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Introduction
FGM IS is currently view only (v1.0). Suppliers are required to move to FGM IS v2.0
FGM IS v2.0 is for all suppliers to develop query, create and delete with an uplift to the query requirements to support local caching.
The FGM IS Female Genital Mutilation (FGM) is an illegal, extremely harmful practice and a form of Child abuse and violence against women and girls. The Government is committed to preventing and ending this harmful practice which violates the rights of girls and women. The Department of Health and Social Care (DHSC) in partnership with NHS England has launched a FGM Prevention Programme which aims to improve the NHS’ response to FGM, increase levels of safeguarding for girls at risk of FGM and provide better subsequent support and care for those that have undergone FGM.
As part of the FGM Prevention Programme, a national FGM Risk Indication System (FGM RIS) has been developed. This is a national IT service and forms part of the national Spine architecture. It allows FGM risk information for girls under 18 to be to created, deleted, stored and shared with relevant NHS healthcare professionals across departmental, organisational and geographical boundaries within England, supporting effective early intervention and ongoing safeguarding of girls potentially at risk of FGM. For more information.
The FGM RIS Interoperability has been through two iterations:
- FGM
- RIS v1.0 - this is currently supported in live use for phase 1 query with an agreed supplier set ONLY. This specification is deprecated for further development. Further information about this standard can be found on NHS Digital FGM
- FGM
- RIS v2.0 - this is now supported for all suppliers
- for query, create and delete with an uplift to the query requirements to support local caching. Information can be found here https://developer.nhs.uk/apis/fgm-v2/
The FGM
RIS interoperability requirements should not be confused with
the FGM Enhanced Dataset that requires organisations to record, collect and return detailed information about individual Patients affected by FGM.
For more information on this dataset see http://content.digital.nhs.uk/isce/publication/scci2026.
Outline Plan
Suppliers on v1.0 will need to move over to v2.0 of FGM IS API
Summary of Change
Suppliers need to adhere to v2.0 of the FGM standard as it allows for view, create and delete whereas v1.0 is view only, more information can be found here: FGM IS API version 2.0
FGM Update Capability
An ‘update’ capability within local NHS systems. Enabling additional create and delete capability for local NHS systems integration to the FGM IS.
This functionality is only applicable to local NHS IT systems that are Spine compliant and use National Role Based Access Control (RBAC). The FGM IS can only be updated by authorised healthcare professionals using Smartcards with the correct RBAC activity codes.
Create Patient FGM flag
The FGM client will construct a FHIR create FGM flag message and send it to the SPINE. Assuming successful transport, there are two possible outcomes:
- SPINE rejects the create flag request due to business rules around the message construct
- SPINE executes the create flag request and there is an FGM risk entry created for the Patient on Spine
Delete Patient FGM flag
The FGM client will construct a FHIR delete FGM flag request message and send it to the SPINE. Assuming successful transport, there are two possible outcomes:
- SPINE rejects the delete flag request due to business rules around the message construct
- SPINE executes the delete flag request and the FGM risk entry is deleted for the Patient on Spine
Full Specification
The data flow diagram below is an example of how an FGM Risk Indicator may be set.
Compliance and Assurance
To gain access to FGM suppliers follow the Common Assurance Process (CAP). CAP is an end-to-end assurance process, which involves a tailored (CAP) approach being developed which states what deliverable and activities are conducted.
Compliance is established through the end-to-end assurance process.
For advice and support from the NHS Business Partners programme, please contact businesspartners@nhs.net or visit https://digital.nhs.uk/services/nhs-business-partners
Requirements
Req Id | Requirement Text | Level |
|---|---|---|
| FGMRIS-01 | Solutions which offer the Recording Consultations capability will achieve compliance with FGM RIS API version 2.0 | MUST |
Documentation
The API Hub on the NHS Developer Network contains the latest documentation for FGM IS RIS API v2version 2.0.
The latest Requirements Specification document is version 2.1 and is downloadable from this page in the above site. (The embedded documents have been versioned independently of the API specification)
SCCI2112 - FGM IS RIS Local System Integration Information Standard contains information contains information about the Information Standards Notice.
Note: the documents downloadable in the Releases section apply to FGM IS RIS v1.0 only.
Assurance Approach
Assurance will be via a Risk Based Approach (RBA). RBA is an assurance process which involves reviewing Risks involved in connecting to the service and providing mitigation details.
Compliance is established through the risk mitigations, completion of the Supplier Conformance Assessment List and by signing the Connection Agreement.
For advice and support from the NHS Business Partners programme, please contact businesspartners@nhs.net or visit https://digital.nhs.uk/services/nhs-business-partners