WELCOME Female Genital Mutilation Toolkit LAUNCH EVENT June 2016

TimeSubjectTo Whom 10 – 10.15Welcome and IntroductionFran Gosling Thomas – Understanding the Impact FGMVictoria Hunter (ACRE) – Our Local Commitment Outlining the FGM Toolkit Andy Fitton (RBC) – Your commitment Table top discussion to identify actions going forward Plenary – endQuestion and Answers

Welcome and Context Setting Fran Gosling-Thomas

VISION STATEMENT Our shared vision is that the practice of female genital mutilation (FGM) does not occur as it is abusive and damaging to children. It has been identified as an area for priority work by the three Local Safeguarding Children Boards in the west of Berkshire. The purpose of this work is to strengthen our local joined up response by setting out our vision for raising awareness, and improving our response to FGM, in partnership with community groups. From our action plan we are aiming to: Partner with our communities to raise awareness to act against FGM; Act and intervene early to protect children and take actions necessary to protect children who are at risk of FGM; and Enable women to obtain access to effective information and support when needed.

Royal Berkshire Hospital audit – review of cases over an 18 month period until May identified cases where the mother had undergone FGM and of these: 10 unborn females and 8 were referred to children’s social care 18 unborn males and of these 9 had female siblings The other one was gender unknown as born at another hospital The countries where the women originated from: 7 Gambia 5 Sudan 4 Nigeria 2 Chad 2 Sierra Leone 2 Somalian 1 from Tanzania, Spain, Egypt, Ethiopia, Saudi Arabia, Indonesia, Guinea FGM is recorded during in the booking in procedure with the midwife.

Local authority of residence for the period Total girls born to women from FGM practising countries Estimated numbers of girls born to women with FGM Total numbers of girls born Estimated percentage of girls to women with FGM Bracknell Forest UA , Reading UA , Slough UA , West Berkshire UA86 198, Windsor and Maidenhead UA85 258, Wokingham UA , Crude estimate of total girls born to women from FGM practicing communities

Understanding the Impact of FGM BBC spotlight on FGM set in Berkshire: Wk&spfreload=10

Question and Answer session with ACRE: Tell us what ACRE has been doing to support women and communities experiencing FGM? Why does FGM happen? What is the impact on girls, women and their families?

FGM Toolkit, Training and Fact Sheet – our West of Berkshire LSCBs commitment Andy Fitton

What is available? Awareness Training on line (and there is one training session planned this year FACT sheet that gives relevant and easy to access information Pathways and relevant guidance Risk assessment tool and guidance

The three LSCBs recommend the online Home Office training – E-learning for all professionals (including teachers, police, border force staff, and health visitors), is available at Health Education England offer e-learning, free to access by health and social care professionals, at West of Berkshire LSCBs also offer a half day specialist course - see the Reading LSCB training programme on the Training page:

FACT SHEET

4 x PATHWAYS Scenario 1 – girl who is AT RISK or SUSPECTED to have undergone FGM Scenario 2 – girl who has UNDERGONE FGM Scenario 3 – Pregnant woman who has or suspected to have undergone FGM Scenario 4 – non-Pregnant woman who has or suspected to have undergone FGM

Scenario – Safeguarding and referring Key points: Refer into MASH in the first instance (meets a CP threshold immediately) Information sharing and consent Legislation impact between the pathways No need to confirm through a physical examination

Pathway 1

Pathway 2

Pathway 3

Pathway 4

Tool is not a tick box exercise Tool is more a help and guide to navigate and consider range of situations About enabling a decision at the end of a risk assessment process Risk Assessment

Page 1 is overview and reminder advice and family details Risk Assessment Tool architecture

Columns 2, 3 & 4 are asking the practitioner to consider a simple response. Yes and No are obvious, but we decided to put in an unknown column Column 1 is the indictor of FGM taken from Home office guidance and other tools. Risk Assessment Tool architecture Column 5 is an opportunity to add in comments and information about the question is that is necessary.

On the right hand side is a box of advice taken directly from the home office to help professionals in their thinking and dealing with FGM. Advice changes between S1 & 2 and S3 & 4 Risk Assessment Tool architecture

At the end of each pathway area we have created an outcomes box that firstly provides advice that is linked to the pathway processes. We expect that you would record your decision for each risk assessment completed and would suggest language such as: Complete a referral to MASH Sign post the women to the midwife or GP With each action if would be sensible to add in the name of the person responsible and a timeframe to ensure that the action is clear in its direction and purpose

This needs to be either filed in an appropriate safe place as part of the Child or Woman’s record OR destroyed. Please refer to your organisations data protection and document retention policies for guidance. If you have made a referral in relation to a girl to Social Care/Police you should ensure a copy of the assessment tool accompanies the referral AND that a copy is kept with the child protection records. What to do with the Risk assessment tool?

It is helpful where a safeguarding lead is in place that they have a working knowledge of the issues relating to FGM; an e-learning module is available via the Home Office. The link to this is available on the Reading LSCB website. This will assist safeguarding leads when discussing possible cases of FGM with practitioners to consider the pathways; identify the best course of action and ensure that decisions are safe and consistent. It is important that safeguarding leads know about where to find the Risk Assessment tool and how to use it to support their colleagues. It is advisable for professionals seek out their safeguarding lead to discuss the Risk Assessment tool and pathways both before and after completion to support them in what may be a difficult discussion with the girl or woman. Safeguarding leads

The West of Berkshire LSCB’s will be disseminating the FGM Toolkit across all partner agencies for wider dissemination to practitioners, safeguarding leads and schools The FGM toolkit, factsheet and link to training are available on the Reading LSCB website LSCB Actions

In Summary TOOL KIT TRAINING PATHWAYS RISK ASSESSMENT

YOUR COMMITMENT Reaction and action……. In your groups please discuss What have you learnt today? What else do I need to find out or understand? What do I need to do now or next? What does my organisation or manager need to do? What has been helpful?

THANK YOU

Question and Answer Session