Medical Conditions Policy

Supporting Pupils at School with Medical Conditions Policy including School Procedures

Approved by: Local Governing Committee

Review date: July 2025

Approved on: 26th March 2024

Originator(s): JBL

Parents of children with medical conditions are often concerned that their child’s health will deteriorate when they attend school. This is because pupils with long-term and complex medical conditions may require ongoing support, medicines, or care while at school to help them manage their condition and keep them well. Others may require monitoring and interventions in emergency circumstances. It is also the case that children’s health needs may change over time, in ways that cannot always be predicted, sometimes resulting in extended absences. It is therefore important that parents feel confident that schools will provide effective support for their child’s medical condition and that pupils feel safe. In making decisions about the support they provide, schools should establish relationships with relevant local health services to help them. It is crucial that schools receive and fully consider advice from healthcare professionals and listen to and value the views of parents and pupils.

In addition to the educational impacts, there are social and emotional implications associated with medical conditions. Children may be self-conscious about their condition, and some may be bullied or develop emotional disorders such as anxiety or depression around their medical condition. In particular, long-term absences due to health problems affect children’s educational attainment, impact on their ability to integrate with their peers and affect their general wellbeing and emotional health. Reintegration back into school should be properly supported so that children with medical conditions fully engage with learning and do not fall behind when they are unable to attend. Short-term and frequent absences, including those for appointments connected with a pupil’s medical condition (which can often be lengthy), also need to be effectively managed and appropriate support put in place to limit the impact on the child’s educational attainment and emotional and general wellbeing.

Some children with medical conditions may be considered to be disabled under the definition set out in the Equality Act 2010. Where this is the case governing bodies must comply with their duties under that Act. Some may also have special educational needs (SEN) or an Education, Health and Care (EHC) plan which brings together health and social care needs, as well as their special educational provision. For children with SEN, this guidance should be read in conjunction with the Special educational needs and disability (SEND) code of practice. The Special educational needs and disability code of practice explains the duties of local authorities, health bodies, schools and colleges to provide for those with special educational needs under part 3 of the Children and Families Act 2014. For pupils who have medical conditions that require EHC plans, compliance with the SEND code of practice will ensure compliance with this guidance with respect to those children. The aim of this policy is to ensure that all children with medical conditions, in terms of both physical and mental health, are properly supported in school so that they can play a full and active role in school life, remain healthy and achieve their academic potential.

2. Shared Roles and Responsibilities

Ensuring access to education for pupils with health needs is the responsibility of the Local Authority and St Cuthbert’s Catholic High School.

2.1 The Local Authority

Local authorities are commissioners of school nurses for maintained schools and academies. Under Section 10 of the Children Act 2004, they have a duty to promote co-operation between relevant partners – such as governing bodies of maintained schools, proprietors of academies, clinical commissioning groups and NHS England – with a view to improving the wellbeing of children with regard to their physical and mental health, and their education, training and recreation. Local authorities and clinical commissioning groups (CCGs) must make joint commissioning arrangements for education, health and care provision for children and young people with SEN or disabilities (Section 26 of the Children and Families Act 2014). Local authorities should provide support, advice and guidance, including suitable training for school staff, to ensure that the support specified within individual healthcare plans can be delivered effectively. Local authorities should work with schools to support pupils with medical conditions to attend full-time. Where pupils would not receive a suitable education in a mainstream school because of their health needs, the local authority has a duty to make other arrangements. Statutory guidance for local authorities sets out that they should be ready to make

arrangements under this duty when it is clear that a child will be away from school for 15 days or more because of health needs (whether consecutive or cumulative across the school year).

Therefore the local authority will make sure:

• your child gets as normal an education as possible if they're going to be away from school for a long time. This could include arranging home teaching, a hospital school or teaching service, or a combination of home and hospital teaching

• your child continues to get a full-time education - unless part time is better for their health needs

• your child isn’t without access to education for more than 15 school days

• education is arranged from the start of your child’s absence if it’s clear they’re going to be away from school for long and recurring periods

Newcastle Bridges School is an alternative provision academy that specifically provides for children who can’t attend mainstream school because of illness, injury or a medical condition, including those receiving treatment in hospital.

