Tower Road Academy
Policy for Supporting Children with Medical Needs in School
ROLES AND RESPONSIBILITIES
PROCEDURE WHEN NOTIFICATION IS RECEIVED THAT A PUPIL HAS A MEDICAL CONDITION
INDIVIDUAL HEALTHCARE PLANS (IHP)
ACTION IN EMERGENCIES
ACTIVITIES BEYOND THE USUAL CURRICULUM
This policy was agreed and adopted by the Governors of Tower Road Academy
This policy has been written in accordance with the statutory requirement laid out in the document “Supporting children in school with medical conditions” (DfE September 2014) and with reference the following legislation:
The Children and Families Act 2014, which includes a duty for schools to support children with medical conditions.
Where children have a disability, the requirements of the Equality Act 2010.
Where children have an identified special need, the SEND Code of Practice 2014.
At Tower Road Academy, we believe that all children have a right to access and enjoy the full curriculum, regardless of their gender, race, religion or abilities. We understand that in order for some children to do so, adaptations must be made to accommodate their medical needs; some children will need to receive on-going support, medicines or care in school to help them manage their condition and keep them well. We recognise that medical conditions may impact upon the social and emotional development of a child, as well as having educational implications. Wherever necessary, we will seek advice from and build relationships with healthcare professionals and other agencies and in order to effectively support both the pastoral and educational needs of these pupils.
Some children with medical conditions may be considered to be disabled under the definition set out in the Equality Act 2010. Whenever this is the case, the governing body will comply with their duties under that Act. In the case of a child having a need which requires an Education, Health, Care (EHC) plan, the governing body will comply with the SEND Code of Practice (2014).
Whilst we recognise that every child has the same rights of admission to Tower Road Academy, regardless of any medical condition, we will ensure that no other person’s health is put at risk from, for example, infectious diseases. If it would be detrimental to their own health, or that of others, we will not accept a child in school, in line with our safeguarding duties.
ROLES AND RESPONSIBILITIES
The Named Person responsible for children with medical conditions is Mrs Clare Hiom (SENCo)
As part of her role, Mrs Hiom is responsible for:
Informing and updating relevant staff of medical conditions and arranging training as appropriate to ensure that sufficient staff are trained and available to care for the individual child’s medical needs
Ensuring that necessary information about medical conditions is communicated to supply teachers or other members of staff who have contact with the child, whilst maintaining confidentiality at all times
Assisting with risk assessment for school visits and other activities outside of the normal timetable
Developing, monitoring and reviewing Individual Healthcare Plans collaboratively with parents, pupils, healthcare professionals and other agencies to ensure best possible provision is made for each individual child
Liaising with, where applicable, the school nurse, who is responsible for: notifying the school when a child has been identified as having a medical condition which will require support in school (wherever possible this should be done before the child starts at our school); for providing support for staff on implementing a child’s individual healthcare plan and for providing advice and liaison with regard to training
The Governing Body is responsible for:
Determining the school’s general policy and ensuring that arrangements are in place to support children with medical conditions
Ensuring that IHPs are reviewed at least annually
Mrs French, the Headteacher is responsible for:
Overseeing the management and provision of support for children with medical conditions
Ensuring that sufficient trained numbers of staff are available to implement the policy and deliver individual healthcare plans, including to cover absence and staff turnover
Ensuring that school staff are appropriately insured and are aware that they are insured
Teachers and Support Staff are responsible for:
The day to day management of the medical conditions of children they work with, in line with training received and as set out in Individual Healthcare Plans (ICPs)
Working with Mrs Hiom to ensure that risk assessments are carried out for school visits and other activities outside of the normal timetable
Providing information about medical conditions to supply staff who will be covering their role where the need for supply staff is known in advance
NB. Whilst any teacher or member of support staff may be asked to provide support to a child with a medical condition, including administering medicines, we recognise that no member of staff can be required to do so.
PROCEDURES WHEN NOTIFICATION IS RECEIVED THAT A PUPIL HAS A MEDICAL CONDITION
Mrs Hiom will liaise with all relevant individuals including: parents/carers (wherever possible); the individual pupil; health professionals and other agencies, to decide on the support to be provided to the child. Where appropriate, an Individual Healthcare Plan (IHP) will be drawn up and shared with the members of staff who work with the child, whilst continuing to maintain confidentiality. Any member of staff who is providing support to a child with a medical condition will receive suitable training from the appropriate health-care provider. Their training will be recorded as in Appendix E. This will be reviewed at the time of IHP review, and any additional training needs identified will be addressed. We recognise that we do not have to wait for a formal diagnosis before providing support to children, and that judgements in these cases should be based on the evidence available at that time. Appendix A outlines the process for developing individual healthcare plans.
Where absence may be long term or frequent, appropriate support will be put in place in order to limit the impact of the absence upon their educational attainment. This may include arranging for staff training or additional support.
