Supporting Students with Medical Conditions

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1 Aims and Key Principles MEDICAL POLICY Supporting Students with Medical Conditions Cannock Chase High School aims to: ensure that children with medical conditions are supported in school so that they can play a full and active role in school life, remain healthy and achieve their academic potential; promote parent/carer confidence; reduce the impact of any emotional responses to medical conditions; raise awareness of the link between medical conditions, SEN and disabilities. What the school will do to support students with medical conditions: promote equal opportunities through its use of curriculum and learning materials; make reasonable adjustments for appropriate support; conduct additional risk assessments and Personal Emergency Evacuation Plans where necessary. Please see Appendix 1 and 2; work with students and their parents/carers to support them as effectively as possible with their medical needs whilst in school; liaise with the school nurse and other appropriate agencies to help support the relevant students; administer medication as per the medication consent form/individual healthcare plan; ensure appropriate personnel are aware of the students medical conditions; write and monitor individual student healthcare plans in conjunction with the relevant agencies and parents/carers; ensure that there are an adequate number of trained first aiders to act as an initial point of contact when an accident occurs; record information and ensure accidents are reported correctly; inform parents as and when incidents occur in school so parents can seek the appropriate medical advice. Cannock Chase High School does not have a qualified school nurse on site, so can therefore only administer emergency first aid. School will contact the emergency services and inform parents if a child s health and wellbeing is in question. What the parent/carer will do: support their child with their medical needs; complete the medication consent form; Medical Policy (June 2017) Page 1 of 17

2 liaise with the school and appropriate agencies to write/update the individual healthcare plan; attend meetings when necessary; keep the school up-to-date with any changes to their child s medical conditions. Training The school will ensure that the appropriate number of staff have attended a recognised first aid course. Specific training will be given to appropriate personnel in order to support students with medical conditions. Refresher training will be given where necessary. Responsibilities Schools have a legal duty to support children with medical needs. The Headteacher is ultimately responsible for the operational management of this policy. The school s First Aid Officer is responsible for: writing and monitoring the individual healthcare plans in conjunction with the parents/carers and appropriate agencies. Health care plans will be reviewed on an annual basis. Please see Appendix 3; keeping an up to date Asthma register. Please see Appendix 4; keeping a register of medication and expiry dates. Parents will be asked to collect any medication that has either expired or is no longer required. The Assistant Headteacher in charge of admissions is responsible for: Informing the First Aiders of any students with a medical condition, that will need an individual healthcare plan; Giving appropriate advice and strategies to all teaching staff in the form of an Individual Support Plan. Please see Appendix 5. All school staff are committed to working with students with medical conditions to ensure that this Policy is followed in order to support them with their medical needs appropriately. Delegated members of staff are responsible for the general first aid provisions. In the absence of the First Aid Officer, Pastoral Managers or Science Technician will take responsibility. Parents have a duty to make sure that their child is supported appropriately with their medical needs. Where it is not appropriate for a child to self-manage their medication, relevant staff should help to administer. Pastoral Leaders will write/amend any risk assessments required with the support of the Headteacher. Medical Policy (June 2017) Page 2 of 17

3 Student s role in managing their own medical needs After discussion with parents, students who are competent should be encouraged to take responsibility for managing their own medicines and procedures. Wherever possible, students should be allowed to carry their own medicines and relevant devices or should be able to access their medicines for self-medication, quickly and easily. Students will have access to the medical room to administer medication. If a student refuses to take medicine or carry out a necessary procedure, staff will not force them to do so. Parents will be informed immediately. Students should take responsibility to attend the medical room to take their medication or carry out the procedure at the time agreed in their healthcare plan. Managing medicines on premises All medication stored in school will be clearly labelled and staff will have written signed guidance and consent from parents. Please see Appendix 6 and 7 No student will be given medication without written consent from parents except in exceptional circumstances where the medicine has been prescribed to the child without the knowledge of the parents. In such cases, every effort should be made to encourage the child or young person to involve their parents while respecting their right to confidentiality. All medication on site will be stored in a marked cupboard in the medical room. It must be labelled referencing the student, dosage and be in its original container. A prescribed controlled drug may be kept on the student s person with prior notification to the school. However, it is an offence to pass a controlled substance to another person. Staff can administer controlled substances to students if they have received specific training and they check the details and dosage of the drug. When medication is no longer required the First Aid Officer will arrange for parents to collect and dispose of the medication. Medicines should only be administered at school when it would be detrimental to a child s health or school attendance not to do so. School will keep an emergency salbutamol inhaler on the premises in case of emergencies for students on the Asthma register. Parents will be informed immediately if this has been administered at school. Please see Appendix 8. Medical Policy (June 2017) Page 3 of 17