The impact of your child being absent from school on a regular basis

Absence means:

• Missing out on coursework and it can be very hard to catch up.

• Losing touch with friends and teaching staff.

• Finding it more difficult to have a successful future after leaving school.

• Having more opportunities to become involved in crime and anti-social behaviour either as victim or perpetrator.

• You could be fined or prosecuted and may get a criminal record.

Forms of help could include accessing support from other agencies and services such as:

• support to reduce the burden on children where families are in difficulty (for example if a child is spending a lot of time caring for someone)

• working with you and your child to overcome bullying and other serious problems

• working with you to develop parenting skills and strategies to help manage your child’s behaviour

• a parenting contract

2.2 The Governing Bodies Responsibilities

The governing body must;

• ensure that arrangements are in place to support pupils with medical conditions. In doing so it should ensure that such children can access and enjoy the same opportunities at school as any other child

• take into account that many of the medical conditions that require support at school will affect quality of life and may be life-threatening. Some will be more obvious than others. Governing bodies should therefore ensure that the focus is on the needs of each individual child and how their medical condition impacts on their school life.

• ensure that its arrangements give parents and pupils confidence in the school’s ability to provide effective support for medical conditions in school. The arrangements should show an understanding of how medical conditions impact on a child’s ability to learn, as well as increase confidence and promote self-care. They should ensure that staff are properly trained to provide the support that pupils need.

• children and young people with medical conditions are entitled to a full education and have the same rights of admission to school as other children. This means that no child with a medical condition can be denied admission or prevented from taking up a place in school because arrangements for their medical condition have not been made.

• ensure that pupils’ health is not put at unnecessary risk from, for example, infectious diseases. They therefore do not have to accept a child in school at times where it would be detrimental to the health of that child or others to do so.

• ensure that the arrangements they put in place are sufficient to meet their statutory responsibilities and should ensure that policies, plans, procedures and systems are properly and effectively implemented.

• ensure that the school’s policy covers the role of individual healthcare plans, and who is responsible for their development, in supporting pupils at school with medical conditions.

• ensure that plans are reviewed at least annually, or earlier if evidence is presented that the child’s needs have changed. They should be developed with the child’s best interests in mind and ensure that the school assesses and manages risks to the child’s education, health and social wellbeing, and minimises disruption.

• ensure that sufficient staff have received suitable training and are competent before they take on responsibility to support children with medical conditions.

• ensure that pupils with medical conditions are supported to enable the fullest participation possible in all aspects of school life.

• ensure that their arrangements are clear and unambiguous about the need to support actively pupils with medical conditions to participate in school trips and visits, or in sporting activities, and not prevent them from doing so.

• ensure that any members of school staff who provide support to pupils with medical conditions are able to access information and other teaching support materials as needed.

The Schools Responsibilities

The Headmaster will ensure that their school’s policy is developed and effectively implemented with partners. This includes ensuring that all staff are aware of the policy for supporting pupils with medical conditions and understand their role in its implementation. The Headmaster will ensure that all staff who need to know are aware of the child’s condition. They should also ensure that sufficient trained numbers of staff are available to implement the policy and deliver against all individual healthcare plans, including in contingency and emergency situations. This may involve recruiting a member of staff for this purpose. The Headmaster will has overall responsibility for the development of individual healthcare plans. They should also make sure that school staff are appropriately insured and are aware that they are insured to support pupils in this way. They should contact the school nursing service in the case of any child who has a medical condition that may require support at school, but who has not yet been brought to the attention of the school nurse.

St Cuthbert’s Catholic High School has a responsibility to:

have a clear policy and a named person responsible for pupils who are unable to attend school because of medical conditions

Named person(s) are: Miss J Blackie (Assistant Head Teacher) and Mr R Collinson (Assistant Head Teacher) have a named Medical Officer. The Medical Officer is:

Medical Officer: Mrs S Simpson

nominate a governor responsible for reviewing the procedures that apply to educating pupils with health needs.

