Completed by. Initial/on-going assessment Woman comes from a community known to practice FGM Woman has undergone FGM herself Husband/partner comes from a community known to practice FGM A female family elder is involved/will be involved in care of children/unborn child or is influential in the family Woman/family has limited integration in UK community Woman and/or husband/partner have limited/ no understanding of harm of FGM or UK law Woman’s nieces of siblings and/or in-laws have undergone FGM Woman has failed to attend follow-up appointment with an FGM clinic/FGM related appointment. Woman’s husband/partner/other family member are very dominant in the family and have not been present during consultations with the woman Woman is reluctant to undergo genital examination Woman already has daughters have undergone FGM Woman requesting reinfibulation following childbirth Woman is considered to be a vulnerable adult and therefore issues of mental capacity and consent should be considered if she is found to have FGM Woman says that FGM is integral to cultural or religious identity Family are already known to social care 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
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Completed by. Initial/on-going assessment Woman comes from a community known to practice FGM Woman already has daughters who have undergone FGM herself – who are over 18 years of age Husband/partner comes from a community known to practice FGM A FG Grandmother (maternal or paternal) is influential in family or female family elder is involved/will be involved in care of children/unborn child or is influential in the children Woman and family Woman/family has have limited integration in UK community Woman and/or Woman’s husband/partner partner/other family member may be very dominant in the family and have not been present during consultations with the woman Woman/family have limited/ no understanding of harm of FGM or UK law Woman’s nieces of siblings and/or (by sibling or in-laws laws) have undergone FGM Please note:– if they are under 18 years you have a professional duty of care to refer to social care Woman has failed to attend follow-up appointment with an FGM clinic/FGM related appointment. Woman’s husband/partner/other family member are very dominant in the family and have not been present during consultations with the woman Woman is reluctant to undergo genital examination Woman already has daughters have undergone FGM Woman requesting reinfibulation following childbirth Woman is considered to be a vulnerable adult and therefore issues of mental capacity and consent should be considered if she is found to have FGM Woman says that FGM is integral to cultural or religious identity appointment Family are already known to social care services – if known, and you have identified FGM within a family, you must share this information with social services Woman/family believe FGM is integral to cultural or religious identity Woman already has daughters who have undergone FGM – who are under 18 years of age Woman is considered to be a vulnerable adult and therefore issues of mental capacity and consent should be triggered if she is found to have FGM If the risk of harm is imminent, contact Social Services/CAIT team/ Police/MASH URGENTLY. URGENTLY Patient’s details
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