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The charity also said current guidelines dated back to 2003 and, despite being updated in 2010, only highlighted child sexual exploitation in complex cases and serious organised crime, leaving "clear gaps" in the system.
BBC: child
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Mr Lloyd, who was elected as PCC in November, said child sexual exploitation was a "hugely complex issue which casts a dark shadow" across the region.
BBC: Summit held to tackle child grooming in Greater Manchester
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It says doctors often graduate from medical school "without a clear idea of the normal anatomy of a woman's genitalia, still less the complex physical and psychological consequences that may result from sexual assault".
BBC: News | Health | Worldwide move to stamp out violence against women