Named Governor is Mrs V. Douglas

• ensure that the pupil remains on the school roll

• establish guidelines for school staff on maintaining meaningful contact with pupils and parents when a pupil is absent through medical conditions

• seek confirmation of ill health/medical condition and make reasonable adjustments to maintain continuity of access to education refer pupils to Newcastle Bridges School if the pupil is, or is likely to be, absent from school for more than 15 school working days because of health/medical needs

• work in partnership with Newcastle Bridges School to provide information about the pupil’s strengths and needs

• provide Newcastle Bridges School with robust work plans to ensure continuity of progress

• facilitate appointments with key teachers and/or subject specialists

• Share information to maintain an up-to-date record of the pupil’s progress

• liaise regularly with Newcastle Bridges School to monitor provision, review progress and support reintegration

• ensure pupils have access to public examinations

• ensure that the needs of pupils with a statement of Special Educational Needs or EHCP (Education, Health and Care Plan) are met

• ensure that the views of students and parent/carers are considered

• maintain a regular review system

• make reasonable adjustments to maintain good attendance and progress once the child has resumed attendance at school

• pupils with a serious medical need will have their information shared with relevant staff

• school staff will liaise with healthcare professionals and services in order to access the most up to date advice about a pupil’s medical/health need

• ensure that sufficient staff are suitably trained

• ensure that all relevant staff will be made aware of the child’s condition

• ensure cover arrangements in case of staff absence or staff turnover to ensure someone is always available

• brief supply teachers

• with relevant staff produce risk assessments for school visits and other school activities outside the normal timetable

• individual healthcare plans will be written, monitored and reviews regularly – at a minimum annually

2.3 Parents and Carers

Parents and carers will provide the school with sufficient and up-to-date information about their child’s medical needs. They may in some cases be the first to notify the school that their child has a medical condition. Parents are key partners and should be involved in the development and review of their child’s individual healthcare plan, and may be involved in its drafting. They should carry out any action they have agreed to as part of its implementation, e.g. provide medicines and equipment and ensure they or another nominated adult are contactable at all times.

It is expected that parents/carers will;

• inform school of any medical condition which affects their child, filling in medical condition booklet and updating the information when appropriate Appendix 1 – Personal Medical booklet

• supply school with appropriately prescribed medication, where the dosage information and regime is clearly printed by a pharmacy on the container

• ensure that medicines in school are in date and clearly labelled

• co-operate in training their child to self-administer medicine if this is appropriate

• collect medication at the end of the academic year or course

2.4 Pupils

Pupils with medical conditions will often be best placed to provide information about how their condition affects them. They should be fully involved in discussions about their medical support needs and contribute as much as possible to the development of, and comply with, their individual healthcare plan. Other pupils will often be sensitive to the needs of those with medical conditions.

2.5 School Staff

Any member of school staff may be asked to provide support to pupils with medical conditions, including the administering of medicines, although they cannot be required to do so. Although administering medicines is not part of teachers’ professional duties, they should take into account the needs of pupils with medical conditions that they teach. School staff should receive sufficient and suitable training and achieve the necessary level of competency before they take on responsibility to support children with medical conditions. Any member of school staff should know what to do and respond accordingly when they become aware that a pupil with a medical condition needs help.

2.6 School Nurses

Every school has access to school nursing services. They are responsible for notifying the school when a child has been identified as having a medical condition which will require support in school. Wherever possible, they should do this before the child starts at the school. They would not usually have an extensive role in ensuring that schools are taking appropriate steps to support children with medical conditions, but may support staff on implementing a child’s individual healthcare plan and provide advice and liaison, for example on training. School nurses can liaise with lead clinicians locally on appropriate support for the child and associated staff training needs; for example, there are good models of local specialist nursing teams offering training to local school staff, hosted by a local school. Community nursing teams will also be a valuable potential resource for a school seeking advice and support in relation to children with a medical condition. See also paragraphs 18 to 20 below about training for school staff.

