Exam Pass Notes

Use these notes as a final review before the assessment. They summarise the course’s main points but do not replace your home’s safeguarding policy or local procedures.
Core knowledge
- FGM means non-medical injury to or alteration of female genital organs.
- When it affects a child, FGM is child abuse and is illegal across the UK.
- FGM is not required by any religion and has no health benefit.
- The WHO describes four main types; frontline staff should not attempt to diagnose a type.
- FGM can cause immediate and long-term physical and emotional harm.
Recognising and responding
- Risk indicators include references to a special ceremony, family pressure, planned travel, fear of contact, or a known family history.
- Signs after FGM can include pain, difficulty sitting or walking, changes in toileting, withdrawal, or fear of medical appointments.
- Do not examine the child, investigate the allegation yourself, confront family members, or promise secrecy.
- Listen calmly, record the child’s exact words, and escalate promptly via your safeguarding routes.
- Use emergency routes if the child is in immediate danger or needs urgent medical care.
Law, records and support
- In England and Wales, specified regulated health and social care professionals and teachers have a personal mandatory duty to report known under-18 FGM cases to the police.
- Suspected or at-risk cases still require safeguarding action even where the mandatory reporting duty does not apply to you personally.
- Scotland and Northern Ireland have separate law, guidance and child protection procedures.
- Records should note the child’s exact words, the context, observations, actions taken, any advice given and reference numbers.
- Children affected by FGM need dignity, privacy, appropriate health care, emotional support and adults who avoid forcing repeated retelling.
For the exam, remember the safe practice sequence: notice, listen, record, protect, escalate and support.

