1. Early Years DSL Network
9th October 2017

2. The Children and Social Work bill – what it means for you
Local Safeguarding arrangements
Serious case reviews – national
Local learning review – local
Child Death Review processes

3. National Issues How safe are our children
Safeguarding in the voluntary and community sector
Safeguarding children in black and minority ethnic communities

4. National issues Prevent/Prevent Peer inspection
E-Safety and the use of social media
The impact of child sexual abuse

5. Joint Targeted Area Inspections
What is a JTAI
JTAI programme to date
Local response
Findings

6. The development of the infant brain
The developing understanding of the importance of this

7. Local updates E-Learning opportunities Safe sleeping
Emerging pressures and trends
IICSA
Self-harm
Honour based violence Pathway
Young carers

8. Family Support Manager, Midlands
Ruth Brown
Family Support Manager, Midlands

9. The Heart of Safe Families
Prevent child neglect & abuse
Stabilise families in times of crisis
Reduce the number of children taken into care
The aims of Safe Families are.....

10. Three key ways we help... Safe, short-stay Hosting for children
Befriending support for parents and children
Donations of
basic goods
and services

11. Examples of families we have helped

12. How to refer
If you have a family you’d like to refer please get in contact with the Midlnads office who will you a referral form.
In Nottingham City all referrals must be sent to Ben Thurley who is the gatekeeper.
Ben then passes on referrals to Safe Families, prioritised by sense of urgency as well as date sent.

13. UNDERSTANDING FEMALE GENITAL MUTILATION 09/10/2017* 13

14. Personal Background Mojatu Foundation

15. Following regular Mojatu meetings with members of the Community FGM Steering Group and survivors, Mojatu approached the Sheriff of Nottingham (FGM Ambassador) and other councillors to request the city to take a strong stance on tackling FGM and this led to a motion moved by the Sheriff in the full council house meeting in September where members of the community and partners attended. The motion was passed thus making Nottingham the first city in the UK to officially declare Zero Tolerance to FGM. The declaration came with a set of commitments by the city which includes working closely with survivors and affected communities, training for front line professionals and development of a referral pathway among other commitments. Following the declaration Mojatu organised an event in parliament as part of the Nottingham in Parliament to influence policy and get other cities to follow suit. – illustration of working together.

16. Key Learning Objectives
To inform participants what is meant by the term FGM and how it can impact on individuals and communities
To help participants understand why FGM is practiced and how they can get involved
To raise awareness of indicators and risk factors in the context of safeguarding and legal responsibilities  
To help participant understand support available and other work in the community
VMc

17. What do we know about Female Genital Mutilation (FGM)? Training?

18. What is Female Genital Mutilation?
‘FGM is a procedure where the female genital organs are injured or changed and there is no medical reason for this.
It is frequently a very traumatic and violent act for the victim and can cause harm in many ways.’
Multi-agency statutory guidance on FGM – HM Government 2016
Female Circumcision?
Female Genital Cutting?

19. Other names within Communities
Ibiugwu, Omobirin, Kutahiri Wasichana, Gudiniin, Kurua, Khitan, Tahoor, Mekhnishab, Megrez, Niaka, Sunna, Bondo, Khifad
Val

20. Before we go any further…..

21. Un-cut female genitalia
Get participants to name the parts – urethra, labia minora and majora, clitoris, vagina.
Knowing the ‘un-cut’ female genitalia is the foundation upon which we can build knowledge and understanding.

23. Types of FGM
Type 1 – Clitoridectomy: partial or total removal of the clitoris (a small, sensitive and erectile part of the female genitals) and, in very rare cases, only the prepuce (the fold of skin surrounding the clitoris).
Type 2 – Excision: partial or total removal of the clitoris and the labia minora, with or without excision of the labia majora (the labia are the ‘lips’ that surround the vagina).

