Handling Disclosures

When a patient discloses FGM, pharmacy professionals must respond with sensitivity while meeting legal safeguarding duties. Managing a disclosure requires clear, professional communication, prompt recording of relevant details, and referral to the correct safeguarding services. ^[1]

Immediate Response to Disclosure

When a patient discloses experiences related to FGM, pharmacy professionals must:

• Calmly acknowledge the patient's courage and reassure them that sharing this information was appropriate. ^[2]
• Explain mandatory safeguarding duties, making clear which details must be shared with safeguarding authorities. ^[3]
• Outline the immediate steps that will follow, including where police notification is required. ^[4]

Use straightforward, supportive language during the disclosure, keep a professional tone, and protect the patient's dignity. ^[5]

Maintaining Patient Trust and Therapeutic Relationship

Professionals must carefully balance safeguarding obligations with maintaining therapeutic trust. ^[6]

Pharmacy staff should ensure:

• They clearly explain the limits of confidentiality and the statutory reasons for sharing information. ^[7]
• They reassure the patient that safeguarding actions aim to protect safety and welfare, not to punish. ^[8]
• They respond to distress with immediate, sensitive emotional support and practical signposting. ^[9]

Record the disclosure, actions taken, and all communications accurately and promptly. Clear documentation supports accountability, enables appropriate referrals, and keeps care centred on the patient's needs. ^[10]