Recording, confidentiality and information sharing

Concerns about modern slavery should be recorded accurately and shared only with those who need the information to act. Records may be needed for safeguarding, healthcare management, police or local authority decisions.

Clear records reduce the need for the patient to repeat distressing details. They also help the safeguarding lead or clinician see what prompted the concern, what was observed, and what steps have already been taken.

Record facts, not labels alone

• Exact words from the patient, companion, employer, caller or online request.
• Observed control, such as who answered, who held documents, who refused privacy or who controlled contact details.
• Who was present or audible during the contact.
• Identity, contact and address concerns where known.
• Safe communication needs, interpreter issues and unsafe contact risks.
• Who was informed and what action was taken

Protect confidentiality

Do not share details with companions, employers, landlords or alleged controllers. Someone who claims responsibility for the patient may have no right to information and may be part of the risk.

Share safeguarding information only on a need-to-know basis using approved routes. If unsure, contact the safeguarding lead, clinician, Caldicott or information governance lead for advice. Use urgent routes if there is immediate danger.

Digital and proxy access

Accurate records protect the patient and help others act without asking the person to repeat everything.