2.7 Other Healthcare Professionals

Other healthcare professionals, including GPs and paediatricians, should notify the school nurse when a child has been identified as having a medical condition that will require support at school. They may provide advice on developing individual healthcare plans. Specialist local health teams may be able to provide support in schools for children with particular conditions (e.g. asthma, diabetes, epilepsy).

3. Procedure to be followed when notification is received that a pupil has a medical condition

Parents inform school (Head of Year) of their child’s medical condition (newly diagnosed or update). This would normally be some form of medical evidence and consultation with parents.

Head of Year to inform SLT and Medical Officer.

Is an individual healthcare plan needed? Yes, develop IHCP in partnership.

Support (for pupil) to be offered, written down, using appropraite forms i.e. Personal Medical Booklet.

Pupil record(s) updated and information shared with all relevant staff.

Staff training identified and offered to all relevant staff.

Review when condition changes. Parent or healthcare professional to initiate.

All pupils and students have a Personal Medical Booklet. Parents/carers of new starter’s to the school complete this document prior to their child starting and parent’s/carers must inform inform the school in writing if anything about their child’s medical condition changes.

4. Individual Healthcare Plans

Individual healthcare plans can help to ensure that schools effectively support pupils with medical conditions. They provide clarity about what needs to be done, when and by whom. They will often be essential, such as in cases where conditions fluctuate or where there is a high risk that emergency intervention will be needed, and are likely to be helpful in the majority of other cases, especially where medical conditions are long-term and complex. However, not all children will require one. The school, healthcare professional and parent should

agree, based on evidence, when a healthcare plan would be inappropriate or disproportionate. If consensus cannot be reached, the headteacher is best placed to take a final view. Appendix 1 Personal Medical Booklet

The format of individual healthcare plans may vary to enable schools to choose whichever is the most effective for the specific needs of each pupil. They should be easily accessible to all who need to refer to them, while preserving confidentiality. Plans should not be a burden on a school, but should capture the key information and actions that are required to support the child effectively. The level of detail within plans will depend on the complexity of the child’s condition and the degree of support needed. This is important because different children with the same health condition may require very different support. Where a child has SEN but does not have an EHC plan, their special educational needs should be mentioned in their individual healthcare plan.

Individual healthcare plans (and their review) may be initiated, in consultation with the parent, by a member of school staff (Head of Year) and Medical Staff or a healthcare professional involved in providing care to the child. Plans should be drawn up in partnership between the school, parents, and a relevant healthcare professional, e.g. school nurse, specialist or children’s community nurse or paediatrician, who can best advise on the particular needs of the child. Pupils should also be involved whenever appropriate. The aim should be to capture the steps which the school should take to help the child manage their condition and overcome any potential barriers to getting the most from their education and how they might work with other statutory services. Partners should agree who will take the lead in writing the plan, but responsibility for ensuring it is finalised and implemented rests with the school.

Where the child has a special educational need identified in an EHC plan, the individual healthcare plan should be linked to or become part of that EHC plan. Where a child is returning to school following a period of hospital education or alternative provision (including home tuition), schools should work with the local authority and education provider to ensure that the individual healthcare plan identifies the support the child will need to reintegrate effectively. Appendix

1

Personal Medical Booklet

When deciding what information should be recorded on individual healthcare plans, the governing body should consider the following:

• the medical condition, its triggers, signs, symptoms and treatments

• the pupil’s resulting needs, including medication (dose, side effects and storage) and other treatments, time, facilities, equipment, testing, access to food and drink where this is used to manage their condition, dietary requirements and environmental issues, e.g. crowded corridors, travel time between lessons

• specific support for the pupil’s educational, social and emotional needs – for example, how absences will be managed, requirements for extra time to complete exams, use of rest periods or additional support in catching up with lessons, counselling sessions

• the level of support needed (some children will be able to take responsibility for their own health needs) including in emergencies. If a child is self-managing their medication, this should be clearly stated with appropriate arrangements for monitoring

• who will provide this support, their training needs, expectations of their role and confirmation of proficiency to provide support for the child’s medical condition from a healthcare professional; and cover arrangements for when they are unavailable

• who in the school needs to be aware of the child’s condition and the support required

• arrangements for written permission from parents and the headteacher for medication to be administered by a member of staff, or self-administered by the pupil during school hours

• separate arrangements or procedures required for school trips or other school activities outside of the normal school timetable that will ensure the child can participate, e.g. risk assessments

• where confidentiality issues are raised by the parent/child, the designated individuals to be entrusted with information about the child’s condition

• what to do in an emergency, including whom to contact, and contingency arrangements. Some children may have an emergency healthcare plan prepared by their lead clinician that could be used to inform development of their individual healthcare plan.

