RCGP Safeguarding toolkit

Part 2A: Identification of abuse and neglect

Child sexual exploitation

The NSPCC provides useful information about Child Sexual Exploitation:

Child sexual exploitation (CSE) is a type of sexual abuse. It happens when a child or young person is coerced, manipulated or deceived into sexual activity in exchange for things that they may need or want like gifts, drugs, money, status and affection. Children and young people are often tricked into believing they're in a loving and consensual relationship so the sexual activity may appear consensual. This is called grooming and is a type of abuse. They may trust their abuser and not understand that they're being abused. CSE does not always involve physical contact, and can also occur through the use of technology.

Children and young people can be trafficked into or within the UK for sexual exploitation. They're moved around the country and abused by being forced to take part in sexual activities, often with more than one person. Young people in gangs can also be sexually exploited.

Sometimes abusers use violence and intimidation to frighten or force a child or young person, making them feel as if they've no choice. They may lend them large sums of money they know can't be repaid or use financial abuse or blackmail to control them.

Anybody can be a perpetrator of CSE, no matter their age, gender or race. The relationship could be framed or viewed as friendship, someone to look up to or romantic. Children and young people who are exploited may also be made to 'find' or coerce others to join groups.

It's important to recognise that although the age of consent is 16 years old, children and young people over the age of 16 can be exploited. Child sexual exploitation is a very complex form of abuse. It can be difficult for parents and carers to understand and hard for the young person to acknowledge that they are being exploited.

CSE can happen in person or online.

Below are some signs of child sexual exploitation which we have taken from the NSPCC.

Unhealthy or inappropriate sexual behaviour. Being frightened of some people, places or situations. Being secretive.
Sharp changes in mood or character. Sudden change in family relationships/dynamics. Having money or items they can’t or won’t explain, such as hotel key cards or unexplained gifts.
Physical signs of abuse, like bruises or bleeding in their genital or anal area. Sudden change in physical appearance including clothes and hygiene levels. Alcohol or drug misuse.
Sexually transmitted infections or pregnancy. A sudden and urgent request to go onto contraception or to obtain the ‘morning after pill’. Involved in criminal activities like selling drugs or shoplifting.
Having an older person they view as their boyfriend or girlfriend. Staying out late or overnight. Having a new group of friends.
Missing from home or care, or stopping going to school or college. Hanging out with older people, other vulnerable people or in antisocial groups. Being involved in a gang.