Woodlands Primary School. Supporting Children with Medical Needs Policy

Transcription

1 Wdlands Primary Schl Supprting Children with Medical Needs Plicy Written by Mary Priestley Ratified by Gvernrs Spring 2017 Date fr Review Summer 2020 Signed Chair f Gvernrs Signed Headteacher This plicy has been impact assessed by Mary Priestley in rder t ensure that it des nt have an adverse effect n race, gender r disability equality.

2 This plicy is written in line with the requirements f: Children and Families Act sectin 100 Supprting pupils at schl with medical cnditins: statutry guidance fr gverning bdies f maintained schls and prprietrs f academies in England, DfE Sept SEND Cde f Practice, DfE 2014 Mental Health and behaviur in schls: departmental advice fr schl staff, DfE June 2014 Equalities Act 2010 Schls Admissins Cde, DfE 1 Feb 2010 Definitins f medical cnditins Pupils' medical needs may be bradly summarised as being f tw types:- Shrt-term affecting their participatin at schl because they are n a curse f medicatin. Lng-term ptentially limiting access t educatin and requiring n-ging supprt, medicines r care while at schl t help them t manage their cnditin and keep them well, including mnitring and interventin in emergency circumstances. It is imprtant that parents feel cnfident that the schl will prvide effective supprt fr their child's medical cnditin and that pupils feel safe. Sme children with medical cnditins may be cnsidered disabled. Where this is the case gverning bdies must cmply with their duties under the Equality Act Sme may als have special educatinal needs (SEN) and may have a statement r Educatin, Health and Care Plan (EHCP). Where this is the case this plicy shuld be read in cnjunctin with the 0-25 SEND Cde f Practice and the schl's SEN plicy / SEN Infrmatin Reprt and the individual healthcare plan will becme part f the EHCP. The statutry duty f the gverning bdy The gverning bdy remains legally respnsible and accuntable fr fulfilling their statutry duty fr supprting pupils at schl with medical cnditins. The gverning bdy f Wdlands Primary Schl fulfils this by: ensuring that arrangements are in place t supprt pupils with medical cnditins. In ding s, it ensures that such children can access and enjy the same pprtunities at schl as any ther child; taking int accunt that many medical cnditins that require supprt at schl will affect quality f life and may be life-threatening. Sme will be mre bvius than thers and therefre the fcus is n the needs f each individual child and hw their medical cnditin impacts n their schl life; ensuring that the arrangements give parents and pupils cnfidence in the schl's ability t prvide effective supprt fr medical cnditins. The schl ensures that staff understand hw medical cnditins impact n a child's ability t learn. The schl ensures that staff are prperly trained t prvide the supprt that pupils need, t prmte self-care and t build cnfidence; 2

3 3 ensuring that n child with a medical cnditin is denied admissin, r prevented frm taking up a place in schl because arrangements fr their medical cnditin have nt been made. Hwever, in line with safeguarding duties, the schl ensures that pupils' health is nt put at unnecessary risk frm, fr example, infectius diseases, and reserve the right t refuse admittance t a child at times where it wuld be detrimental t the health f that child r thers t d s; ensuring that the arrangements put in place are sufficient t meet statutry duties and ensure that plicies, plans, prcedures and systems are prperly and effectively implemented; develping a plicy fr supprting pupils with medical cnditins that is reviewed regularly and accessible t parents and schl staff (this plicy); ensuring that the plicy includes details n hw the plicy will be implemented effectively, including a named persn wh has verall respnsibility fr plicy implementatin (see sectin belw n plicy implementatin); ensuring that the plicy sets ut the prcedures t be fllwed whenever the schl is ntified that a pupil has a medical cnditin (see sectin belw n prcedure t be fllwed when ntificatins is received that a pupil has a medical cnditin); ensuring that the plicy cvers the rle f individual healthcare plans, and wh is respnsible fr their develpment, in supprting pupils at schl with medical cnditins (see sectin belw n individual healthcare plans); ensuring that the schl plicy clearly identifies the rles and respnsibilities f all thse invlved in arrangements fr supprting pupils at schl with medical cnditins and hw they will be supprted, hw their training needs will be assessed and hw and by whm training will be cmmissined and prvided (see sectin belw n staff training and supprt); ensuring that the schl plicy cvers arrangements fr children wh are cmpetent t manage their wn health needs and medicines (see sectin belw n the child's rle in managing their wn medical needs); ensuring that the plicy is clear abut the prcedures t be fllwed fr managing medicines including the cmpletin f written recrds (see sectin belw n managing medicines n schl premises); ensuring that the plicy sets ut what shuld happen in an emergency situatin (see sectin belw n emergency prcedures); ensuring that the arrangements are clear and unambiguus abut the need t supprt actively pupils with medical cnditins t participate in schl trips and visits, r in sprting activities, and nt prevent them frm ding s (see sectin n day trips, residential trips and sprting activities); cnsidering whether t develp transprt healthcare plans in cnjunctin with the LA fr pupils with life-threatening cnditins wh use hme- t- schl transprt