24. Types of FGM
Type 3 – Infibulation: narrowing of the vaginal opening through the creation of a covering seal. The seal is formed by cutting and repositioning the inner, or outer, labia, with or without removal of the clitoris.
Type 4 – Other: all other harmful procedures to the female genitalia for non-medical purposes, e.g. pricking, piercing, incising, scraping and cauterising the genital area.
Multi-agency statutory guidance on FGM HM Government 2016

25. Val

26. Prevalence
Percentage of girls and women aged who have undergone FGM in Africa, the Middle East, and Indonesia
Senegal 25
Gambia 75
Guinea- Bissau 45
Guinea 97
Sierra Leone 90
Liberia 50
Cote d’lvoire 38
Bukina Faso 76
Ghanna 4
Togo 5
Benin 9
< 10
10-20
20-50
51-80
> 80
No data
% of 0-11yrs Indonesia 49
UNICEF global databases 2016

27. Statistics
Estimated that up to 200 million women and girls worldwide have undergone FGM (UNICEF 2016)
Age varies but mainly carried out between 5 and 8 yrs
Estimated 103,000 women aged and approximately 24,000 women aged 50 + who have migrated to England and Wales are living with the consequences of FGM
Approximately 10,000 girls aged under 15 who have migrated to England and Wales are likely to have undergone FGM.
Nottingham City ranks 9th in terms of highest prevalence rates outside of London (2nd after Leicester City in the East Midlands region)

28. What reasons do you think are given for FGM?

30. Potential Risk Factors
Any girl
Born to a woman who has been subjected to FGM and or has a sister or cousin has already undergone FGM
whose father comes from a practicing community
Where the belief that FGM is integral to cultural/religious identity.
Where there are strong levels influence and involvement of elders in family life
With limited level of integration within UK community - knowledge of the law
Family is not engaging with professionals,
Withdrawn from PSHE,
Family is known to Social Care
Concern from other family members 31

31. Possible Signs and Indicators
FGM may be about to take place:
FGM may already have taken place:
Unexpectedly absent from school
Female family elder visiting from country of origin
You hear reference to FGM in conversation
Talk about a ‘special procedure’ or that she is going to ‘become a woman’.
A girl may request help
Parents state that they or a relative will take the child out of the country for a prolonged period.
A girl may talk about a long holiday to her country of origin or another country where the practice is prevalent
Parents seeking to withdraw their children from learning about FGM
Difficulty walking, sitting or standing
Spending a long time in the toilet
Urinary, menstrual or stomach problems
Prolonged or repeated absences from school
Noticeable behaviour change
Requests to be excused from PE/swimming
Girl or family member tell someone or ask for help
May talk about pain or discomfort between her legs
Increased emotional/psychological needs

32. Impact on health On Health Emotion / Psychologically
Urine retention – leading to UTIs
Complications in pregnancy and childbirth
Difficulties in menstruation
Bleeding/hemorrhaging
Sexual dysfunction
Severe pain and shock
Infection
Fracture
Cysts and abscesses
Psychological damage including PTSD
Death
Trauma
Betrayal
Loss
Feelings of fear around sex or intimacy
Confused
Anxious
Angry
Ashamed
Defensive
Proud
A sense of belonging
Might not know how they feel

33. What does the law say?
FGM has been illegal since 1985 (Prohibition of Female Circumcision Act 1985; Female Genital Mutilation Act 2003)
Illegal to take British nationals or UK residents abroad for FGM (whether it’s legal in that country or not)
Illegal to aid, abet, counsel or procure the carrying out of FGM in UK or abroad
It’s now under the Serious Crime Act 2015
It is mandatory for all regulated professionals (teacher, healthcare, social care) to report any cases involving girls under 18 should they discover that FGM has been carried- Use 101, the non-emergency crime number

34. Refugee Women Voices on FGM
Val

35. A survivor's experience.…
11 years old?- WOMAN!
Celebrations, presents
Excitement and fear
No shaming the family
A generational thing
More than 15 yrs to
get over the anger
Interruption of
education- still happening
Val

36. Working with our communities Mojatu Foundation work
Community FGM Steering Group (formed in March 2014)
Survivors’ club- Support for survivors
Cultural events and information sessions
Conferences, workshops and Training
Film viewings, Interfaith discussions
Community Champions project
Community engagement events and sports
Community magazine, radio and TV presentations
Talks/presentations/young people
Partnership with CCFSB (Jan 2015).
First City of Zero Tolerance with Sheriff!
Mojatu Foundation in Parliament!
Mojatu at United Nations
Val

