The Governments counter- terrorism strategy is called CONTEST 2018 and it is divided up into four priority objectives:

PREVENT – stop people becoming terrorists and supporting violent extremism

Pursue – stop terrorist attacks

Protect – strengthen overall protection against terrorist attacks

Prepare – where we cannot stop an attack, mitigate its impact

PREVENT is a strategy that seeks to stop people becoming terrorists and supporting violent extremism. There are numerous government departments and local partners involved in the strategy, and one of the main organisations involved are health care services.

PREVENT has three main objectives, which are to :

The health service has been identified as a key partner in preventing vulnerable people being groomed or radicalised. In addition health may in some specific circumstances support the strand relating to disengaging and rehabilating those engaged in terrorism, which would be along be in a similar vein to the support offered in offender management.

Many of the vulnerabilties that terrorist radicalisers prey on are often the same as those exploited by groomers in other forms of exploitation and the method/approach may be very similar. The CONTEST Strategy promotes early intervention to protect vulnerable individuals from being drawn into terrorism.

The key message is that all staff must escalate a concern and have confidence that each issue will be taken seriously, handled appropriately and that, where necessary, specialist advice will be available.

The Counter Terrorism and Security Act 2015 placed a duty on all specified authorities, which includes NHS Trusts and Foundation Trusts to pay due regard to the Prevent startegy when delivering their services. All NHS services commissioned on Standard NHS Contracts are contracturally obliged to follow the same considerations.

For health this means all Providers should have an identified Prevent Lead, who staff can report/discuss concerns with and a referral pathway. All staff should receive the appropriate level of Prevent training. The basic premise of the training is that staff should

NOTICE – There is a change in the behaviour of a patient or colleague or you see something that concerns you

CHECK – Discuss your concerns with a colleague, supervisor or manager

SHARE – Share your concerns with the Prevent Lead within your organisation

Contracts of employment, professional codes of conduct and safeguarding frameworks such as the Care Act require all healthcare staff to exercise a duty of care to patients and, where necessary, take action for safeguarding and crime prevention.

All main NHS Providers will have an identified Prevent Lead, so if you have a concern discuss it with them or your safeguarding lead and they will advise and identify local referral pathways. NHS England has Regional Prevent Coordinators, who can also offer support and advice.

Useful links

NHS England - Prevent

NHS England - Prevent Mental Health Guidance and new e-Learning package

NHS England- Practical Guidance on the sharing of information and information governance for all NHS organisations specifically for Prevent and the Channel process - Prevent duty guidance - Channel guidance

GMC - Confidentiality good practice in handling patient information.pdf

Lets Talk About It - What is channel