Policy

Women's Health Safeguarding, Domestic Abuse & Vulnerability Policy

How a remote menopause and women's health service recognises and responds to abuse, coercion, female genital mutilation and vulnerability without the physical cues available in a consulting room

For Women's Health & Menopause ClinicRef BS-WOM-POL-008See a sample (PDF) →
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  • Editable Microsoft Word (.docx)
  • Mapped to the CQC standards
  • Optional 3-monthly updates

What's inside

This policy is fully drafted and structured, ready to brand and complete for your service. It covers:

  • 1. Purpose
  • 2. Scope
  • 3. Policy statement
  • 4. Definitions
  • 5. Recognising risk and making safe enquiry in a remote consultation
  • 6. Responding to a concern or disclosure
  • 7. Adults at risk and mental capacity
  • 8. Domestic abuse pathway
  • 9. Children in the household
  • 10. Female genital mutilation
  • 11. Honour-based abuse, forced marriage and modern slavery
  • 12. Medication coercion, diversion and reproductive coercion
  • 13. Older patients, economic abuse and allegations about staff
  • 14. Information sharing and confidentiality
  • 15. Protecting safeguarding records and online access
  • 16. Roles and responsibilities
  • 17. Training and competence
  • 18. Records, monitoring and audit
  • 19. Related documents
  • 20. Version control and review
  • 21. Appendix A - Safeguarding Concern Record
  • 22. Disclaimer

CQC fundamental standard

Regulation 13 (Safeguarding service users from abuse and improper treatment)
This document is written to evidence that standard. Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

Legislation & standards it maps to

  • Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 - Regulation 9 (Person-centred care), Regulation 10 (Dignity and respect), Regulation 11 (Need for consent), Regulation 12 (Safe care and treatment), Regulation 13 (Safeguarding service users from abuse and improper treatment), Regulation 17 (Good governance) and Regulation 20 (Duty of candour)
  • Care Quality Commission (Registration) Regulations 2009 - Regulation 18 (Notification of other incidents)
  • Care Act 2014, including section 42 (Enquiry by local authority)
  • Children Act 1989 and Children Act 2004
  • Working Together to Safeguard Children (Department for Education, 2026 edition)
  • Domestic Abuse Act 2021
  • Serious Crime Act 2015, section 76 (Controlling or coercive behaviour in an intimate or family relationship)
  • Female Genital Mutilation Act 2003, section 5B (Duty to notify police of female genital mutilation), inserted by section 74 of the Serious Crime Act 2015
  • Multi-agency statutory guidance on female genital mutilation (Home Office)
  • Anti-social Behaviour, Crime and Policing Act 2014 (forced marriage offence) and Marriage and Civil Partnership (Minimum Age) Act 2022
  • Modern Slavery Act 2015
  • Mental Capacity Act 2005
  • UK General Data Protection Regulation and Data Protection Act 2018
  • Adult Safeguarding: Roles and Competencies for Health Care Staff (intercollegiate document, second edition, 2024)
  • Safeguarding children and young people and children and young people in care: Competencies for health care staff (intercollegiate document, 2025)
  • Care Quality Commission (CQC) assessment framework: the five key questions (safe, effective, caring, responsive and well-led) and the quality statements of the single assessment framework, and the sector-specific framework for primary care and community services when it replaces them.

Who it applies to

All clinical and administrative staff of [Organisation Name], including prescribing clinicians registered with the General Medical Council, Nursing and Midwifery Council or General Pharmaceutical Council, self-employed, bank and locum clinicians, patient-support and administrative staff, and contractors with access to patient information.

Glossary

Plain-English explanations of the technical terms and legislation used in this document.

