Role of the DSL (Designated Safeguarding Lead)

In community, hospital and primary care pharmacy settings the Designated Safeguarding Lead (DSL) coordinates responses to safeguarding concerns, including suspected or disclosed Female Genital Mutilation (FGM) ^[1]. All pharmacy staff should know the DSL's duties, how to contact them, and the steps for escalating safeguarding concerns or disclosures ^[2].

Responsibilities of the DSL

The DSL manages safeguarding procedures when FGM is suspected or disclosed. Core responsibilities include:

• Acting as the primary contact for staff raising concerns or disclosures about FGM ^[3].
• Making timely referrals to local authority safeguarding teams, the police, or specialist NHS FGM clinics when required ^[4].
• Coordinating multi-agency responses and liaising with external safeguarding partners to arrange appropriate interventions ^[5].
• Keeping accurate records of safeguarding referrals, communications and professional actions ^[6].

Pharmacy staff must be alert to signs of FGM and involve the DSL at the earliest opportunity ^[7].

Prompt involvement of the DSL is essential upon any FGM concern.

When and How to Engage the DSL

Contact the DSL immediately in these situations:

• A patient explicitly discloses FGM or indicates a risk of FGM ^[8].
• Behavioural or circumstantial indicators suggest potential FGM risk, for example planned travel to high-risk countries or reference to a ceremony ^[9].
• Safeguarding responsibilities are unclear or the case is complex and professional advice is needed ^[2].

When contacting the DSL, provide clear factual information: what you observed, the exact words used in any disclosure, relevant dates or travel plans, and any immediate risks. Accurate, timely details help the DSL decide on referrals and protective actions ^[5].

Escalation and Referral Process

After receiving a report, the DSL will decide the next steps, which may include referral to local safeguarding authorities, reporting to the police where a child under 18 is affected, or consulting specialist services ^[4]. Record all discussions, referrals and DSL advice in the patient record to maintain accountability and comply with safeguarding procedures ^[6].