The universal GP Training website for everyone, not just Bradford.   Created in 2002 by Dr Ramesh Mehay

Bradford VTS Online Resources:

Clinical Knowledge

Safeguarding Children

Controlling vs Coercion

  • These two things underpin all domestic abuse and the grooming and exploitation of individuals
  • Controlling – isolate and regulate – makes a person subordinate or dependent – deprives them of the mean for independence
  • Coercive – act to hurt and intimidate, a continuing act or pattern of assault, threats, humiliation and intimidation – or other abus that is used to harm, punish or frighten their victim

The Care Act 2014 - 6 things

  1. Accountability – we have a safeguarding statutory duty and responsibility
  2. Proportionality – proportional response to the risk  (eg severe crime à police ASAP)
  3. Empowerment – empowering the adult to make decisions
  4. Protection – protecting the person
  5. Prevention – to prevent it happening again
  6. Partnership – working together to resolve the problem

PREVENT & Radicalisation in Teenagers

PREVENT is the governments counter-terrorism strategy to prevent people from being radicalised.  It’s often the vulnerable that become radicalised.   The vulnerable like the homeless, those with learning disabilities, people struggling financially, children and so on.   It is important to safeguard these vulnerable people from such activities.  PREVENT  is all about safeguarding.

The diagram on the bottom right shows how violent or extremists people manage to move vulnerable people from a non-criminal space to a criminal one.   We can be the ones that help strengthen the wall the attempts to break the blue arrow.    But remember – only report the concern to the police – never take it upon yourself to investigate or challenge the aggressors – consider your safety and that of your family.  

Modern Slavery

Modern slavery is global – 40+ million people are slaves.  And it’s not just foreign nationals – British people are affected too.  In fact, more modern slavery victims IN THE UK are BRITISH!    More British slaves at our doorstep than in any other country!    The perpetrators pick on the vulnerable and promise them things like a better life, money, belonging to a caring community and so on.  They then take their documents off them so they can’t leave.  And then come along the threats of what will happen to their families if they do.  Do you see how the cycle works?


  • Mental Health
  • Those with alcohol and drug related issues.
  • Homeless
  • People with Disabilities
  • Children (1 in 4 victims are children!)

Source: UN, National Referral Mechanism Stats, Hope for Justice

Which countries do the modern slaves in the UK originally come from?

Albania, Vietnam, UK (yes, you read correctly!), China & India
Keep an eye out!


  • Non-specific trauma, old injuries that have been untreated
  • Sexual trauma, STIs, teenage pregnancy/low late booking
  • Neglect, poor nutrition, poor dental hygiene
  • Stomach problems, back pain problems, TATT
  • Depression, anxiety, self-harm, withdrawn, submissive, looks distressed
  • Always accompanied, moves frequently/agitated, language barriers, isolated
  • No documentation, Not registered with GP, inconsistent info, always coming in for “emergencies”/on-call doc.
  • Socially – often goes missing,  lights on at their premises late, dropped off in the large group, lots of mattresses in the house when you do a home visit, people living in outbuilding/trailers



If you believe your patient to be a victim of modern slavery then explain the National Referral Mechanism and  gain consent.   For more details click here.


  • Office hours only (9am-5:30pm Mon-Fri): 0300 008 8000
  • Outside of office hours:
    Contact Crimestoppers on 0800 555 111.


101/Modern Slavery Helpline is 08000 121 700

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Bradford VTS was created by Dr. Ramesh Mehay, a Programme Director for Bradford GP Training Scheme back in 2001. Over the years, it has seen many permutations.  At the time, there were very few resources for GP trainees and their trainers so Bradford decided to create one FOR EVERYONE. 

So, we see Bradford VTS as  the INDEPENDENT vocational training scheme website providing a wealth of free medical resources for GP trainees, their trainers and TPDs everywhere and anywhere.  We also welcome other health professionals – as we know the site is used by both those qualified and in training – such as Associate Physicians, ANPs, Medical & Nursing Students. 

Our fundamental belief is to openly and freely share knowledge to help learn and develop with each other.  Feel free to use the information – as long as it is not for a commercial purpose.   

We have a wealth of downloadable resources and we also welcome copyright-free educational material from all our users to help build our rich resource (send to

Our sections on (medical) COMMUNICATION SKILLS and (medical) TEACHING & LEARNING are perhaps the best and most comprehensive on the world wide web (see white-on-black menu header section on the homepage).