4 purchase and train staff in the use f defibrillatrs nce regulatins are changed cnsider hlding asthma inhalers fr emergency use; ensuring that the plicy is explicit abut what practice is nt acceptable (see sectin n unacceptable practice); ensuring that the apprpriate level f insurance is in place and apprpriate t the level f risk (see sectin n Liability and Indemnity); ensuring that the plicy sets ut hw cmplaints may be made and will be handled cncerning the supprt t pupils with medical cnditins (see sectin n cmplaints). Plicy Implementatin The statutry duty fr making arrangements fr supprting pupils at schl with medical cnditins rests with the gverning bdy. The gverning bdy have cnferred the fllwing functins f the implementatin f this plicy t the staff belw, hwever, the gverning bdy remains legally respnsible and accuntable fr fulfilling ur statutry duty. The verall respnsibility fr the implementatin f this plicy is given t the headteacher, Mary Priestley. She will als be respnsible fr ensuring that sufficient staff are suitably trained and will ensure cver arrangements in cases f staff absences r staff turnver t ensure that smene is always available ff and n-site with an apprpriate level f training. The Inclusin Manager, Rita Tarrant-Blick will be respnsible fr briefing supply teachers, preparing risk assessments fr schl visits and ther schl activities utside f the nrmal timetable and fr the mnitring f individual healthcare plans. She will als be respnsible, in cnjunctin with parents/carers, fr drawing up, implementing and keeping under review the individual healthcare plan fr each pupil and making sure relevant staff are aware f these plans. All members f staff are expected t shw a cmmitment and awareness f children's medical cnditins and the expectatins f this plicy. All new members f staff will be inducted int the arrangements and guidelines in this plicy upn taking up their pst. Prcedure t be fllwed when ntificatin is received that a pupil has a medical cnditin This cvers ntificatin prir t admissin, prcedures t cver transitinal arrangements between schls r alternative prviders, and the prcess t be fllwed upn reintegratin after a perid f absence r when pupils' needs change. Fr children being admitted t Wdlands Primary Schl fr the first time with gd ntificatin given, the arrangements will be in place fr the start f the relevant schl term. In cases ther cases, such as a new diagnsis r a child mving mid-term, every effrt will be made t ensure that arrangements are put in place within tw weeks. In making the arrangements, it will be taken int accunt that many f the medical cnditins that require supprt at schl will affect quality f life and may be life-threatening. Sme cnditins may be mre bvius than thers. The fcus will be n the needs f each individual child and hw their medical cnditin impacts n their schl life. The aim will be t ensure that parents/carers and pupils can have cnfidence in the schl s ability t 4

5 prvide effective supprt fr medical cnditins, s the arrangements will shw an understanding f hw medical cnditins impact n the child's ability t learn, as well as increase their cnfidence and prmte self-care. Staff will be prperly trained and supervised t supprt pupils' medical cnditins and will be clear and unambiguus abut the need t supprt actively pupils with medical cnditins t participate in schl trips and visits, r in sprting activities unless evidence frm a clinician such as a GP states that this is nt pssible. The schl will make sure that n child with a medical cnditin is denied admissin r prevented frm attending the schl because arrangements fr supprting their medical cnditin have nt been made. Hwever, in line with ur safeguarding duties, the schl will ensure that all pupils' health is nt put at unnecessary risk frm, fr example infectius disease. The schl will therefre nt accept a child in schl at times where it wuld be detrimental t the health f that child r thers. Wdlands Primary Schl des nt have t wait fr a frmal diagnsis befre prviding supprt t pupils. In cases where a pupil's medical cnditin is unclear, r where there is a difference f pinin, judgements will be needed abut what supprt t prvide based n available evidence. This wuld nrmally invlve sme frm f medical evidence and cnsultatin with parents/carers. Where evidence cnflicts, sme degree f challenge may be necessary t ensure that the right supprt can be put in place. These discussins will be led by the Inclusin Manager, and fllwing these discussin an individual healthcare plan will written in cnjunctin with the parent/carers. Individual Healthcare Plans Individual healthcare plans will help t ensure that Wdlands Primary Schl effectively supprts pupils with medical cnditins. They will prvide clarity abut what needs t be dne, when and by whm. They will ften be essential, such as in cases where cnditins fluctuate r where there is a high risk that emergency interventin will be needed. They are likely t be helpful in the majrity f ther cases t, especially where medical cnditins are lng-term and cmplex. Hwever, nt all children will require ne. The schl, healthcare prfessinal and parent/carer shuld agree, based n evidence, when a healthcare plan wuld be inapprpriate r disprprtinate. If cnsensus cannt be reached the Headteacher is best placed t take a final view. A flw chart fr identifying and agreeing the supprt a child needs and develping an individual healthcare plan is prvided at Appendix A. Individual healthcare plans will be easily accessible t all wh need t refer t them, while preserving cnfidentiality. Plans will capture the key infrmatin and actins that are required t supprt the child effectively. The level f detail within the plan will depend n the cmplexity f the child's cnditin and the degree f supprt needed. This is imprtant because different children with the same health cnditin may require very different supprt. Where a child has SEN but des nt have an EHC plan, their special educatinal needs shuld be mentined in their individual healthcare plan. Individual healthcare plans (and their review) shuld be drawn up in partnership between the schl, parents/carers and a relevant healthcare prfessinal e.g. schl, specialist r children's cmmunity nurse, wh can best advise n the particular needs f the child. Pupils shuld als be invlved whenever apprpriate. The aim shuld be t capture the steps which Wdlands Primary Schl shuld take t help manage their cnditin and vercme any ptential barriers t getting the mst frm their educatin. Partners shuld agree wh will take the lead in writing the plan, but respnsibility fr ensuring it is finalised and implemented rests with the schl. 5

