Implementation process for NHS healthcare organisations


Find out how to implement the Female Genital Mutilation Risk Indication System (FGM RIS) within your NHS healthcare organisation.

Our users

The FGM RIS is for all NHS funded providers of healthcare to children, across all clinical settings, including:

  • GPs
  • GP practice nurses
  • midwives 
  • health visitors
  • school nurses
  • local safeguarding leads 

The implementation process

The FGM RIS is currently being rolled out to NHS healthcare organisations across England. The implementation process varies depending on how you access FGM RIS - there are currently 2 access routes:

Implementation requires joint working between NHS healthcare organisations, NHS Digital and NHS England. The NHS England Female Genital Mutilation Prevention Programme is leading the FGM RIS implementation activities, working closely with NHS healthcare organisations to guide and support them through the FGM RIS implementation process and providing a range of detailed guidance documents. They can also put you in contact with organisations that have been through the process.

If you have any queries, or if you want to find out more about starting your implementation journey, please contact the NHS England FGM RIS Implementation Team at

The implementation process takes around 2 to 4 months to complete and involves:

  1. Initial engagement
  2. Getting started
  3. Getting ready for FGM RIS
  4. Training
  5. Ready to use FGM RIS
  6. Feedback

Download the letter sent by NHS England to all regional leads, providing information on the implementation of the FGM RIS.