5.

Training and Support

• Suitable training should have been identified during the development or review of individual healthcare plans. Some staff may already have some knowledge of the specific support needed by a child with a medical condition and so extensive training may not be required. Staff who provide support to pupils with medical conditions should be included in meetings where this is discussed.

• The relevant healthcare professional should normally lead on identifying and agreeing with the school the type and level of training required, and how this can be obtained. Schools may choose to arrange training themselves and should ensure this remains up-to-date.

• Training should be sufficient to ensure that staff are competent and have confidence in their ability to support pupils with medical conditions, and to fulfil the requirements as set out in individual healthcare plans. They will need an understanding of the specific medical conditions they are being asked to deal with, their implications and preventative measures.

• A first-aid certificate does not constitute appropriate training in supporting children with medical conditions.

• Healthcare professionals, including the school nurse, can provide confirmation of the proficiency of staff in a medical procedure, or in providing medication.

• Staff training needs identified and arrangements made for whole-school awareness training so that all staff are aware of the school’s policy for supporting pupils with medical conditions and their role in implementing that policy. Induction arrangements for new staff should be included. The relevant healthcare professional should be able to advise on training that will help ensure that all medical conditions affecting pupils in the school are understood fully. This includes preventative and emergency measures so that staff can recognise and act quickly when a problem occurs.

• The family of a child will often be key in providing relevant information to school staff about how their child’s needs can be met, and parents should be asked for their views. They should provide specific advice, but should not be the sole trainer. Governing bodies should consider providing details of continuing professional development opportunities.

• Staff must not give prescription medicines or undertake healthcare procedures without appropriate training (updated to reflect requirements within individual healthcare plans).

6. The Child’s Role in Managing their own Medical Needs

Wherever possible, children should be allowed to carry their own medical devices such as EpiPens, inhalers and one antihistamine or should be able to access their medicines from the Medical Officer quickly and easily.

7. Managing Medicines on School Premises

At St. Cuthbert’s Catholic High School we will:

• only administer medicines at school when it would be detrimental to a child’s health or school attendance not to do so.

• no child under 16 will be given prescription or non-prescription medicines without their parent’s written consent. In the instance of a headache, the Medical Officer will telephone the parent/carer for permission to administer paracetamol and antihistamines.

• a child under 16 should never be given medicine containing aspirin unless prescribed by a doctor. Medication, e.g. for pain relief, should never be administered without first checking maximum dosages and when the previous dose was taken.

• where clinically possible, medicines should be prescribed in dose frequencies which enable them to be taken outside school hours.

• we will only accept prescribed medicines if these are in-date, labelled, 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 still be in date, but will generally be available to schools inside an insulin pen or a pump, rather than in its original container

• all medicines should be stored safely. Children should know where their medicines are at all times and be able to access them immediately. Where relevant, they should know who holds the key to the storage facility (Medical Officer). Medicines and devices such as asthma inhalers, blood glucose testing meters and adrenaline pens should be always readily available to children and not locked away (stored in Reception, clearly labelled, with Personal Medical booklet). This is particularly important to consider when outside of school premises, e.g. on school trips.

• when no longer required, medicines should be returned to the parent to arrange for safe disposal. Sharps boxes should always be used for the disposal of needles and other sharps. Blood related dressings will be disposed of in a medical bin.