6 Wdlands Primary Schl will ensure that individual healthcare plans are reviewed at least annually r earlier if evidence is presented that the child's needs have changed. They will be develped and reviewed with the child's best interests in mind and ensuring that it assesses and manages risks t the child's educatin, health and scial wellbeing, and minimises disruptin. Where a child is returning t schl fllwing a perid f hspital educatin r alternative prvisin, the schl will wrk with the lcal authrity and educatin prvider t ensure that the individual healthcare plan identifies the supprt the child will need t reintegrate effectively. Template 1 prvides a basic template fr the individual healthcare plan, and althugh this frmat may be varied t suit the specific needs f each pupil, it will always include the fllwing infrmatin: The medical cnditin, its triggers, signs, symptms and treatments; The pupil's resulting needs, including medicatin (dse, side effects and strage) and ther treatments, time, facilities, equipment, testing, access t fd and drink where this is used t manage their cnditin, dietary requirements and envirnmental issues eg crwded crridrs, travel time between lessns; Specific supprt fr the pupil's educatinal, scial and emtinal needs - fr example, hw absences will be managed, requirements fr extra time t cmplete exams, use f rest perids r additinal supprt in catching up with lessns, cunselling sessins; The level f supprt needed (sme children will be able t take respnsibility fr their wn health needs) including in emergencies. If a child is self-managing their medicatin, this shuld be clearly stated with apprpriate arrangements fr mnitring; Wh will prvide this supprt, their training needs, expectatins f their rle and cnfirmatin f prficiency t prvide supprt fr the child's medical cnditin frm a healthcare prfessinal; and cver arrangements fr when they are unavailable; Wh in the schl needs t be aware f the child's cnditin and the supprt required; Arrangements fr written permissin frm the parents/carer and the Headteacher, fr medicatin t be administered by a member f staff, r self-administered by the pupil during schl hurs; Separate arrangements r prcedures required fr schl trips r ther schl activities utside f the nrmal schl timetable that will ensure the child can participate eg, risk assessment; Where cnfidentiality issues are raised by the parent/child, the designated individual t be entrusted with infrmatin abut the child's cnditin; and What t d in an emergency, including whm t cntact, and cntingency arrangements. Sme children may have an emergency healthcare plan prepared 6

7 by their lead clinician that culd be used t infrm develpment f their individual healthcare plan Rles and Respnsibilities Please refer t the sectin n plicy implementatin fr the functins that have been delegated t different, named members f staff. In additin the schl can refer t the Cmmunity Nursing Team fr supprt with drawing up Individual Healthcare Plans, prvide r cmmissin specialist medical training, liaisn with lead clinicians and advice r supprt in relatin t pupils with medical cnditins. Other healthcare prfessinals, including GPs and paediatricians shuld ntify the Cmmunity Nursing Team when a child has been identified as having a medical cnditin that will require supprt at schl. Specialist lcal health teams may be able t prvide supprt, and training t staff, fr children with particular cnditins (e.g. asthma, diabetes, epilepsy). Pupils with medical cnditins will ften be best placed t prvide infrmatin abut hw their cnditin affects them. They shuld be fully invlved in discussins abut their medical supprt needs and cntribute as much as pssible t the develpment f, and cmply with, their individual healthcare plan. Other pupils will ften be sensitive t the needs f thse with medical cnditins, and can, fr example, alert staff t the deterirating cnditin r emergency need f pupils with medical cnditins. Parents/carers shuld prvide the schl with sufficient and up-t-date infrmatin abut their child's medical needs. They may in sme cases be the first t ntify the schl that their child has a medical cnditin. Parents are key partners and shuld be invlved in the develpment and review f their child's individual healthcare plan, and may be invlved in its drafting. They shuld carry ut any actin they have agreed t as part f its implementatin, eg prvide medicines and equipment and ensure they r anther nminated adult are cntactable at all times. Lcal authrities are cmmissiners f schl nurses fr maintained schls and academies in Kent. Under Sectin 10 f the Children Act 2004, they have a duty t prmte c-peratin between relevant partners such as gverning bdies f maintained schls, prprietrs f academies, clinical cmmissining grups and NHS England, with a view t imprving the well-being f children with regard t their physical and mental health, and their educatin, training and recreatin. KCC is currently cnsulting n the re-rganisatin f its Health Needs prvisin which will strengthen its ability t prvide supprt, advice and guidance, including suitable training fr schl staff, t ensure that the supprt specified within individual healthcare plans can be delivered effectively. KCC will wrk with us t supprt pupils with medical cnditins t attend full time. Where pupils wuld nt receive a suitable educatin in a mainstream schl because f their health needs, the lcal authrity has a duty t make ther arrangements. Statutry guidance fr lcal authrities sets ut that they shuld be ready t make arrangements under this duty when it is clear that a child will be away frm schl fr 15 days r mre because f health needs (whether cnsecutive r cumulative acrss the year). Prviders f health services shuld c-perate with schls that are supprting children with medical cnditins. They can prvide valuable supprt, infrmatin, advice and guidance t schls, and their staff, t supprt children with medical cnditins at schl. 7

