The family belongs to a community in which FGM is practised or have limited level of integration within UK community particularly if they are making preparations for the child to take a holiday, e.g. arranging vaccinations or planning an absence from the setting The family indicate that there are strong levels of influence held by elders and/or elders are involved in bringing up female children If a female family elder is present, particularly when she is visiting from a country of origin, and taking a more active / influential role in the family The child talks about a that is going to take place ‘special procedure/ceremony’ An awareness by a midwife or obstetrician that the procedure has already been carried out on a mother, prompting concern for any daughters, girls or young women in the family; Repeated failure to attend or engage with health and welfare services Staff should note that girls at risk of FGM may not yet be aware of the practice or that it may be conducted on them, so sensitivity should always be shown when approaching the subject. Indicators that FGM may already have occurred: Prolonged absence from the setting or other activities with noticeable behaviour change on return, possibly with bladder or menstrual problems; Difficulty walking, sitting or standing, and look uncomfortable; Spend longer than normal in the bathroom or toilet May complain about pain between their legs, or talk of something somebody did to them that they are not allowed to talk about. If we think that FGM is planned or has happened then we will make a referral to the local authority children's social care team in the usual way.
The family belongs to a community in which FGM is practised or have limited level of integration within UK community particularly if they are making preparations for the child to take a holiday, e.g. arranging vaccinations or planning an absence from the setting The family indicate that there are strong levels of influence held by elders and/or elders are involved in bringing up female children If a female family elder is present, particularly when she is visiting from a country of origin, and taking a more active / influential role in the family The child talks about a ‘special procedure/ceremony’ that is going to take place An awareness by a midwife or obstetrician that the procedure has already been carried out on a mother, prompting concern for any daughters, girls or young women in the family; Repeated failure to attend or engage with health and welfare services Staff should note that girls at risk of FGM may not yet be aware of the practice or that it may be conducted on them, so sensitivity should always be shown when approaching the subject. Indicators that FGM may already have occurred: Prolonged absence from the setting or other activities with noticeable behaviour change on return, possibly with bladder or menstrual problems; Difficulty walking, sitting or standing, and look uncomfortable; Spend longer than normal in the bathroom or toilet May complain about pain between their legs, or talk of something somebody did to them that they are not allowed to talk about. If we think that FGM is planned or has happened then we will make a referral to the local authority children's social care team in the usual way.
Policies-and-Procedures-2018-19-final-oct-18.docx