• school staff may administer a controlled drug to the child for whom it has been prescribed. The named member of staff is the Medical Officer. Staff administering medicines should do so in accordance with the prescriber’s instructions. We will keep a record of all medicines administered to individual children, stating what, how and how much was administered, when and by whom. Any side effects of the medication to be administered at school should be noted in school. Appendix 1 – Personal Medical booklet

8. Record Keeping

Records offer protection to staff and children and provide evidence that agreed procedures have been followed. Parents should be informed if their child has been unwell at school.

9. Emergency Procedures

As part of general risk management processes, we will follow appropriate guidance for dealing with emergencies for all school activities wherever they take place, including on school trips within and outside the UK.

Where a child has an individual healthcare plan, this should clearly define what constitutes an emergency and explain what to do, including ensuring that all relevant staff are aware of emergency symptoms and procedures. Other pupils in school should know what to do in general terms, such as informing a teacher immediately if they think help is needed.

If a child needs to be taken to hospital, staff should stay with the child until the parent arrives, or accompany a child taken to hospital by ambulance. We will ensure they understand the local emergency services’ cover arrangements and that the correct information is provided for navigation systems.

10. Making a Successful Return to Education: Supporting Children with Acquired Brain Injuries (ABI)

The Impact of an Acquired Brain Injury: The consequences of such brain damage are often far-reaching, and can impact on a young person’s functioning across physical, behavioural, cognitive, social and emotional domains. Just as the causes of brain injuries are variable, so are the outcomes for each individual. Some of the key difficulties a child may experience post-brain injury are listed below. Importantly, while some children may make good recoveries in several or all areas, others will have long-term and even lifelong difficulties.

General effects

• Fatigue – cognitive & physical

• Pain

• Sleep problems

Cognitive effects

• Memory

• Processing speed

• Learning

• Attention

• Executive function

• Language & communication

Physical effects

• Problems with movement, coordination and / or speech

• Visual difficulties

• Hearing difficulties

Behavioural and emotional effects

• Changes in behaviour

• Anxiety, low mood, anger etc

• Problems with self esteem

In many cases, an ABI results not just in an injury to a specific part of the brain, but also in disruption to the wider pathways. Post-injury, therefore, the brain needs time to heal and may also have to find new ways of doing things, or new routes to pass information through. This can make the brain slower and less efficient. It also uses a lot of energy and can make the person with the injury extremely tired.

Some brain injuries can be widespread and affect several parts of the brain (so called ‘diffuse’ injuries), or they can affect a very specific part of the brain (e.g. a tumour in a particular location). As the parts of the brain work closely together, there are likely to be a number of difficulties resulting from either type of injury. Some problems, such as fatigue, problems with emotions and attention, are common after any type of ABI, while others may be more specifically linked to the type and location of injury. It is important, therefore, to consider every child individually.

Important points to remember:

• Many of these difficulties are closely linked, and are likely to impact on other areas, e.g. pain and fatigue impact on attention and behaviour, as well as mood and learning

• Many disabilities are hidden and may be forgotten about as the child progresses through education. This can leave them vulnerable to being labelled with behavioural or motivational issues when, in fact, they are still struggling with the impact of their earlier brain injury

• Some children may make good recoveries in several or all areas, others will have long-term and even lifelong difficulties

• Some difficulties may not be present immediately after injury, but can emerge as the young person’s brain develops. This is why it is important that children are monitored throughout their educational pathway and not just in the immediate aftermath of an ABI

• After an ABI, some children may have limited insight or understanding of their difficulties which can present additional challenges for their adjustment, integration and progress

Preparing to Return to School: School should consult with the child’s family before their return to school. The child’s thinking skills may be affected by their head injury. Consideration must be made for this when the child returns to the classroom. If school staff have concerns about the child’s learning, firstly discuss this with parents/carers and secondly contact healthcare professions. It is important to remember that every child recovers differently from a head injury, however common problems can include; fatigue, difficulties with attention and concentration and effects on learning and memory. Some displayed behaviours could be related to the head injury when the child returns to school. The child may benefit from a phased return to school School should be guided by return to school concussion guidance. Appendix 2: Concussion – Return to School Guidance