Support will be carefully planned in order to reintegrate the child back into school following long term or frequent short term absence. Careful consideration will be given to both the child’s general wellbeing and their emotional health when doing so. Where a child is returning from a period of hospital education or alternative provision, school will work with the local authority and the education provider to ensure that the child is able to reintegrate effectively.
In the case of a child transferring to or from another school, or when there is a newly diagnosed condition we will aim to ensure, wherever possible, that adequate provision is put in place prior to the start of the new term, or within two weeks in the case of a mid-term transfer.
INDIVIDUAL HEALTHCARE PLANS (IHPs)
An IHP will be written, in partnership with anyone involved in the child’s care, for each pupil with complex medical needs. This may include long or short term medical conditions when the need is complex or difficult to manage and would otherwise prevent the child from accessing the curriculum fully. They will be developed with the child’s best interests in mind and will ensure that Tower Road Academy assesses and manages risks to the child’s education, health and social well-being, and minimises disruption.
The IHP will identify (amongst others) the child’s medical condition, its triggers, signs, symptoms and treatments. It will clarify what needs to be done, when and by whom and will include information about special requirements, medicines required, environmental issues, what constitutes an emergency and action to take in the case of an emergency. The plan will also indicate who in school needs to be aware of the child’s condition and what separate arrangements will be required for out of school trips or activities.
In the case that a child requires the administration of medication by a trained member of staff, an individual record of administration will be kept. Appendix C.
Where a child has SEN but does not have a statement or EHC plan, their special educational needs will be mentioned in their IHP
IHPs will be reviewed annually or earlier if evidence is provided that a child’s needs have changed.
Where a child is able to administer their own medication, written confirmation must be received from parents. Their medication should be easily accessible to them should they need it in an emergency, whilst maintaining its safe storage to prevent it from being misused by others. This may involve them knowing who the key holder to a locked storage facility is.
Medication will only be administered by staff in school when it would be detrimental to a child’s health or attendance not to do so. Where clinically possible, parents should request that medicines are prescribed in dose frequencies which enable them to be taken outside of school hours.
Written consent from parents must be received before any adult administers any medicine to a child at school. A copy of the consent form is included at Appendix B.
Medicines will only be accepted for administration if they are:
o Provided in the original container as dispensed by a pharmacist and include instructions for administration, dosage and storage.
The exception to this is insulin which must be in date but may be provided inside an insulin pen or pump, rather than in its original container.
Medicines will be stored securely. Children will know where their medicines are at all times and will have fast access to them should they be needed
Written records will be kept of all medicines administered to children (separate to those with an IHP), including time, dosage and the name of the adult administering the medication. Appendix D.
ACTION IN EMERGENCIES
Staff who work with children who have medical needs will make themselves familiar with the emergency procedures for children as outlined in their IHPs before they are left in their care. They will ensure that any medications are easily accessible and that they are familiar with their use or administration. Wherever necessary, appropriate training will have been undertaken by staff to ensure that they are familiar with procedures before the child is left in their care. In some cases, at the discretion of the school, this may include written instructions from the parent/carer)
Staff must not undertake healthcare procedures without appropriate training.
In the event of needing an ambulance, the guidance included in appendix C will be followed:
A copy of this information will be displayed in the school office and by the telephone in each of the bases.
ACTIVITIES BEYOND THE USUAL CURRICULUM
Reasonable adjustments will be made to enable children with medical needs to participate fully and safely in day trips, residential visits, sporting activities and other activities beyond the usual curriculum. When carrying out risk assessments, parents/carers, pupils and healthcare professionals will be consulted as appropriate.
The following are not generally acceptable practice with regard to children with medical conditions, although the school will use discretion to respond to each individual case in the most appropriate manner:
preventing children from easily accessing their inhalers and medication and administering their medication when and where necessary
assuming that every child with the same condition requires the same treatment
ignore the views of the child or their parents; or ignore medical evidence or opinion, (although this may be challenged)
sending children with medical conditions home frequently or prevent them from staying for normal school activities, including lunch, unless this is specified in their individual healthcare plans
if the child becomes ill, sending them to the school office or medical room unaccompanied or with someone unsuitable
penalising children for their attendance record if their absences are related to their medical condition e.g. hospital appointments
preventing pupils from drinking, eating or taking toilet or other breaks whenever they need to in order to manage their medical condition effectively
requiring parents, or otherwise making them feel obliged, to attend school to administer medication or provide medical support to their child, including with toileting issues. No parent should have to give up working because the school is failing to support their child’s medical needs
preventing children from participating, or create unnecessary barriers to children participating in any aspect of school life, including school trips, e.g. by requiring parents to accompany the child
An individual wishing to make a complaint regarding the school’s actions in supporting a child with medical conditions should discuss this with the Mrs French, Headteacher, in the first instance. If the issue is not resolved, then a formal complaint may be made, following the complaints procedure as set out in the Tower Road Academy’s Complaints Policy.