Common use of Completed by Clause in Contracts

Completed by. Initial/on-going assessment ▇▇▇▇▇’s mother has undergone FGM Other female family members have had FG Father comes from a community known to practice FG A Family Elder such as Grandmother is very influential within the family and is/will be involved in the care of the girl Mother/Family have limited contact with people outside of her family Parents have poor access to information about FGM and do not know about the harmful effects of FGM or UK law Parents say that they or a relative will be taking the girl abroad for a prolonged period – this may not only be to a country with high prevalence, but this would more likely lead to a concern Girl has spoken about a long holiday to her country of origin/another country where the practice is prevalent Girl has attended a travel clinic or equivalent for vaccinations/anti-malarials FGM is referred to in conversation by the child, family or close friends of the child (see Appendix Three for traditional and local terms) – the context of the discussion will be important Sections missing from the Red book. Consider if the child has received immunisations, do they attend clinics etc Girl withdrawn from PHSE lessons or from learning about FGM - School Nurse should have conversation with child Girls presents symptoms that could be related to FGM – continue with questions in part 3 Family not engaging with professionals (health, school, or other) Any other safeguarding alert already associated with the Always check whether family are already known to social care A child or sibling asks for help A parent or family member expresses concern that FGM may be carried out on the child Girl has confided in another that she is to have a ‘special procedure’ or to attend a ‘special occasion’. Girl has talked about going away ‘to become a woman’ or ‘to become like my mum and sister Girl has a sister or other female child relative who has already undergone FGM Family/child are already known to social services – if known, and you have identified FGM within a family, you must share this information with social services If the risk of harm is imminent, contact Social Services/CAIT team/ Police/MASH URGENTLY Patient’s details

Completed by. Initial/on-going assessment ▇▇▇▇▇CHILD/YOUNG ADULT (under 18 years old) Girl has difficulty walking, sitting or standing or looks uncomfortable Girl finds it hard to sit still for long periods of time, which was not a problem previously Girl presents to GP or A & E with frequent urine, menstrual or stomach problems Increased emotional and psychological needs eg withdrawal, depression, or significant change in behaviour Girl avoiding physical exercise or requiring to be excused from PE lessons without a GP’s mother has undergone FGM Other female family members have had FG Father comes from a community known to practice FG A Family Elder such as Grandmother is very influential within the family and is/will be involved in the care of the girl Mother/Family have limited contact with people outside of her family Parents have poor access to information about FGM and do not know about the harmful effects of FGM or UK law Parents say that they or a relative will be taking the girl abroad for a prolonged period – this may not only be to a country with high prevalence, but this would more likely lead to a concern letter Girl has spoken about having been on a long holiday to her country of origin/another country where the practice is prevalent Girl has attended spends a travel clinic or equivalent for vaccinationslong time in the bathroom/anti-malarials FGM is referred to in conversation by the child, family or close friends toilet/long periods of the child (see Appendix Three for traditional and local terms) – the context of the discussion will be important Sections missing time away from the Red book. Consider if the child has received immunisations, do they attend clinics etc classroom Girl withdrawn from PHSE lessons talks about pain or from learning about FGM - School Nurse should have conversation with child Girls presents symptoms that could be related to FGM – continue with questions in part 3 Family not engaging with professionals (health, school, or other) Any other safeguarding alert already associated with the Always check whether family are already known to social care A child or sibling discomfort between her legs Girl asks for help A parent or Girl confides in a professional that FGM has taken place Mother/family member expresses concern discloses that FGM may be carried out on the child Girl has confided in another that she is to have a ‘special procedure’ or to attend a ‘special occasion’. Girl has talked about going away ‘to become a woman’ or ‘to become like my mum and sister Girl has a sister or other female child relative who has already undergone had FGM Family/child are already known to social services – if known, and you have identified FGM within a family, you must share this information with social services service If the risk of harm is imminent, contact Social Services/CAIT team/ Police/MASH URGENTLY PatientSafeguarding Children Information Sharing Guidance: Child Sexual Exploitation (CSE) This document has been developed to provide guidance to RBH frontline professionals involved in information sharing discussions at multi agency locality CSE operational meetings. The guidance aims to provide: • confidence that CSE cases continue to be dealt with in line with established child protection procedures • a consistent approach to information sharing • clarity for front line staff In order to ensure safeguarding, information sharing is an important part of frontline practitioners’ job when working with children and young people. This guidance gives a practical overview of sharing information relating to Child Sexual Exploitation, to enable practitioners to feel confident in sharing information whilst also building and maintaining therapeutic relationships. ▇▇▇▇▇▇▇▇▇ ▇▇▇▇▇’▇▇ review of child protection recommended greater trust in, and responsibility on, skilled practitioners at the frontline. It emphasized the move away from a less central prescription and interference. ▇▇▇▇ ▇▇▇▇▇▇▇ highlighted that the safety and welfare of children is paramount and practitioners should feel confident about how to deal with the complexities of information sharing. In relation to children being sexually exploited, practitioners need to adopt an open and inquiring mind to any reasons for a change in behaviour for all children. If practitioners have a concern about a child’s detailswelfare, or believe they are at risk of harm, that information should be shared with the Local Authority, considering the security of sharing and being proportionate (Refer to Child Protection Protocol CG074).