11. Supporting a Child with Cancer

Going to school is vital for children with cancer. School helps them to feel ‘normal’ and reduces the isolation and loneliness which many children with cancer face. Staff have a really important role to play in encouraging the child’s integration back into a school routine. But cancer is a scary word for many, and it is completely normal for staff and others working at the school to feel upset – not just for the awful situation facing the pupil and their family, but also for the impact on the rest of the class and school community Parents and carers of the

child must meet with the Head of Year, Assistant Head of year and the Medical Officer to update their child’s Personal Medical booklet before the child returns to school. Appendix 1

– Personal Medical booklet

How is childhood cancer treated? All children and young people diagnosed with cancer are treated in one of 21 specialist paediatric oncology centres across the UK. While some treatment can be given at a local hospital under the guidance of the nearest specialist centre, many families may need to travel long distances depending on where they live. Treatments are based on national guidelines which means that a child or young person with cancer will be treated in the same way wherever they live in the UK. Many healthcare professionals are involved in the child’s care including doctors, nurses, dietitians, play specialists, psychologists and others.

Cancer treatment can affect school attendance: Once treatment starts, the child will be absent from school a lot because of hospital admissions, treatment cycles and the impact of side effects. Long absences can cause a drop in literacy and mathematical skills causing pupils to sometimes fall behind others of the same age. Staff can help to minimise this impact by supporting the child in their learning.

In case of emergencies the child’s hospital team should offer the school a care plan and guidance on how to respond to potential problems.

Some chemotherapy lowers the immune system meaning that children undergoing treatment have a higher risk of picking up infections. As the child’s immune system is less able to fight back, they can become ill which sometimes means further assessment in hospital. The risk of infection should not stop children going to school. Children whose blood levels are in a safe enough range will be advised to return to school and enjoy their usual activities. School may need to inform parents and carers of other children in the class to notify the school where there are known cases of measles, chicken pox or shingles, as these can be life threatening to someone receiving chemotherapy treatment. School will need to be vigilant and inform the child’s parents immediately if an outbreak occurs.

It is usually recommended that the child or young person should not be immunised while he or she is receiving treatment for cancer; or for six months afterwards (12-18 months after a stem cell transplant.). The only vaccine generally recommended is the flu vaccine in the autumn term. However, they may not be able to have the nasal vaccine at school.

School staff will consider and prepare for the child returning to school and;

• looking different

• being afraid of falling behind with their schoolwork

• having physical limitations

• having difficulties moving around the school site and buildings

• feeling scared and anxious

• having a fear of being bullied

• losing friendships

Many children miss a lot of time from school after diagnosis. Hospital appointments and admissions for treatment or infection can be frequent and can happen suddenly. Long absences can have huge implications for educational progress, as well as relationships with friends. Once the initial diagnosis has been made, parents and staff need to work together to promote an appropriate learning environment for the child. It is important to make sure the child keeps up to date with schoolwork as much as possible while not attending school.

When the child returns to school: we will try to establish normality and set achievable goals. Many children will return to school on a part-time basis. Parents, carers and the child should be involved in important decisions such as;

• what to tell other pupils

• how much the child can be expected to achieve when they first start back

12. Day trips, residential visits and sporting activities

Teachers will be made be aware of how a child’s medical condition will impact on their participation, but there should be enough flexibility for all children to participate according to their own abilities and with any reasonable adjustments. We will make arrangements for the inclusion of pupils in such activities with any adjustments as required unless evidence from a clinician such as a GP states that this is not possible.

Will we endeavour to make reasonable adjustments to enable children with medical needs can participate fully and safely on visits.

It is best practice to carry out a risk assessment so that planning arrangements take account of any steps needed to ensure that pupils with medical conditions are included. This will require consultation with parents and pupils and advice from the relevant healthcare professional to ensure that pupils can participate safely.

Further advice is available from: Health and Safety Executive (HSE) guidance on school trips.

