In September 2017, 11 people were jailed for up to 15 years for exploiting at least 18 victims of modern slavery, including one for 26 years. Men, women, and children are trafficked for exploitation in the UK every year and forced to work in prostitution, domestic roles, or manual labour. Victims are often targeted if they are homeless, alcoholics, have learning disabilities or mental health problems. Coercion can take many forms; from threats against family members, to sexual violence, imprisonment, and having passports taken away. The police have said that modern slavery and human trafficking is far more prevalent than had been previously thought and that there may be tens of thousands of victims.
12% of health professionals report that they have been in contact with a potential victim of modern slavery within their practice and at the same time 86% of staff do not feel adequately trained to assess and help potential victims of modern slavery.
What can healthcare professionals do?
All healthcare professionals can play a key role in identifying, supporting and caring for victims. One fifth of victims admit to coming into contact with healthcare services during their time in slavery.
The Modern Slavery Act 2015 enables the justice system to ensure that perpetrators are punished and victims receive support. NHS professionals have a very important role to play, as those who present in healthcare settings may have little engagement with any other services. Staff who suspect that a patient may have been trafficked can contact a 24 hour confidential helpline for professional advice and support (0300 303 8151)
In order to help build a picture of modern slavery in the UK and improve the response from all public services, there is a provision in the Modern Slavery Act 2015 for public authorities to notify the Home Office when they encounter a potential victim of modern slavery. Healthcare workers are not bound by this duty but are encouraged to make a voluntary notification. If the victim is an adult who has not consented, any notification must be limited in how much information they divulge so that the victim cannot be identified personally and there is no breach of confidence. The Home office has published guidance on how to notify the Home Office.
The Royal College of Nurses has launched a pocket guide and the Institute of Health Visiting has published a guide to help spot victims of trafficking and to address the lack of modern slavery awareness training in the NHS.
The RCN guide notes the following key points:-
Signs of trafficking
If the person:
Children and young people might show the following signs:-
Health issues may include:-
The role of the healthcare professional:-
It is vital that healthcare professionals help combat modern slavery and support victims of these appalling crimes. If you need help with training, advice, or drafting a policy for your organisation please contact Claire Bentley, Associate.