1. FGM: Torture not Culture Faye Macrory MBE Consultant Midwife & Trust Lead for Domestic Abuse & FGM Central Manchester University Hospitals NHS Foundation Trust (CMFT)

2. the starting point…………… FGM is the manifestation of gender inequality that is entrenched in social, economic and political structures. FGM is a form of violence against women and girls. (WHO 2008)

3. FGM prevalence dataset ISBN 1610 Requires organisations to record and collect information about the prevalence of FGM within the patient population as treated by the NHS in England and is applicable across all NHS healthcare settings. It is mandatory for all Acute Trusts, including A&E depts. Firstly instructs all clinicians, regardless of organisation type, to record in clinical notes when FGM is identified and what type it is. If not known, record as type 9. Secondly, instructs Acute Trusts to undertake a central return reporting on FGM prevalence via the UNIFY2 system.

4. Health Health professionals have many opportunities to identify women affected and girls at risk particularly in: A&E/ED maternity and gynaecology female surgery urology SARC, GUM, CASH GPs, HVs, School Nurses

5. CMFT action plan 2 key aspects in managing FGM: provision of sensitive & appropriate services to all women identified with FGM Safeguarding infants and girls at risk of FGM 3 elements: data collection education & awareness safeguarding

6. Completing the form online form combines 4 forms from original DH documents so minimises repetitive data capture to be used for all new FGM patients details submitted to database - automatically amends duplication registrations made under same case note number all future contacts recorded on PAS and CMIS automatically identified to satisfy requirement to report on ongoing active caseloads of contacts with known FGM patients

8. What did we need to do before going live? addition of instruction sheet to data collection form, including SARC & GUM agree when & how information is shared with Safeguarding implement a sign-off and assurance process before monthly data is shared externally add link to Intranet for easy access to online form communicate with staff and raise awareness e.g. via WWN

9. Safeguarding Guidance identifying risks pathways response from CS sensitivities and complexities of FGM

10. What’s going on…….? locally nationally multi-agency collaboration community involvement

11. Useful websites www.fgmnationalgroup.org www.rcm.org.uk www.who.int/ www.amnesty.org.uk www.fgmnetwork.org www.equalitynow.org www.dofeve.org www.nspcc.org.uk

12. www.endthefear.co.uk/practitioners www.afruca.org www.forwarduk.org.uk www.nestac.org www.fgmelearning.co.uk http://greatermanchesterscb.proceduresonline. com/chapters/p_fgm.htmlhttp://greatermanchesterscb.proceduresonline. com/chapters/p_fgm.html www.endthefear.co.uk/media/uploads/fgm/sto ry.htmlwww.endthefear.co.uk/media/uploads/fgm/sto ry.html http://www.hscic.gov.uk/catalogue/PUB15711

13. FGM is child abuse Call the NSPCC helpline 0800 028 3550 or email: fgmhelpline@nspcc.org.uk