4 Record keeping Cannock Chase High School will keep accurate and up to date records. These are accessible to key staff involved in supporting student s medical needs. These procedures will be reviewed annually. The records kept are to ensure the safety of staff and students and to provide evidence of following the school procedures. Complaints If you wish to discuss your child s medical needs or are unhappy about any issues regarding the school s response to meeting these needs, please contact the following: First Aid Officer Mrs Y Williams; Assistant Headteacher with responsibility for Medical Needs Mrs T White. For complaints, please contact the Headteacher. They can be contacted via the school office on Links to other policies/procedures This Policy should be read in conjunction with the Staffordshire County Council s Medication Guidance (Ref G10). Another guidance document is Supporting students at school with medical conditions, statutory guidance for governing bodies of maintained schools and proprietors of academies in England, September 2014 (Ref DFE ). First Aid Policy Administering Medicines Policy Guidance on the use of emergency salbutamol inhalers in schools: DfE SCLGCP/CMHI/IDC/14100 (March 2015) Date for Review: Medical Policy (June 2017) Page 4 of 17

5 Appendices Appendix 1 Appendix 2 Appendix 3 Appendix 4 Appendix 5 Appendix 6 Appendix 7 Appendix 8 Risk Assessment Personal Emergency Evacuation Plan (PEEP) Health Care Plan Medical Asthma information request from parents Individual Support Plan Medication Consent Form Medication administered in school Notification to parents if use of emergency inhaler in school Medical Policy (June 2017) Page 5 of 17

6 LIKELIHOOD SEVERITY RISK LEVEL Appendix 1: Risk Assessment Individual Risk Assessment Plan of Pupil Name of Pupil: Age of Pupil: Assessment Date: Name of Assessor: HAZARD RISK CONTROL MEASURE (describe the existing workplace precautions and risk control systems in place) Are Existing Controls Adequate? Yes No Signed by Director of Year: Signed by Parents/Guardians: Appendix 1 Medical Policy (June 2017) Page 6 of 17

7 Appendix 2: Personal Emergency Evacuation Plan (PEEP) -STUDENT NAME Introduction The purpose of this PEEP is to enable the school to implement policy and procedures in order to discharge part of its duty towards disabled students/young people or staff under the Regulatory Reform Order 2005; the Education Act 1996 and the Disability Discrimination Act This plan will ensure that personnel with a mobility issue, whether permanent or temporary, are not put at any disadvantage or treated less favourably in the event of an emergency situation. This plan will: identify any specific needs of the individual; identify staff responsibilities; identify staff training requirements; identify specific evacuation routes where appropriate; identify refuge areas and specific evacuation procedures. This PEEP will be reviewed at least annually to ensure that the most up to date information is available. Further reviews will be undertaken where there is a change in the person s health; a change in procedures or an alteration of the premises. Plan Objective NAME OF STUDENT AND REASONS WHY PEEP IN USE EVACUATION PROCEDURE NAME OF STUDENT will follow the same evacuation route as all other students and a member of staff will be on hand to assist NAME OF STUDENT if required. In the event of an identified emergency, it is not expected that NAME OF STUDENT will require any assistance from emergency services. A 'buddy' will be identified to help NAME OF STUDENT carry any equipment and to walk in front of her/his as she/he exits the building to prevent further injury. The class teacher is responsible for ensuring that once the class has gathered on the field, NAME OF STUDENT and her/his 'Buddy' have re-joined the group. In the event that an emergency evacuation of the buildings is required during break and lunchtime it is the responsibility of the Director of Year and Tutor to ensure that NAME OF STUDENT has joined the group. Plan Requirements Action Required All staff and NAME OF STUDENT to be advised of the procedure. New staff to be advised of procedures as part of induction training. Personal Emergency Evacuation Plan to be practiced. Action taken Advised staff Part of Induction Part of termly fire drills Appendix 2 Medical Policy (June 2017) Page 7 of 17

8 Appendix 3: Health Care Plan CHILD S NAME (Year ) MEDICAL DIAGNOSIS OR CONDITION Appendix 3 Medical Policy (June 2017)

9 Health Care Plan Name of School/setting Cannock Chase High School Child s name Group/class/form Date of birth Child s address Medical diagnosis or condition Date Review Date Family Contact Information First Contact Name Phone number Work Phone number Home Phone number Mobile Second Contact Name Phone number Work Phone number Home Phone number Mobile Clinic/Hospital Contact Name Phone number G.P. Name Phone number Appendix 3 Medical Policy (June 2017) Page 9 of 17

10 Describe the medical needs and give details of child s symptoms: Daily care requirements (e.g. before sport/at lunchtime): Describe what constitutes an Emergency for the child and the action to take if this occurs: Follow-up care: Who is responsible in an emergency (state if different for off-site activities)? Form signed, dated and copied to: Parent/Carer Date: School Nurse Date: Education Staff Date: Date: Date: Appendix 3 Medical Policy (June 2017) Page 10 of 17

