SWALE ACADEMIES TRUST Plicy n Supprting pupils with Medical Cnditins Definitins f medical Cnditins Pupils' medical needs may be bradly summarised as being f tw types:- Shrt-term affecting their participatin at schl. 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. The statutry duty f the gverning bdy (Directrs) 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 each trust schl fulfil this by:- Ensuring that arrangements are in place t supprt pupils with medical cnditins. 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, shuld shw an understanding f hw medical cnditins impact n a child's ability t learn, as well as increase their cnfidence and prmte self-care. We will ensure that staff are prperly trained t prvide the supprt that pupils need; 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, we will ensure 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; Implementatin The verall respnsibility fr implementatin is given t the Headteacher f each Trust schl. The schl will 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. Fr pupils attached t a specialist resurced unit the health care plan will be drawn up and mnitred by the head f each respective unit. In additin the SENCO r a senir teacher may have input int the health care plans f sme pupils. Prcedure t be fllwed when ntificatin is received that a pupil has a medical cnditin Parents must infrm the schl f any medical cnditins and a meeting may be arranged t discuss any reasnable adjustments that may be needed and t write, if necessary, a health care plan. Fr pupils transferring frm year 6 parents will be able t infrm the schl via the admissin frm. The schl s transitin arrangements include gathering infrmatin frm each
pupil s current schl. Fr pupils transitining during the schl year the senir member f staff respnsible fr admissins will share relevant infrmatin with the SENCO and parental cntact will be made. The schl is respnsible fr drawing up and updating a medical cnditins register which will be held electrnically and made available t staff t ensure they can access infrmatin relevant t their classes. In making the arrangements, the schl will take int accunt that many f the medical cnditins that require supprt at schl will affect quality f life and may be life-threatening. We als acknwledge that sme may be mre bvius than thers. The schl will therefre ensure that the fcus is n the needs f each individual child and hw their medical cnditin impacts n their schl life. We aim t ensure that parents/carers and pupils can have cnfidence in ur ability t prvide effective supprt fr medical cnditins in schl, 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. We will ensure that relevant staff are prperly trained and supervised t supprt pupils' medical cnditins and will be clear and unambiguus abut the need t actively supprt pupils with medical cnditins t participate in schl trips and visits, r in sprting activities. We will make arrangements fr the inclusin f pupils in such activities with any reasnable adjustments as required unless evidence frm a clinician such as a GP states that this is nt pssible. The 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. Individual healthcare plans Individual healthcare plans 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. Nt all children will require a health care plan. 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. 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. Where a child has SEN but des nt have a statement r Educatin Healthcare 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 with the schl, parents/carers and a relevant healthcare prfessinal eg 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 the schl shuld take t help manage their cnditin and vercme any ptential barriers t getting the mst frm their educatin. Individual healthcare plans will be reviewed annually r earlier if evidence is presented that the child's needs have changed. See Annex A SAT Plicy n Supprting Pupils with Medical Cnditins 2 Swale Academies Trust Registered Office: Ashdwn Huse, Jhnsn Rad, Sittingburne, Kent ME10 1JS Registered in England 7344732
Rles and respnsibilities The schl will seek supprt frm the Schl Nurse Service with drawing up Individual Healthcare Plans, and t prvide r cmmissin specialist medical training, liaisn with lead clinicians and advice r supprt in relatin t pupils with medical cnditins. 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. 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. 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. Training All staff wh are required t prvide supprt t pupils fr medical cnditins will be trained by healthcare prfessinals qualified t d s. During the develpment r review f the individual healthcare plan a training need may be identified and the schl will seek advice frm a qualified health prfessinal. 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. Staff 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. 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. 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. Wherever pssible and apprpriate 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. Examples f medicines that pupils may carry themselves include asthma inhalers, diabetes equipment and adrenaline pens. The 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. SAT Plicy n Supprting Pupils with Medical Cnditins 3 Swale Academies Trust Registered Office: Ashdwn Huse, Jhnsn Rad, Sittingburne, Kent ME10 1JS Registered in England 7344732