Adult at risk
An adult with care and support needs who is experiencing or at risk of abuse or neglect and cannot protect herself because of those needs.
Anti-social Behaviour, Crime and Policing Act 2014
The law that made forcing someone to marry a criminal offence in England and Wales.
Caldicott Guardian
A senior person responsible for protecting the confidentiality of health and care information and enabling appropriate sharing.
Care Act 2014
The law setting out local authorities' duties for adult social care, including the duty to make safeguarding enquiries under section 42.
Care Quality Commission (CQC)
The independent regulator of health and social care services in England.
Care Quality Commission (Registration) Regulations 2009
Regulations that include the duty on registered providers to notify the CQC of certain events, including abuse or allegations of abuse.
Children Act 1989 and Children Act 2004
The main laws setting out duties to protect children, including local authority child protection enquiries and duties on organisations to safeguard children.
Controlling or coercive behaviour
A pattern of control, threats, isolation or humiliation used to harm or frighten someone close; a criminal offence under the Serious Crime Act 2015.
Data Protection Act 2018
The United Kingdom law that sits alongside the UK GDPR, including conditions allowing health information to be shared to safeguard people at risk.
Disclosure and Barring Service (DBS)
The body that carries out criminal record checks and decides whether people should be barred from working with children or adults at risk.
Domestic Abuse Act 2021
The law that created the statutory definition of domestic abuse, covering people aged 16 or over who are personally connected.
Domestic Abuse, Stalking, Harassment and Honour-based Violence (DASH) risk checklist
A set of questions, published by the charity SafeLives, used by professionals to identify victims at high risk of serious harm or homicide.
Duty of candour
The legal duty to be open and honest with a patient when something goes wrong with their care that causes, or could cause, significant harm.
Economic abuse
Controlling someone's money, property or ability to get goods and services.
Equality Act 2010
The law protecting people from discrimination because of characteristics such as age, sex, disability and gender reassignment.
Female genital mutilation (FGM)
Cutting or injuring the female genitals for non-medical reasons; illegal in the United Kingdom.
Female Genital Mutilation Act 2003
The law making FGM an offence; section 5B requires regulated professionals to report known FGM in girls under 18 to the police.
FGM Enhanced Dataset
A national data collection about FGM that is mandatory for some publicly funded organisations, such as hospital trusts and GP practices.
FGM protection order
A court order that can be made to protect a girl or woman at risk of FGM, for example by preventing travel abroad.
Forced marriage
A marriage in which one or both people do not or cannot consent and pressure or abuse is used; any marriage of a child under 18 is now illegal.
Forced Marriage Unit (FMU)
A joint government unit that gives advice and support to people at risk of forced marriage and to professionals.
General Medical Council (GMC)
The body that registers and regulates doctors in the United Kingdom.
General Pharmaceutical Council (GPhC)
The body that registers and regulates pharmacists and pharmacy technicians in Great Britain.
General practitioner (GP)
A doctor who provides general medical care in the community and usually holds a patient's main medical record.
Health and Social Care Act 2008 (Regulated Activities) Regulations 2014
The regulations setting out the fundamental standards that registered providers must meet, enforced by the CQC.
Honour-based abuse
Abuse carried out to protect the perceived honour of a family or community.
Hormone replacement therapy (HRT)
Medicines that replace the hormones, mainly oestrogen, that fall at menopause, usually with a progestogen for patients who have a womb.
Independent Domestic Violence Adviser (IDVA)
A trained specialist who supports victims of domestic abuse at high risk, including through the MARAC and court processes.
Intercollegiate documents
Guidance produced jointly by the medical and nursing royal colleges setting out the safeguarding competencies and training levels health care staff need.
Marriage and Civil Partnership (Minimum Age) Act 2022
The law that raised the minimum age for marriage and civil partnership to 18 and made it an offence to cause a child to marry.
Mental Capacity Act 2005
The law about making decisions for people who cannot make a particular decision for themselves, starting from a presumption that people have capacity.
Misuse of Drugs Regulations 2001
The regulations that classify controlled drugs into schedules and set rules for prescribing and handling them.
Modern Slavery Act 2015
The law covering slavery, servitude, forced labour and human trafficking offences and victim protections.
Multi-Agency Risk Assessment Conference (MARAC)
A local meeting where police, health, social care, housing and domestic abuse services share information and plan how to protect victims at high risk.
National Referral Mechanism (NRM)
The government framework for identifying and supporting potential victims of modern slavery.
Nursing and Midwifery Council (NMC)
The body that registers and regulates nurses, midwives and nursing associates in the United Kingdom.
Proxy access
Access to a patient's online record or account by another person on their behalf.
Regulation 13
The fundamental standard requiring providers to protect service users from abuse and improper treatment.
Reproductive coercion
Controlling someone's contraception, pregnancy or access to reproductive healthcare.
Section 42 enquiry
The enquiry a local authority must make, or cause to be made, when an adult at risk in its area may be experiencing abuse or neglect.
Serious Crime Act 2015
The law that created the offence of controlling or coercive behaviour (section 76) and inserted the FGM reporting duty into the Female Genital Mutilation Act 2003.
Serious harm exemption
A rule in the Data Protection Act 2018 allowing health information to be withheld from a subject access request if release would be likely to cause serious harm.
Sexual Assault Referral Centre (SARC)
A specialist centre offering medical care, forensic examination and support after rape or sexual assault, whether or not the person reports to the police.
Silent Solution
A police system that lets a 999 caller who cannot speak press 55 on a mobile to show they need police help.
Standard operating procedure (SOP)
A step-by-step written procedure for carrying out a task consistently.
UK General Data Protection Regulation (UK GDPR)
The United Kingdom's main data protection law governing how personal information is collected, used and shared.
Working Together to Safeguard Children
Statutory guidance from the Department for Education on how organisations work together to protect children; the current edition was published in 2026.

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  3. Complete the placeholders for your service, then have it approved before use.
  4. Add the optional updates subscription and we keep it current as guidance changes.

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