11 NAME: DOB: CONTACTING THE EMERGENCY SERVICES Speak clearly and slowly and be ready to repeat information if asked. Put a completed copy of this form by the telephone. Request for Ambulance Dial 999 and ask for ambulance and be ready with the following information: 1. Your telephone number 2. Give your location as follows (Insert school/setting address) 3. State the postcode is:- 4. Give exact location in the school/setting (insert brief description) 5. Give your name 6. Give the name of the child and a brief description of the child s symptoms. 7. Inform Ambulance Control of the best entrance and state that the crew will be met and taken to :- Appendix 3 Medical Policy (June 2017) Page 11 of 17

12 Appendix 4: Medical Asthma information request from parents My Ref: TW/YW/MU/14 Your Ref: Date: Dear Parent/Guardian We are currently amending medical details for all students. If your child has developed a medical condition since starting at Cannock Chase High School and the school is not aware, please could you contact Mrs Williams, First Aider. If your child has been diagnosed with asthma and has been prescribed a Salbutamol inhaler, please return the reply slip below which gives your consent for school to administer if required. Yours sincerely Mrs T White Assistant Headteacher Asthma Reply Slip In the event of my child displaying symptoms of asthma, I consent for my child to receive their own inhaler. If their own inhaler is unavailable, I consent for my child to receive Salbutamol from an emergency inhaler available in school. Student s name:... Tutor Group:... Inhaler used: Signed:... Date:... (Parent/Guardian) Please return to Mrs Williams, First Aider Appendix 4 Medical Policy (June 2017) Page 12 of 17

13 Appendix 5: Individual Support Plan Individual Support Plan Student Details Student Name: X Photo Year Group: Tutor Group: Gender: Additional Information Primary SEN Secondary SEN Primary Description Secondary Description SEN Status No special Educational Need First Language: English FSM: T Ever6: T LAC: F EAL: Medical Condition(s) Post Traumatic Concussion Syndrome Provisions Currently in Place Start Date Provision No. of Pupils Frequency per Week Length of Session Name Of Provision Lead Adult Support Strategies Example Information and Strategies: X sustained a head injury in 2015, he has post-concussion syndrome and has had episodes of fainting/ unconsciousness since sustaining the injury. Please be aware of the following: X s pupils may dilate when headache occurs X has mood swings, episodes of anxiety and becomes frustrated easily X suffers from seizures which will present as: Vacant episodes where X may collapse Inability to walk or talk X has a diary that he carries in his school bag that he needs to record events that occur in regards to his health. X carries 2 paracetamol and a drink to have as soon as a headache occurs. Class teacher should then contact first aider to inform her of this and she will document in school records. X is allowed to carry a mobile phone and will contact his mother when headaches present. A decision will then be made as to whether or not X remains in school. Appendix 5 Medical Policy (June 2017) Page 13 of 17

14 Appendix 6: Medication Consent Form The school will not give your child medicine unless you complete and sign this form, allowing staff to administer medicine. Date for review to be initiated by: Name of school Name of child Date of birth Medical condition or illness Cannock Chase High School Medicine Name/type of medicine (as described on the container) Expiry date Dosage and method Timing Are there any side effects that the school needs to know about? Self-administration Y/N Procedures to take in an emergency NB: Medicines must be in the original container as dispensed by the pharmacy Contact Details Name Daytime telephone number Relationship to child Address I understand that I must deliver the medicine personally to Mr Y Williams, First Aider The above information is, to the best of my knowledge, accurate at the time of writing and I give consent to school staff administering medicine in accordance with the school Policy. I will inform the school immediately, in writing, if there is any change in dosage or frequency of the medication or if the medicine is stopped. Signed:... Date:... Appendix 6 Medical Policy (June 2017) Page 14 of 17

15 Appendix 7: Medication administered in school Cannock Chase High School: Record of medicine administered to an individual child. Name of Child Tutor Group Date medicine provided by parent Quantity received Name and strength of medicine Expiry date Quantity returned Dose and frequency of medicine Signed (Staff):... Signed (Parent):... Date:... Date:... Date Time Given Dose given Name of member of staff Staff initials Date Time Given Dose given Name of member of staff Staff initials Date Time Given Dose given Name of member of staff Staff initials Date Time Given Dose given Name of member of staff Staff initials Appendix 7 Medical Policy (June 2017) Page 15 of 17

16 Appendix 8: Notification to parents if use of emergency inhaler in school Notification to parent Date: Dear parent/carer of: Your child has had problems with his/her breathing today which has required the use of the school s emergency inhaler. Since this may indicate your child s asthma is not well controlled at this time you are strongly advised to see your own doctor or practice nurse as soon as possible. If your child needs to use their reliever medication 3 times a week or more, seek a medical review. Date Time Number of puffs Where/Activity (eg classroom/pe) Given By Yours sincerely If your child needed to use the school emergency inhaler would you please ensure they have their own labelled inhaler in school. Appendix 8 Medical Policy (June 2017) Page 16 of 17

17 Record of Inhaler Use (Audit Form) Cannock Chase High School Name Date Time Number of puffs Where/activity eg classroom/pe Child s own or school inhaler Parent letter Given by Please keep copies of this form with the school emergency inhaler and in classroom/office. Appendix 8 Medical Policy (June 2017) Page 17 of 17