Female Genital

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Multi-Agency Practice Guidelines:

Female Genital Mutilation

Multi-Agency Practice Guidelines: Female Genital Mutilation

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AcknowledGeMents We would like to thank the Royal College of Nursing, Leeds Teaching Hospital, London Safeguarding Children Board, Metropolitan Police Service and the Forced Marriage Unit from whose materials much of these guidelines were adapted. Details of these and other materials available can be found in Appendix E. We would also like to thank members of the FGM Forum for their contribution to these guidelines.

coMMents or suGGestions on the Guidelines? We would welcome any comments or suggestions about how to improve these guidelines. Please send your input to fgm@fco.gov.uk

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Multi-Agency Practice Guidelines: Female Genital Mutilation

contents
CHAPTER ONE the PurPose oF the Guidelines 1.1 AIMS 1.2 AUDIENCE 1.3 THE STATUS OF THE GUIDELINES 1.4 COVERAGE OF THE GUIDELINES 1.5 PRINCIPLES SUPPORTING THE GUIDELINES CHAPTER TWO understAndinG the issues Around FGM 2.1 DEFINITION 2.2 TYPES OF FGM 2.3 UK LEGISLATION 2.4 FGM TAKING PLACE OVERSEAS 2.5 INTERNATIONAL PREVALENCE OF FGM 2.6 PREVALENCE OF FGM IN THE UK 2.7 NAMES FOR FGM 2.8 CULTURAL UNDERPINNINGS AND MOTIVES OF FGM 2.9 FGM PROCEDURE 2.10 CONSEQUENCES OF FGM CHAPTER THREE identiFYinG Girls And woMen At risk 3.1 SPECIFIC FACTORS THAT MAY HEIGHTEN A GIRL’S OR WOMAN’S RISK OF BEING AFFECTED BY FGM 3.2 INDICATIONS THAT FGM MAY BE ABOUT TO TAKE PLACE SOON 3.3 INDICATIONS THAT FGM MAY HAVE ALREADY TAKEN PLACE CHAPTER FOUR Good PrActice to Follow in All cAses 4.1 DUTY TO SAFEGUARD CHILDREN AND PROTECT WOMEN AT RISK 4.3 THINGS TO BE AWARE OF IN DEALING WITH CASES OF FGM 4.4 MEDICAL EXAMINATIONS 4.5 MAKING ENQUIRIES 4.6 DISCLOSURE AND CONFIDENTIALITY 4.7 A VICTIM-CENTRED APPROACH 4.8 FORCED MARRIAGE AND FGM CHAPTER FIVE leGAl interVentions 5.1 POLICE PROTECTION 5.2 EMERGENCY PROTECTION ORDERS UNDER SECTION 44 OF THE CHILDREN ACT 1989 5.3 CARE ORDERS AND SUPERVISION ORDERS 5.4 INHERENT JURISDICTION 5.5 APPLICATIONS FOR WARDSHIP 5.6 REPATRIATION 1 1 1 1 1 2 3 3 3 3 4 4 6 6 6 7 8 11 11 11 12 15 15 18 18 19 19 19 19 21 21 22 23 24 25 25

CHAPTER SIX Guidelines For heAlth ProFessionAls 6.1 HOW HEALTH PROFESSIONALS CAN MAKE A DIFFERENCE 6.2 GENERAL PRACTITIONERS AND PRACTICE NURSES 6.3 HEALTH VISITORS, SCHOOL AND COMMUNITY CHILDREN’S NURSES 6.4 MIDWIVES AND NEONATAL NURSES 6.5 OTHER HEALTHCARE PROFESSIONALS 6.6 CLINICAL ISSUES AND PROCEDURES 6.7 RE-SUTURING OR REINFIBULATION 6.8 COUNSELLING CHAPTER SEVEN Guidelines For Police oFFicers 7.1 HOW POLICE OFFICERS CAN MAKE A DIFFERENCE 7.2 EXAMPLE OF STANDARD OPERATING PROCEDURES CHAPTER EIGHT Guidelines For children’s sociAl cAre 8.1 HOW CHILDREN’S SOCIAL CARE CAN MAKE A DIFFERENCE 8.2 STRATEGY MEETING 8.3 STEPS WHEN A GIRL IS AT IMMEDIATE RISK OF FGM 8.4 STEPS WHEN A GIRL HAS ALREADY UNDERGONE FGM CHAPTER NINE Guidelines For schools, colleGes And uniVersities 9. 1 HOW STAFF CAN MAKE A DIFFERENCE 9.2 WHAT TO DO WHEN YOU ARE CONCERNED THAT A STUDENT MAY BE AT RISK OF, OR HAS UNDERGONE, FGM CHAPTER TEN reducinG the PreVAlence oF FGM 10.1 THE ROLE OF LOCAL SAFEGUARDING CHILDREN BOARDS 10.2 PROFESSIONAL LEARNING REQUIREMENTS APPENDIX A GlossArY oF terMs used APPENDIX B terMs used For FGM in other lAnGuAGes APPENDIX C FGM sPeciAlist heAlth serVices in enGlAnd And wAles APPENDIX D orGAnisAtions workinG on issues Around FGM APPENDIX E MAteriAls AVAilABle ABout FGM

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CHAPTER ONE

the PurPose oF the Guidelines
1.1 AiMs This document seeks to provide advice and support to frontline professionals who have responsibilities to safeguard children and protect adults from the abuses associated with female genital mutilation (FGM). As it is unlikely that any single agency will be able to meet the multiple needs of someone affected by FGM, this document sets out a multi-agency response and strategies to encourage...
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