8 Clinical Cmmissining Grups (CCGs) cmmissin ther healthcare prfessinals such as specialist nurses. They have a reciprcal duty t c-perate under Sectin 10 f the Children Act 2004 (as described abve fr lcal authrities). The lcal Health and Wellbeing Bard prvides a frum fr the lcal authrity and CCGs t cnsider with ther partners, including lcally elected representatives, hw t strengthen links between educatin, health and care settings. The Ofsted inspectin framewrk places a clear emphasis n meeting the needs f disabled children and pupils with SEN, and cnsidering the quality f teaching and the prgress made by these pupils. Inspectrs are already briefed t cnsider the needs f pupils with chrnic r lng-term medical cnditins alngside these grups and t reprt n hw well their needs are being met. Schls are expected t have a plicy dealing with medical needs and t be able t demnstrate that it is being implemented effectively. Staff Training and Supprt Appendix B has a list f the schl s qualified First Aiders and thse wh hld a Paediatric certificate. Additinally the schl has staff with specialist training fr the administratin f diabetic drugs (als listed in Appendix B). All schl staff are able t administer nn-specialist prescriptin medicine (fr example the furth dse f antibitics), althugh this is usually carried ut by the administrative team. The schl hlds regular training in the use f epipens and supprting pupils with asthma, which all staff will attend. The mst recent training was n the Refer t Appendices D and E fr mre detail n hw the schl supprts pupils with diabetes and hw the schl respnds if a child were t experience anaphylactic shck. Template E will be used t recrd staff training fr administratin f medicines and /r medical prcedures. All staff wh are required t prvide supprt t pupils fr medical cnditins (eg. Diabetes) will be trained by healthcare prfessinal qualified t d s. The training need will be identified by the healthcare prfessinal during the develpment r review f the individual healthcare plan. We may chse t arrange training themselves and will ensure that it remains up-t-date. Training shuld be sufficient t ensure that staff are cmpetent and have cnfidence in their ability t supprt pupils with medical cnditins, and t fulfil the requirements set ut in the individual healthcare plans. They will need an understanding f the specific medical cnditins they are being asked t deal with, their implicatins and preventative measures. Staff must nt give prescriptin medicines r undertake healthcare prcedures withut apprpriate training (updated t reflect any individual healthcare plans). A first aid certificate des nt cnstitute apprpriate training in supprting children with medical cnditins. Healthcare prfessinals, including the schl nurse, can prvide cnfirmatin f prficiency f staff in a medical prcedure, r in prviding medicatin (see template). All staff will receive inductin training and regular whle schl awareness training s that all staff are aware f the schl's plicy fr supprting pupils with medical cnditins and their 8

9 rle in implementing the plicy. The Inclusin Manager, will seek advice frm relevant healthcare prfessins abut training needs, including preventative and emergency measures s that staff can recgnise and act quickly when a prblem ccurs. The family f a child will ften be key in prviding relevant infrmatin t schl staff abut hw their child's needs can be met, and parents will be asked fr their views. They shuld prvide specific advice, but shuld nt be the sle trainer. The Child's Rle in Managing their wn Medical Needs If, after discussin with the parent/carer, it is agreed that the child is cmpetent t manage his/her wn medicatin and prcedures, s/he will be encuraged t d s. This will be reflected in the individual healthcare plan. Wherever pssible children will be allwed t carry their wn medicines and relevant devices r shuld be able t access their medicatin fr self-medicatin quickly and easily; these will be stred securely in the child s classrm r in the medical rm depending n the cnditin. Wdlands Primary Schl des als recgnise that children wh take their medicines themselves and/r manage prcedures may require an apprpriate level f supervisin. If it is nt apprpriate fr a child t self-manage, then relevant staff will help t administer medicines and manage prcedures fr them. If a child refuses t take medicine r carry ut a necessary prcedure, staff shuld nt frce them t d s, but fllw the prcedure agreed in the individual healthcare plan. Parents will be infrmed s that alternative ptins can be cnsidered. Managing Medicines n Schl Premises and Recrd Keeping At Wdlands Primary Schl the fllwing prcedures are t be fllwed: Medicines shuld nly be administered at schl when it wuld be detrimental t a child's health r schl attendance nt t d s; N child under 16 shuld be given prescriptin r nn-prescriptin medicines withut their parents written cnsent (see template B) - except in exceptinal circumstances where the medicine has been prescribed t the child withut the knwledge f the parents. In such cases, every effrt shuld be made t encurage the child r yung persn t invlve their parents while respecting their right t cnfidentiality; We will nt rutinely administer nn-prescriptin medicines, such as paracetaml r ibuprfen, apart frm n residential schl trips, when permissin has been given r if they are needed t make a child mre cmfrtable eg. eczema cream, eye drps. Permissin will need t be given by the parents/carers (as fr ther medicatin) and recrds will be kept. Aspirin will nt be administered by schl staff. Where clinically pssible, medicines shuld be prescribed in dse frequencies which enable them t be taken utside schl hurs; 9

