Managing FGM Cases

Pharmacy professionals who suspect or identify FGM must act quickly to protect the person involved. Immediate safeguarding takes priority over detailed clinical management. ^[1]

Clear initial actions and prompt referrals ensure legal compliance and help keep patients safe. ^[2]

Immediate Actions upon Identification or Suspicion

When pharmacy staff suspect or identify FGM, immediate safeguarding actions should include:

• Accurately record observed signs, the wording of any disclosure and the context in the patient's medication record or incident log. ^[3]
• Contact the designated safeguarding lead (DSL) without delay to agree next steps and referral routes. ^[4]
• Make a mandatory report to the police via the 101 non-emergency number within one working day if a girl under 18 explicitly discloses FGM or there is physical evidence. ^[5]

Manage conversations sensitively. Explain clearly and factually that you have a legal duty to take safeguarding steps and that these actions are intended to protect the person. ^[6]

Referral Pathways to Specialist and Multi-agency Services

Pharmacy professionals should be familiar with local referral pathways, which the DSL will usually coordinate. Typical routes include:

• Referral to the local authority Multi-Agency Safeguarding Hub (MASH) for joint assessment and action. ^[7]
• Referral to specialist NHS FGM support clinics for medical and psychological assessment and treatment. ^[8]
• Referral or liaison with community advocacy and support services experienced in supporting affected people and families. ^[9]

Document all referrals and communications, including date, time, reason and who was contacted, to maintain accountability and continuity of care. ^[3]