Fabricated or Induced Illness syndrome – what it means, what it does, and how to identify it - Online learning day - access flexibly over three days (22/23/24 November 2022). Real-time Q&A with the presenter, 24 November at 3pm

22/23/24 November 2022



November 22, 2022


November 24, 2022

Fabricated or Induced Illness Syndrome (FII for short) is a rare form of child abuse, and occurs where a parent, or occasionally another adult, invents, induces or exaggerates a child’s illness. Recent exploration of the condition has led to a wider definition which includes ‘Perplexing Presentations’ (PP).

Confirming FII can be extremely challenging for professionals.

Parents can be persuasive and authoritative, and obtaining objective evidence is usually difficult. Situations can be made more complex by increasing numbers of professionals involved and appointments at multiple sites. Yet matching information across agencies can be essential, for example, between health professionals, social workers and schools.

Children who are victims of PP or FII may actually have a health condition, but the parental response is disproportionate.

A parent may be genuinely mistaken, or an excessive worrier who refuses to accept medical advice.

In other cases, deception may reflect a desire for control, attention, sympathy and support, or even financial gain. Some serious cases have been characterised by parents who are relentless in their pursuit of diagnosis and treatment.

Regardless of the adult’s motivation,

children are at real risk of both short term and long term mental and physical harm.

In extreme cases, children have undergone unnecessary invasive medical treatment, including operations. It is, therefore, essential that a wide range of professionals who work with children and families are aware of FII, how it may be spotted, and what to do next.

This online learning will consider the nature of FII, and the kind of perpetrator behaviours which have been observed. There is no simple route to ‘diagnosing’ FII, but the sessions will look at guidance available, how it may be possible to pick up clues that suggest practitioners should consider FII as a possibility, and in-case examples. There are also exercises to complete which support learning, and a live online Q&A with the presenter.

Fabricated or Induced Illness Syndrome (FII) is a rare form of child abuse, and occurs where a parent or other responsible adult invents or exaggerates a child’s illness.


The training sessions focus on the following areas:

  • Definitions of Fabricated or Induced Illness (FII), including Perplexing Presentations, and facts which are known about these
  • How this form of abuse may manifest in children, and what to look for
  • How perpetrators of FII may present, and the importance of their histories
  • Responding to situations where FII is considered or suspected (including updated RCPCH Guidance 2021)
  • Case examples

The training is split into three pre-recorded sessions (see agenda for outline and recording duration).

The sessions include exercises that support learning, and a live online Q&A with the presenter.

Participants will be emailed a copy of the PowerPoint slides for note-taking.


The learning day will be facilitated by Pippa Waterman.

Pippa is a qualified nurse, midwife and health visitor, and a qualified teacher and trainer in safeguarding.  She is a Fellow of the Higher Education Academy, and was a Senior Lecturer for MSc in Safeguarding at the University of Birmingham. Pippa has been a Named Nurse and lead trainer for safeguarding children in a large NHS Trust, and has sat as a magistrate and worked in domestic violence courts.

Delegate fee:

 £89+ VAT = £106.80

Team of 3 Deal – £255+ VAT = £306

Team of 5 Deal – £415+ VAT = £498

Ring 0115 916 3104 for details.


Confirmation of booking:

Your booking will be confirmed by email where possible (and by fax or post otherwise), and you will be provided with directions to the venue and details on nearby hotel accommodation. If you do not receive such acknowledgement, please contact Central Conference Consultants Ltd on 0115 916 3104.

Booking Terms and Conditions

  • Delegates will not be able to cancel their places after materials have been e-mailed out (two weeks before they are able to access the sessions)
  • Places must be paid for prior to materials being e-mailed to the delegate
  • Delegates may cancel their booking prior to materials being e-mailed out, less an administration fee of 25%
  • Substitutions will be accepted but these must be notified in writing
  • Due to the significant discounts offered, team bookings are non-cancellable
  • Cancellations should be made in writing to CCClimited@aol.com up to two weeks before the start of the event and will be acknowledged by return

Confirmation of booking:

Your booking will be confirmed (and invoiced) by e-mail.   You will be e-mailed outline information on the training.

The online training sessions will be available for a period of three days in November (22/23/24).

If you do not receive such acknowledgement, please contact Central Conference Consultants Ltd on 0115 916 3104.


Key points:

The online sessions total 72 minutes of actual recording time. However, we strongly advise allowing a least 30 minutes extra for the completion of exercises throughout the three sessions.


NOTE: participants will be able to access the sessions whenever they wish over a three day period

Session 1 (24 minutes recording)

  • Introduction
  • Definitions of Fabricated or Induced Illness, including wider concepts of Perplexing Presentations
  • What do we know about FII?
  • The perpetrators of FII: how they may fabricate illness, and how they may present
  • What to look out for
  • Other factors: siblings, wider family, and health professionals

Session 2  (18 minutes recording)

  • How the child may present to professionals
  • What harms may impact the child – short term and long term; physical and mental
  • Common presentations of FII
  • Key points to look out for
  • Examples of inducing illness
  • Two case examples

Session 3 (30 minutes recording)

  • Professional responses
  • What counts as objective evidence?
  • RCPCH Guidance 2021
  • Process and agencies involved
  • What do you say to the parents?
  • S47 considerations
  • Chronology, information sharing, care proceedings
  • Health and education rehabilitation plan
  • Case examples

Real Time

A Q&A session, live online with the presenter, takes place from 3pm, 24 November.

  • Children’s and families’ social workers
  • Adoption and fostering social workers
  • Local Safeguarding Children Boards
  • Family support professionals
  • Children’s charities
  • Youth and playworkers
  • Schools – teaching staff, safeguarding leads, school nurses, parent support workers, exclusions and truancy officers, and mentoring staff
  • Sure Start nursery and other staff
  • Other nurseries
  • Youth justice professionals
  • Police and Community Protection Officers
  • Community safety
  • Tenancy support officers
  • Domestic abuse professionals
  • Women’s centres and wellbeing services
  • Maternity health services and health visitors
  • Public health
  • Designated Safeguarding leads for organisations, churches and charities




Anyone attending from Scotland or Northern Ireland should be aware that any legal & guidance references are generally English and Welsh policy.