10 Wdlands Primary Schl will nly accept prescribed medicines, with written permissin frm parent/carer that are in-date, labelled, prvided in the riginal cntainer as dispensed by a pharmacist and include instructins fr administratin, dsage and strage. The exceptin t this is insulin which must be in-date, but will generally be available t schls inside an insulin pen r a pump, rather that its riginal cntainer; All medicines will be stred safely in the Medical Rm in Oak building r the schl ffice in Acrn building. Children shuld knw where their medicines are at all times and be able t access them immediately. Where relevant, they shuld knw wh hlds the key t the strage facility: Acrn Building: Wendy Tubb (Schl Secretary), Diane Dale (Administrative Assistant), Fi Lenygn (Administrative Assistant). Oak Building: Heather Fitzpatrick (Clerical Assistant), Sally Martin (Bursar), Sharn Chalklin (Persnnel Manager). Medicines which require refrigeratin are stred in the fridge in the staffrms in a sealed, labelled bx. Medicines and devices such as asthma inhalers, bld glucse testing meters and adrenaline pens are always readily available and nt lcked away. Asthma inhalers are marked with the child's name and kept in a bx in each classrm. Diabetic medicatin is kept in each classrm in a special, identified bag. Adrenaline pens are kept in the hall cupbard in Acrn building and the medical rm cupbard in Oak building. During schl trips the first aid trained member f staff will carry all medical devices and medicines required; A child wh had been prescribed a cntrlled drug may legally have it in their pssessin if they are cmpetent t d s, but passing it t anther child fr use is an ffence. Mnitring arrangements may be necessary. Otherwise we will keep all cntrlled drugs that have been prescribed fr a pupil securely stred in a nn-prtable cntainer and nly named staff will have access. Cntrlled drugs shuld be easily accessible in an emergency. A recrd shuld be kept f any dses used and the amunt f the cntrlled drug held in the schl; Staff administering medicines shuld d s in accrdance with the prescriber's instructins. They will keep a recrd (see template C and D) f all medicines administered t individual children, stating what, hw and hw much was administered, when and by whm. Any side effects f the medicatin t be administer at schl shuld be nted. Written recrds are kept f all medicines administered t children. These recrds ffer prtectin t staff and children and prvide evidence that agreed prcedures have been fllwed; When n lnger required, medicines shuld be returned t the parent/carer t arrange safe dispsal. Sharps bxes shuld always be used fr the dispsal f needles and ther sharps. 10

11 Emergency Prcedures The headteacher will ensure that arrangements are in place fr dealing with emergencies fr all schl activities wherever they take place, including schl trips within and utside the UK, as part f the general risk management prcess. Where a child has an individual healthcare plan, this shuld clearly define what cnstitutes an emergency and explain what t d, including ensuring that all relevant staff are aware f emergency symptms and prcedures. Other pupils in the schl shuld knw what t d in general terms, such as infrming a teacher immediately if they think help is needed. If a child needs t be taken t hspital, staff shuld stay with the child until the parent arrives, r accmpany a child taken t hspital by ambulance. Schls need t ensure they understand the lcal emergency services cver arrangements and that the crrect infrmatin is prvided fr navigatin systems. Day Trips, Residential Visits, and Sprting Activities We will actively supprt pupils with medical cnditin t participate in day trips, residential visits and sprting activities by being flexible and making reasnable adjustments unless there is evidence frm a clinician such as a GP that this is nt pssible. We will always cnduct a risk assessment s that planning arrangements take accunt f any steps needed t ensure that pupils with medical cnditins can be included safely. This will invlve cnsultatin with parents/carers and relevant healthcare prfessins and will be infrmed by Health and Safety Executive (HSE) guidance n schl trips. Appendix C cntains the schl prcedures fr medicatin n residential schl trips. Other Issues fr Cnsideratin Where a pupil uses hme-t-schl transprt arranged by the LA and they als have a medical cnditin which is life-threatening, we will share the pupil s individual healthcare plan with the lcal authrity. There is a defibrillatr psitined utside the main schl gate. Staff are in the prcess f being trained n its use. Once regulatins have changed the gverning bdy will cnsider whether t hld asthma inhalers n site fr emergency use. Unacceptable Practice Althugh staff at Wdlands Primary Schl shuld use their discretin and judge each case n its merit with reference t the child s individual healthcare plan, it is nt generally acceptable practice t: 11

12 Prevent children frm easily accessing their inhalers and medicatin and administering their medicatin when and where necessary; Assume that every child with the same cnditin requires the same treatment; Ignre the views f the child r their parents/carers; r ignre medical evidence r pinin (althugh this may be challenged); Send children with medical cnditins hme frequently r prevent them frm staying fr nrmal schl activities, including lunch, unless this is specified in their individual healthcare plans; If the child becmes ill, send them t the schl ffice r medical rm unaccmpanied r with smene unsuitable; Penalise children fr their attendance recrd if their absences are related t their medical cnditin, eg hspital appintments; Prevent pupils frm drinking, eating r taking tilet breaks whenever they need t in rder t manage their medical cnditin effectively; Require parents/carers, r therwise make them feel bliged, t attend schl t administer medicatin r prvide medical supprt t their child, including with tileting issues. N parent shuld have t give up wrking because the schl is failing t supprt their child s medical needs; r Prevent children frm participating, r creating unnecessary barriers t children participating in any aspect f schl life, including schl trips, eg by requiring parents t accmpany the child. Liability and Indemnity Our Insurers are Zurich Municipal plicy n QLA-17AD Public Liability cver f 50,000,000 Emplyers Liability 50,000,000 Cmplaints Shuld parents/carers be unhappy with any aspect f their child s care at Wdlands Primary Schl, they must discuss their cncerns with the schl. This will be with the child s class teacher in the first instance, with whm any issues shuld be addressed. If this des nt reslve the prblem r allay the cncern, the prblem shuld be brught t a member f leadership team, wh will, where necessary, bring cncerns t the attentin f the Headteacher. In the unlikely event f this nt reslving the issue, the parent/carer must make a frmal cmplaint using the Cmplaints Prcedure. 12

13 Appendix A: Mdel prcess fr develping individual healthcare plans 13

14 Template A: individual healthcare plan Name f schl/setting Child s name Grup/class/frm Date f birth Child s address Medical diagnsis r cnditin Date Review date Family Cntact Infrmatin Name Phne n. (wrk) (hme) (mbile) Name Relatinship t child Phne n. (wrk) (hme) (mbile) Clinic/Hspital Cntact Name Phne n. G.P. Name Phne n. Wh is respnsible fr prviding supprt in schl Describe medical needs and give details f child s symptms, triggers, signs, treatments, facilities, equipment r devices, envirnmental issues etc 14