Managing medicines n schl premises and recrd keeping 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. Where clinically pssible, medicines shuld be prescribed in dse frequencies which enable them t be taken utside f schl hurs. N child under 16 shuld be given prescriptin r nn-prescriptin medicines withut their parents written cnsent 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; With parental written cnsent we will administer nn-prescriptin medicines except aspirin r thse cntaining aspirin except when prescribed by a dctr. Medicatin, eg fr pain relief, shuld never be administered withut first checking maximum dsage and when previus dse was taken. We 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 t be administered by the schl will be stred safely in the medical rm. Children shuld knw where their medicines are at all times and be able t access them. Medicines and devices such as spare asthma inhalers, bld glucse testing meters and spare adrenaline pens shuld be readily available and nt lcked away. Spare asthma inhalers and adrenaline pens shuld be marked with the child's name. During schl trips the first aid trained member f staff will carry all medical devices and medicines required. The schl des nt allw pupils t carry their wn cntrlled drugs, an example f this wuld be ADHD medicatin. We will keep all cntrlled drugs that have been prescribed fr a pupil securely stred in a nn-prtable cntainer and nly specific 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. The schl will keep a recrd 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 shuld be nted. 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. Medicatin that is nt cllected by parent r carer r is ut f date will be taken t a lcal pharmacy fr safe dispsal. SAT Plicy n Supprting Pupils with Medical Cnditins 4 Swale Academies Trust Registered Office: Ashdwn Huse, Jhnsn Rad, Sittingburne, Kent ME10 1JS Registered in England 7344732
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. In an emergency situatin, a senir member f staff is t be made aware and will take the lead. 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. Day trips, residential visits, and sprting activities We will actively supprt pupils with medical cnditins 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 prfessinals and will be infrmed by Health and Safety Executive (HSE) guidance n schl trips. Unacceptable practice It is nt generally acceptable practice t: 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; 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 r ther breaks whenever they need t in rder t manage their medical cnditin effectively; SAT Plicy n Supprting Pupils with Medical Cnditins 5 Swale Academies Trust Registered Office: Ashdwn Huse, Jhnsn Rad, Sittingburne, Kent ME10 1JS Registered in England 7344732
require parents, 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 create 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 The Trust will ensure that the apprpriate level f insurance is in place t indemnify schls fr claims arising relating t staff supprt t pupils with medical cnditins. Cmplaints Any cmplaints regarding the supprt prvided t pupils with medical cnditins will be dealt with accrding t the Trust s Cmplaints prcedure. Review This plicy is drawn up by reference t the statutry guidance frm the DfE relating t Supprting pupils at schl with medical cnditins (April 2014) and will be reviewed every tw years. Attachments Annex A: Mdel prcess fr develping individual healthcare plans Template A: individual healthcare plan Template B: parental agreement fr setting t administer medicine Template C: recrd f medicine administered t an individual child Template D: recrd f medicine administered t all children Template E: staff training recrd administratin f medicines and/r medical prcedures Individual schls may use their wn frms which must cllate the same infrmatin as the templates listed abve. Apprved by Directrs 23 March 2016/V01 SAT Plicy n Supprting Pupils with Medical Cnditins 6 Swale Academies Trust Registered Office: Ashdwn Huse, Jhnsn Rad, Sittingburne, Kent ME10 1JS Registered in England 7344732
Annex A: Mdel prcess fr develping individual healthcare plans SAT Plicy n Supprting Pupils with Medical Cnditins 7 Swale Academies Trust Registered Office: Ashdwn Huse, Jhnsn Rad, Sittingburne, Kent ME10 1JS Registered in England 7344732
Template A: individual healthcare plan Name f schl/setting Child s name Grup/class/frm f birth Child s address Medical diagnsis r cnditin 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 SAT Plicy n Supprting Pupils with Medical Cnditins 8 Swale Academies Trust Registered Office: Ashdwn Huse, Jhnsn Rad, Sittingburne, Kent ME10 1JS Registered in England 7344732
Name f medicatin, dse, methd f administratin, when t be taken, side effects, cntra-indicatins, 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 SAT Plicy n Supprting Pupils with Medical Cnditins 9 Swale Academies Trust Registered Office: Ashdwn Huse, Jhnsn Rad, Sittingburne, Kent ME10 1JS Registered in England 7344732
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. fr review t be initiated by Name f schl/setting Name f child 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) SAT Plicy n Supprting Pupils with Medical Cnditins 10 Swale Academies Trust Registered Office: Ashdwn Huse, Jhnsn Rad, Sittingburne, Kent ME10 1JS Registered in England 7344732
Template C: recrd f medicine administered t an individual child Name f schl/setting Name f child 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 Time given Dse given Name f member f staff Staff initials Time given Dse given Name f member f staff Staff initials SAT Plicy n Supprting Pupils with Medical Cnditins 11 Swale Academies Trust Registered Office: Ashdwn Huse, Jhnsn Rad, Sittingburne, Kent ME10 1JS Registered in England 7344732
C: Recrd f medicine administered t an individual child (Cntinued) Time given Dse given Name f member f staff Staff initials Time given Dse given Name f member f staff Staff initials Time given Dse given Name f member f staff Staff initials Time given Dse given Name f member f staff Staff initials SAT Plicy n Supprting Pupils with Medical Cnditins 12 Swale Academies Trust Registered Office: Ashdwn Huse, Jhnsn Rad, Sittingburne, Kent ME10 1JS Registered in England 7344732
Template D: recrd f medicine administered t all children Name f schl/setting Child s name Time Name f Dse given Any reactins Signature Print name medicine f staff
Template E: staff training recrd administratin f medicines and/r medical prcedures Name f schl/setting Name Type f training received 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 I cnfirm that I have received the training detailed abve. Staff signature Suggested review date