40. Sorry it’s “their culture/religion” I can not do anything Challenging FGM confidently
A form of Child abuse and affects girls and women physically, emotionally and psychologically
Is a human rights violation, a form of violence against women and Girls
Violation of bodily integrity – bodily harm
FGM is illegal in the UK and carries a 14 years imprisonment- failure to protect is also a crime
FGM is NOT an African problem only but it is a global problem. It is NOT an Islamic practice
Acknowledge it as a sensitive issue
DUTY OF CARE + MANDATORY REPORTING

41. IT IS EVERYBODY’S RESPONSIBILITY!
How can you help?
Moral duty of care- Support those at risk and survivors and report any serious concerns immediately
Encourage awareness raising in your institution through posters, leaflets etc.
Engage and build trust with parents/community members
Talk about it to others in your profession and share knowledge
Donate/fundraise/volunteer to support organisations tackling FGM
IT IS EVERYBODY’S RESPONSIBILITY!
Val

42. Important contacts/resources
UK FGM clinics
Multi-agency practice guidelines-
Concerned or need to refer???
Follow your institution’s safeguarding procedures to ensure concerns are dealt with ASAP
Liaise with local social services for safeguarding
NSPCC – helpline dedicated to FGM that is anonymous and open 24/7, you can call them on:
Urgent matters ring 999 immediately
Refer survivors to community groups like Mojatu Foundation for further support.
Val

43. Further Information and Support
(Daughters of Eve)
See also p72-77 Multi-Agency statutory guidance on FGM

44. Contacts and more information
Websites:
and
Tel & M: /
&
Facebook: Valentine Nkoyo and
Mojatu Foundation

45. The FGM Board’s adopted logo

46. Allegations or Concerns About Adults who work in a Position of Trust

47. Chapter 5 of the NCSCB Procedures
Relevant concerns are those that indicate an individual may have:
Behaved in a way that has harmed a child.
Possibly committed an offence against a child.
Behaved in a way that indicates she/he may not be suitable to work with children.

48. Allegations/concerns management
All organisations that provide services to children, should operate a procedure for handling allegations that are consistent with:
Working Together 2015
Chapter 5 of NCSCB Procedures
Section 11 of the Children Act 2004

49. Key Principles continued
Allegations/concerns are resolved as soon as possible
Actions/decisions are recorded
NCSCB oversees the allegations management processes and monitors the effectiveness of local procedures

50. The Role of the Local Authority Designated Officer
LADO
Guidance and advise re allegations/concerns
Objective decisions are made
Monitors cases
Strategy meetings
Liaises with police and other agencies

51. LADO arrangements in Nottingham City
Richard Powell – LADO
Karen Shead LADO responsibilities –Childcare and other children’s activities
Gillian Quincey - Schools and Education
LADO Business Support

52. LADO Contacts LADO Business Support 0115 8764776
Maria Kyrris
LADO Business Support
Richard Powell
LADO
Tel
Gillian Quincey
Schools and Education Safeguarding
Co-ordinator
Tel –
Karen Shead
0-19 Safeguarding
Tel –
LADO e mail account

53. LADO Referrals
Contact with the LADO should be made as soon as a concern arises to ascertain:
Whether it is a matter that can be dealt with as a disciplinary
Whether the police and/or Children’s Social Care might need to be involved
How and by whom the parents/carers
of the child should be informed
How, when and by whom the staff member who the allegation is about has been made aware of the concerns
What support the child and their parents/carer may require
Immediate measures which may need to be put in place - suspension, restricted duties
Issues re restriant of a child – need to consdier the agnecy policy re restraint and the use of safe handling
Ofsted requirements

54. Ofsted Requirements
Child Protection 3.4 Policy and procedure in the event of an allegation being made 3.6 Training that includes inappropriate behaviour by staff members 3.7 Keeping Children Safe in Education 3.8 Oftsed informed –as soon as is reasonably practicable, but at the latest 14 days

55. Key Messages
If in doubt if it is an allegation or a concern contact the LADO
Contact LADO prior to taking any internal action
Inform Ofsted in a timely manner

56. Next DSL Network
Tuesday 13th February pm – 4.00pm Nottingham Racecourse Arrival from 1pm for refreshments and networking