15 Name f medicatin, dse, methd f administratin, when t be taken, side effects, cntraindicatins, administered by/self-administered with/withut supervisin Daily care requirements Specific supprt fr the pupil s educatinal, scial and emtinal needs Arrangements fr schl visits/trips etc Other infrmatin Describe what cnstitutes an emergency, and the actin t take if this ccurs Wh is respnsible in an emergency (state if different fr ff-site activities) Plan develped with Staff training needed/undertaken wh, what, when Frm cpied t 15

16 Template B: parental agreement fr setting t administer medicine The schl/setting will nt give yur child medicine unless yu cmplete and sign this frm, and the schl r setting has a plicy that the staff can administer medicine. Date fr review t be initiated by Name f schl/setting Name f child Date f birth Grup/class/frm Medical cnditin r illness Medicine Name/type f medicine (as described n the cntainer) Expiry date Dsage and methd Timing Special precautins/ther instructins Are there any side effects that the schl/setting needs t knw abut? Self-administratin y/n Prcedures t take in an emergency NB: Medicines must be in the riginal cntainer as dispensed by the pharmacy Cntact Details Name Daytime telephne n. Relatinship t child Address I understand that I must deliver the medicine persnally t [agreed member f staff] The abve infrmatin is, t the best f my knwledge, accurate at the time f writing and I give cnsent t schl/setting staff administering medicine in accrdance with the schl/setting plicy. I will infrm the schl/setting immediately, in writing, if there is any change in dsage r frequency f the medicatin r if the medicine is stpped. Signature(s) Date 16

17 Template C: recrd f medicine administered t an individual child Name f schl/setting Name f child Date medicine prvided by parent Grup/class/frm Quantity received Name and strength f medicine Expiry date Quantity returned Dse and frequency f medicine Staff signature Signature f parent Date Time given Dse given Name f member f staff Staff initials Date Time given Dse given Name f member f staff Staff initials 17

18 C: Recrd f medicine administered t an individual child (Cntinued) Date Time given Dse given Name f member f staff Staff initials Date Time given Dse given Name f member f staff Staff initials Date Time given Dse given Name f member f staff Staff initials Date Time given Dse given Name f member f staff Staff initials

19 Template D: recrd f medicine administered t all children Name f schl/setting Date Child s name Time Name f Dse given Any reactins Signature Print name medicine f staff

20 Template E: staff training recrd administratin f medicines and/r medical prcedures Name f schl/setting Name Type f training received Date f training cmpleted Training prvided by Prfessin and title I cnfirm that [name f member f staff] has received the training detailed abve and is cmpetent t carry ut any necessary treatment. I recmmend that the training is updated [name f member f staff]. Trainer s signature Date I cnfirm that I have received the training detailed abve. Staff signature Date Suggested review date

21 Appendix B FIRST AIDERS AT WOODLANDS PRIMARY SCHOOL Acrns Amanda Abbtt Paediatric First Aid Exp Wendy Bradfrd First Aid at Wrk. Exp Caren Brad Emergency First Aid at Wrk Exp Diane Dale Paediatric First Aid Exp Katrina Dye First Aid at Wrk Exp Jacqueline Gardiner Emergency First Aid at Wrk Exp Carn Hbden First Aid at Wrk Exp Katie Jennings Paediatric First Aid Exp Beverley Lee Paediatric First Aid Exp Catherine Makey First Aid at Wrk Exp Amanda Marshall First Aid at Wrk Exp Kim Martin Emergency First Aid at Wrk Exp Nicla Mulley Paediatric First Aid Exp Lrna Osbrne First Aid at Wrk Exp Mel Saunders Emergency First aid at Wrk Exp Jayne Shimell Paediatric First Aid Exp J Stne Emergency First Aid at Wrk Exp Oaks Alice Baer Emergency First Aid at Wrk Exp Claire Brks Emergency First Aid at Wrk Exp Natalie Burrws Paediatric First Aid Exp Lesley Butcher First Aid at Wrk Exp Libby Cle Paediatric First Aid Exp Hlly Hearn Cllins Emergency First Aid at Wrk Exp Ann Charters Emergency First Aid at Wrk Exp Rachel Ck Emergency First Aid at Wrk Exp Karen Crbett First Aid at Wrk Exp Helen Culstck Emergency First Aid at Wrk Exp Sharn Chalklin Emergency First Aid at Wrk Exp Clair Cemm Emergency First Aid at Wrk Exp Gemma Guld First Aid at Wrk Exp Mick Heath First Aid at Wrk Exp J Jessn Emergency First Aid at Wrk Exp Diane Lewis Emergency First Aid at Wrk Exp Fina Lenygn Emergency First Aid at Wrk Exp Jane Minster Emergency First Aid at Wrk Exp Carlyne Mrfrd Emergency First Aid at Wrk Exp Ken Newsme Emergency First Aid at Wrk Exp Margaret Simmnds Emergency First Aid at Wrk Exp Diane Smith Emergency First Aid at Wrk Exp Jshua Stkes Emergency First Aid at Wrk Exp Snia Spurle Emergency First Aid at Wrk Exp Fina Taylr Emergency First Aid at Wrk Exp Victria Timms Emergency First Aid at Wrk Exp Sarah Walsh Emergency First Aid at Wrk Exp

