Exam Pass Notes

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Recognition

• Modern slavery covers trafficking, slavery, servitude, forced labour and other forms of exploitation.
• Look for signs of control or fear, restricted movement, unsafe accompaniment, inconsistent accounts, missing documents and limited or controlled contact.
• A patient may not identify as a victim; they may mention debt, being watched, not being allowed to leave or lacking documents.
• Children cannot consent to exploitation and must be escalated through child safeguarding routes.

Safe Response

• Do not confront suspected exploiters or inform them that a concern has been raised.
• Do not investigate, search for evidence or attempt a private rescue.
• Use approved interpreters for sensitive conversations whenever possible.
• Check safe communication before calling, texting, emailing or sending letters.
• Use emergency help if there is immediate danger or risk of serious harm.

Records and Sharing

• Record exact words, observations, contact concerns, interpreter issues and who was present.
• Record action taken, including who was informed and which route was used.
• Share via safeguarding and need-to-know routes, not with companions, employers or alleged controllers.
• Protect digital safety where online access, proxy access or contact details may be controlled by others.

Escalation

• Use safeguarding leads, clinicians, police, local authority pathways and first-responder routes as appropriate.
• First responder status and National Referral Mechanism decisions are specialist processes; reception staff should escalate through local routes.
• For adults consider consent, capacity and risk; for children follow child safeguarding procedures.
• If the usual safeguarding lead is unavailable, contact the deputy, duty clinician, manager or emergency route rather than waiting.