Fabricated or Induced Illness – what it means, what it does, and how to identify it | Online sessions available 18/19/20 June 2024, with 24-hour access PLUS 1 hour live workshop with presenter- 3pm, 20 June

18/19/20 June 2024



June 18, 2024


June 20, 2024

Fabricated or Induced Illness (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.

FII can also take place in health care settings with devastating consequences, as shown by the recent and shocking case of nurse Lucy Letby deliberately inducing illness and death in babies under her care.

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 workshop with the presenter on 20th June.

Format of the training

  • This training takes place online and sessions (excluding the live workshop) are pre-recorded by the presenter.
  • Details of the sessions, with approximate timings, are given in the Agenda section. We advise you to leave some additional time for any reflections or exercises included. PowerPoint slides will be provided.
  • In order to offer flexibility to busy professionals, the sessions can be accessed at any time over a three-day period, from Tuesday 18th– Thursday 20th June 2024


What you will get from us

  • Once you have booked, you will be emailed a brief confirmation.
  • Approximately 1-2 weeks prior to the start of the training days we will email joining instructions which will include your personal access codes, full details of how to access the training sessions and the live workshop, and your PowerPoint slides.
  • After you have completed the training, we will email a Certificate of Attendance for your CPD records


Technical heads up

  • If you are part of a large organisation, please check with your IT department that there are no firewalls which will prevent you from accessing the training.
  • We strongly advise accessing the sessions using Chrome
  • We’re here to help, so if you have any problems, just call us or email us (contacts below)


The live workshop

  • The live workshop is run by the presenter for one hour at 3pm on 20th June
  • This is your opportunity to ask a question, or to raise a real-life situation you are experiencing, or have experienced, in the course of your work.
Please feel free to telephone us on 0115 916 3104 or email us
conferences@ccclimited.org.uk with any queries.


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:  £65+ VAT = £78


Want to book a larger group (over 10)?

  • Discount on the standard price available for these dates
  • Arrange different dates to suit your group
  • Training can be delivered in your workplace or live online just for your group

Call 0115 916 3104 or email conferences@ccclimited.org.uk to arrange


Booking Terms and Conditions

  • The latest date for cancellation of standard rate places is 2 weeks prior to the first day of the training event; an administration fee of 25% will be charged for cancellation
  • Substitutions will be accepted, but these must be notified in writing PRIOR to the first day of the training event
  • It is the responsibility of each participant to ensure that they set aside time to access the online sessions; unexpected work or personal events will not entitle the delegate to access later events without re-booking
  • Cancellations should be made in writing to conferences@ccclimited.org.uk up to two weeks before the start of the event and will be acknowledged

Please note that slightly different T&Cs will apply to large group bookings.


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

Live workshop – 1 hour at 3pm on 20 June.

This is an opportunity to ask questions and raise your own case issues with the presenter.

  • 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.