22 STAFF MEMBERS WITH SPECIALIST DIABETIC TRAINING Diane Dale Date f Training: Jsie Hughes Date f Training: Elaine Rusling Date f Training: Alisn Baker Date f Training: Hlly Hearn-Cllins Date f Training: Melanie Ppe Date f Training:

23 Appendix C Prcedure fr Administering Medicatin n Residential Trips Prir t the trip each child s parent/carer will be issued with three frms relating t medicatin: 1. Pupil Medicatin Frm (usually range) MUST BE ADMINISTERED * - giving permissin fr first aider t administer essential medicatin; 2. Pupil Medicatin Frm (usually green) TO BE ADMINISTERED WHEN NECESSARY * giving permissin fr first aider t administer medicatin if certain cnditins arise; 3. Medicatin cnsent frm (usually blue) giving permissin fr the first aider t administer certain general medicatins if deemed apprpriate The register will then be checked and cmpleted thrughut the day (and night if apprpriate) t ensure all children receive their medicatin as instructed. This will als be checked ver by the trip leader at least nce a day. Each individual administratin f medicatin will be lgged n the relevant medicatin instructin sheet t shw what was given, hw much, by whm and wh witnessed. These frms are then passed t the parent tgether with any remaining medicatin n return frm the trip. If a child requires travel sickness medicatin this shuld be detailed n a green frm. This medicatin shuld be the type that des nt need t be taken tw hurs befre travel. This will be lgged and administered as all ther medicatin. *separate frms t be cmpleted fr each different medicatin The cmpleted frms are returned t the schl s first aider, tgether with the relevant medicatin in its riginal cntainer r packaging, named and sealed in a clear, plastic bag. The designated first aider will then cmplete a register f all medicatin requirements highlighting thse that MUST BE ADMINISTERED and thse that MAY be required. Where children are travelling with the schl and mre than ne cach is required the medicatins and lgs will be split int cach grups. If medical needs have t be addressed during travel the child and first aider will be allcated t the same cach.

24 Appendix D What is anaphylaxis? 1. Anaphylaxis is an acute, severe allergic reactin requiring immediate medical attentin. It usually ccurs within secnds r minutes f expsure t a certain fd r substance, but n rare ccasins may happen after a few hurs. 2. Cmmn triggers include peanuts, tree nuts, sesame, eggs, cw s milk, fish, certain fruits such as kiwifruit, and als penicillin, latex and the venm f stinging insects (such as bees, wasps r hrnets). 3. The mst severe frm f allergic reactin is anaphylactic shck, when the bld pressure falls dramatically and the patient lses cnsciusness. Frtunately this is rare amng yung children belw teenage years. Mre cmmnly amng children there may be swelling in the thrat, which can restrict the air supply, r severe asthma. Any symptms affecting the breathing are serius. 4. Less severe symptms may include tingling r itching in the muth, hives anywhere n the bdy, generalised flushing f the skin r abdminal cramps, nausea and vmiting. Even where mild symptms are present, the child shuld be watched carefully. They may be heralding the start f a mre serius reactin. Medicine and Cntrl 5. The treatment fr a severe allergic reactin is an injectin f adrenaline (als knwn as epinephrine). Pre-laded injectin devices cntaining ne measured dse f adrenaline are available n prescriptin. The devices are available in tw strengths adult and junir. 6. Shuld a severe allergic reactin ccur, the adrenaline injectin shuld be administered int the muscle f the upper uter thigh. An ambulance shuld always be called. 7. Staff that vlunteer t be trained in the use f these devices can be reassured that they are simple t administer. Adrenaline injectrs, given in accrdance with the manufacturer s instructins, are a well-understd and safe delivery mechanism. It is nt pssible t give t large a dse using this device. The needle is nt seen until after it has been withdrawn frm the child s leg. In cases f dubt it is better t give the injectin than t hld back. 8. The decisin n hw many adrenaline devices the schl r setting shuld hld, and where t stre them, has t be decided n an individual basis between the head, the child s parents and medical staff invlved. 9. Where children are cnsidered t be sufficiently respnsible t carry their emergency treatment n their persn, there shuld always be a spare set kept safely which is nt lcked away and is accessible t all staff. We recgnise it is ften quicker fr staff t use an injectr that is with the child rather than taking time t cllect ne frm a central lcatin. Staff that are susceptible t severe anaphylaxis shuld ensure they carry their wn epipen and remind children t use the GREEN CIRCLE SYSTEM in an emergency.

25 10. Studies have shwn that the risks fr allergic children are reduced where an individual health care plan is in place. Reactins becme rarer and when they ccur they are mstly mild. The plan will need t be agreed by the child s parents, the schl and the treating dctr. 11. Imprtant issues specific t anaphylaxis t be cvered include: anaphylaxis what may trigger it what t d in an emergency prescribed medicine fd management precautinary measures 12. Once staff have agreed t administer medicine t an allergic child in an emergency, a training sessin will need t be prvided by lcal health services. Staff shuld have the pprtunity t practice with trainer injectin devices. At Wdlands we aim t update staff annually. 13. Day t day plicy measures are needed fr fd management, awareness f the child s needs in relatin t the menu, individual meal requirements and snacks in schl. When kitchen staff are emplyed by a separate rganisatin, it is imprtant t ensure that the catering supervisr is fully aware f the child s particular requirements. Children have been asked nt t bring in peanut butter as part f their packed lunch and the kitchen is able t prvide meals that d nt cntain nuts if required. 14. Children wh are at risk f severe allergic reactins are nt ill in the usual sense. They are nrmal children in every respect except that if they cme int cntact with a certain fd r substance, they may becme very unwell. At Wdlands we aim t ensure children are nt stigmatised r made t feel different. We als recgnise that it is imprtant, t, t allay parents fears by reassuring them that prmpt and efficient actin will be taken in accrdance with medical advice and guidance. 15. Anaphylaxis is manageable. With sund precautinary measures and supprt frm the staff, schl life may cntinue as nrmal fr all cncerned. 16. Charity Stall items shuld be free frm nuts. Any edible prduct being sld shuld have a list f ingredients attached and pupils shuld always ask prir t purchasing.

