FGM Conference (Health)](https://reader031.vdocuments.mx/reader031/viewer/2022030308/58ed6cc41a28aba0558b458d/html5/thumbnails/4.jpg)
• Over 50% of all England FGM cases are recorded in London
• Age of higher risk of FGM is between 5 and 9 • Self-reporting is the most frequent method of FGM
identification (3/4 cases) • Only 2% of all FGM cases reported are under 18 • First attendance for FGM largely coinciding with
pregnancy (~90%) • 90% of all FGM cases are from Africa • 1 in 3 FGM cases from Somalia as country of birth • FGM type 1 and 2 of known types had highest incidence
(1/3 each)
Data highlights (2015-2016)
![Page 5: London Assembly Tackling FGM Conference (Health)](https://reader031.vdocuments.mx/reader031/viewer/2022030308/58ed6cc41a28aba0558b458d/html5/thumbnails/5.jpg)
FGM Newly recorded cases* identified London CCGs FY 2015/16
Data period: Apr 2015 – Mar 2016 Source: NHS Digital – FGM Enhanced dataset
![Page 6: London Assembly Tackling FGM Conference (Health)](https://reader031.vdocuments.mx/reader031/viewer/2022030308/58ed6cc41a28aba0558b458d/html5/thumbnails/6.jpg)
Note: Cases identified at CCG and hospital level are rounded to nearest 5.
New FGM Cases identified CCG, NHS Hospital site and Metropolitan Police referrals
![Page 7: London Assembly Tackling FGM Conference (Health)](https://reader031.vdocuments.mx/reader031/viewer/2022030308/58ed6cc41a28aba0558b458d/html5/thumbnails/7.jpg)
London data highlights
1%
58% 16%
12%
11%
2%
FGM Type in London
NoRecordedTypeUnknownType 1
Type 2
Type 3
Type 4
<1 14%
1-4 26%
5-9 46%
10-14 10%
15-17 1%
18> 3%
Age when FGM was carried out
![Page 8: London Assembly Tackling FGM Conference (Health)](https://reader031.vdocuments.mx/reader031/viewer/2022030308/58ed6cc41a28aba0558b458d/html5/thumbnails/8.jpg)
The London Picture
![Page 9: London Assembly Tackling FGM Conference (Health)](https://reader031.vdocuments.mx/reader031/viewer/2022030308/58ed6cc41a28aba0558b458d/html5/thumbnails/9.jpg)
Mandatory duty to report (under 18)
• FGM is child abuse and illegal
• Regulated health and social care professionals and teachers in England and Wales to report ‘known’ cases of FGM in under 18-year-olds to the police.
• FGM Duty came into force October 2015
• Personal duty – professional who identifies FGM/receives disclosure must make the report
![Page 10: London Assembly Tackling FGM Conference (Health)](https://reader031.vdocuments.mx/reader031/viewer/2022030308/58ed6cc41a28aba0558b458d/html5/thumbnails/10.jpg)
Ring 101- non emergency police number
Ring as soon as possible; normally by the close of next
working day
Discuss with local safeguarding lead-identify any
other safeguarding actions required
Make a record of your actions / decisions, and write down the Police reference number
Inform if safe to do so girl and family of actions taken
Make sure that you / someone with access to all the information is available
and prepared to discuss further with the police lead
investigator
What I need to do?
![Page 11: London Assembly Tackling FGM Conference (Health)](https://reader031.vdocuments.mx/reader031/viewer/2022030308/58ed6cc41a28aba0558b458d/html5/thumbnails/11.jpg)
![Page 12: London Assembly Tackling FGM Conference (Health)](https://reader031.vdocuments.mx/reader031/viewer/2022030308/58ed6cc41a28aba0558b458d/html5/thumbnails/12.jpg)
Feedback given to reporting Professional
National learning and actions undertaken
Multi –Agency care response
Strategic steering group
in place Data presented in a way to maximise
learning
Sanctions
![Page 13: London Assembly Tackling FGM Conference (Health)](https://reader031.vdocuments.mx/reader031/viewer/2022030308/58ed6cc41a28aba0558b458d/html5/thumbnails/13.jpg)
Safeguarding It is an offence to: • perform FGM (including taking a child abroad for FGM) • help a girl perform FGM on herself in or outside the UK • help anyone perform FGM in the UK • help anyone perform FGM outside the UK on a UK national or UK resident • fail to protect a girl for whom you are responsible from FGM (FGM Act 2003, Serious Crime Act 2015)
• FGM can be carried out at any age, safeguarding surveillance may have to be put in place up to the age of 18 – significantly different profile to other safeguarding measures
• Women may be under pressure from her husband or other family members to allow
or arrange for a daughter to be cut – wider family engagement may be required. • Ensure authorised accredited interpreter used if required • Statement opposing FGM leaflet (Health passport), pocket sized document setting
out the law and potential criminal penalties can be used by families when visiting abroad – [email protected]
• Mandatory to record information and share appropriately (FGM Mandatory duty, RIS,
Enhanced Dataset)
![Page 14: London Assembly Tackling FGM Conference (Health)](https://reader031.vdocuments.mx/reader031/viewer/2022030308/58ed6cc41a28aba0558b458d/html5/thumbnails/14.jpg)
![Page 15: London Assembly Tackling FGM Conference (Health)](https://reader031.vdocuments.mx/reader031/viewer/2022030308/58ed6cc41a28aba0558b458d/html5/thumbnails/15.jpg)
2014 2015 2016 2017
• Data recording for acute, mental health and GP practices • Mandatory reporting to police • Enhanced legal powers – including FGM protection Orders • Policy developments • Strengthening Safeguarding – new DH safeguarding guidance • Training • Risk Indictor System • Nationals conferences/workshops • FGM booklets • Economics report • Nurse survivor workshop • Mental health e-learning module • Building body of evidence • Commissioning guidance • Sexual Health/Travel Health FGM guidelines
![Page 16: London Assembly Tackling FGM Conference (Health)](https://reader031.vdocuments.mx/reader031/viewer/2022030308/58ed6cc41a28aba0558b458d/html5/thumbnails/16.jpg)
2017 Priorities
• Mental health workshops • Training strategy • Communications strategy • Economics report/commissioning • FGM mapping of provision, commissioning pathways
and quality standards – physical and mental health • RIS roll out • Health and social care interface • Health and the role of prevention – working together
with communities • Research/body of knowledge • FGM week of action 6-10th Feb