26 Appendix E What is Diabetes? 1. Diabetes is a cnditin where the level f glucse in the bld rises. This is either due t the lack f insulin (Type 1 diabetes) r because there is insufficient insulin fr the child s needs r the insulin is nt wrking prperly (Type 2 diabetes). 2. Abut ne in 550 schl-age children have diabetes, and 2 millin peple suffer in the UK. The majrity have Type 1 diabetes. They nrmally need t have daily insulin injectins, t mnitr their bld glucse level and t eat regularly accrding t their persnal dietary plan. Peple with Type 2 diabetes are usually treated by diet and exercise alne. 3. Each persn may experience different symptms and this shuld be discussed when drawing up the health care plan. Greater than usual need t g t the tilet r t drink, tiredness and weight lss may indicate pr diabetic cntrl, and staff will naturally wish t draw any such signs t the parents attentin. Staff with diabetes shuld make their cnditin knwn and their treatment plan available. Children and staff shuld be made aware f what t d if the member f staff is unwell and hw t use the GREEN CIRCLE SYSTEM. Medicine and Cntrl fr children 4. The diabetes f the majrity f children is cntrlled by injectins f insulin each day. Mst yunger children will be n a twice a day insulin regime f a lnger acting insulin and it is unlikely that these will need t be given during schl hurs, althugh fr thse wh d it may be necessary fr an adult t administer the injectin. Older children may be n multiple injectins and thers may be cntrlled n an insulin pump. Mst children can manage their wn injectins, but if dses are required at schl supervisin may be required, and als a suitable, private place t carry it ut. 5. Increasingly, lder children are taught t cunt their carbhydrate intake and adjust their insulin accrdingly. This means that they have a daily dse f lng-acting insulin at hme, usually at bedtime; and then insulin with breakfast, lunch and the evening meal, and befre substantial snacks. The child is taught hw much insulin t give with each meal, depending n the amunt f carbhydrate eaten. They may r may nt need t test bld sugar prir t the meal and t decide hw much insulin t give. Diabetic specialists wuld nly implement this type f regime when they were cnfident that the child was cmpetent. The child is then respnsible fr the injectins and the regime wuld be set ut in the individual health care plan. 6. Children with diabetes need t ensure that their bld glucse levels remain stable and may check their levels by taking a small sample f bld and using a small mnitr at regular intervals. They may need t d this during the schl lunch break, befre PE r mre regularly if their insulin needs adjusting. Mst lder children will be able t d this themselves and will simply need a suitable place t d s. Hwever yunger children may need adult supervisin t carry ut the test and/r interpret test results.

27 7. When staff agree t administer bld glucse tests r insulin injectins, they shuld be trained by an apprpriate health prfessinal. Administering injectins is a matter fr persnal preference and n member f staff will be expected t carry ut this task withut full training and their cnsent. 8. Children with diabetes need t be allwed t eat regularly during the day. This may include eating snacks during class-time r prir t exercise. Schls may need t make special arrangements fr pupils with diabetes if the schl has staggered lunchtimes. If a meal r snack is missed, r after strenuus activity, the child may experience a hypglycaemic episde (a hyp) during which bld glucse level fall t lw. Staff in charge f physical educatin r ther physical activity sessins shuld be aware f the need fr children with diabetes t have glucse tablets r a sugary drink t hand. 9. Staff shuld be aware that the fllwing symptms, either individually r cmbined, may be indicatrs f lw bld sugar a hypglycaemic reactin (hyp) in a child with diabetes: hunger sweating drwsiness pallr glazed eyes shaking r trembling lack f cncentratin irritability headache md changes, especially angry r aggressive behaviur 10. Each child may experience different symptms and this shuld be discussed when drawing up a health care plan. 11. If a child has a hyp, it is very imprtant that the child is nt left alne and that a fast acting sugar, such as glucse tablets, a glucse rich gel, r a sugary drink is brught t the child and given immediately. Slwer acting starchy fd, such as a sandwich r tw biscuits and a glass f milk, shuld be given nce the child has recvered, sme minutes later. 12. An ambulance shuld be called if: recvery takes lnger than minutes r if the persn becmes uncnscius 13. Sme children may experience hyperglycaemia (high glucse level) and have a greater than usual need t g t the tilet r t drink. Tiredness and weight lss may indicate pr diabetic cntrl, and staff will naturally wish t draw any such signs t the parents attentin. If the child is unwell, vmiting r has diarrhea this can lead t dehydratin. If the child is giving ff a smell f pear drps r acetne this may be a sign f ketsis and dehydratin and the child will need urgent medical attentin. 14. Infrmatin and phtgraphs f children with diabetes are in the medical rm

28