13. Unacceptable Practice

Although school staff should use their discretion and judge each case on its own merits with reference to the child’s individual healthcare plan, it is not generally acceptable practice to:

• prevent children from easily accessing their inhalers and medication and administering their medication when and where necessary,

• assume 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),

• send children with medical conditions home frequently for reasons associated with their medical condition 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, send them to the school office or medical room unaccompanied or with someone unsuitable,

• penalise children for their attendance record if their absences are related to their medical condition, e.g. hospital appointments,

• prevent pupils from drinking, eating or taking toilet or other breaks whenever they need to in order to manage their medical condition effectively,

• require parents, or otherwise make 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,

• prevent 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.

14. Further Sources of Information

• Section 21 of the Education Act 2002 provides that governing bodies of maintained schools must, in discharging their functions in relation to the conduct of the school, promote the wellbeing of pupils at the school.

• Section 175 of the Education Act 2002 provides that governing bodies of maintained schools must make arrangements for ensuring that their functions relating to the conduct of the school are exercised with a view to safeguarding and promoting the welfare of children who are pupils at the school. Part 3, and in particular paragraph 7 of the Schedule to the Education (Independent School Standards) Regulations 2014 sets this out in relation to academy schools and alternative provision academies.

• Section 3 of the Children Act 1989 confers a duty on a person with the care of a child (who does not have parental responsibility for the child) to do all that is reasonable in all the circumstances for the purposes of safeguarding or promoting the welfare of the child.

• Section 17 of the Children Act 1989 gives local authorities a general duty to safeguard and promote the welfare of children in need in their area.

• Section 10 of the Children Act 2004 provides that the local authority must make arrangements to promote co-operation between the authority and relevant partners (including the governing body of a maintained school, the proprietor of an academy, clinical commissioning groups and the NHS Commissioning Board) with a view to improving the wellbeing of children, including their physical and mental health, protection from harm and neglect, and education. Relevant partners are under a duty to co-operate in the making of these arrangements.

• The NHS Act 2006: Section 3 gives Clinical Commissioning Groups a duty to arrange for the provision of health services to the extent the CCG considers it necessary to meet the reasonable needs of the persons for whom it is responsible. Section 3A provides for a CCG to arrange such services as it considers appropriate to secure improvements in physical and mental health of, and in the prevention, diagnosis and treatment of illness, in, the persons for whom it is responsible. Section 2A provides for local authorities to secure improvements to public health, and in doing so, to commission school nurses.

• Governing Bodies’ duties towards disabled children and adults are included in the Equality Act 2010, and the key elements are as follows:

o They must not discriminate against, harass or victimise disabled children and young people

o They must make reasonable adjustments to ensure that disabled children and young people are not at a substantial disadvantage compared with their peers. This duty is anticipatory: adjustments must be planned and put in place in advance, to prevent that disadvantage

Other Relevant Legislation

• Section 2 of the Health and Safety at Work Act 1974, and the associated regulations, provides that it is the duty of the employer (the local authority, governing body or academy trust) to take reasonable steps to ensure that staff and pupils are not exposed to risks to their health and safety.

• Under the Misuse of Drugs Act 1971 and associated Regulations the supply, administration, possession and storage of certain drugs are controlled. Schools may have a child who has been prescribed a controlled drug.

• The Medicines Act 1968 specifies the way that medicines are prescribed, supplied and administered within the UK and places restrictions on dealings with medicinal products, including their administration.

• Regulation 5 of the School Premises (England) Regulations 2012 (as amended) provides that maintained schools must have accommodation appropriate and readily available for use for medical examination and treatment and for the caring of sick or injured pupils. It must contain a washing facility and be reasonably near to a toilet. It must not be teaching accommodation. Paragraph 24 of the Schedule to the the Education (Independent School Standards) Regulations 2014 replicates this provision for independent schools (including academy schools and alternative provision academies).

• The Special Educational Needs and Disability Code of Practice

• Section 19 of the Education Act 1996 (as amended by Section 3 of the Children, Schools and Families Act 2010) provides a duty on local authorities of maintained schools to arrange suitable education for those who would not receive such education unless such arrangements are made for them. This education must be full-time, or such part-time education as is in a child’s best interests because of their health needs.

PERSONAL MEDICATION BOOKLET

I _____________________________________________(name of Parent/Carer) confirm that my son above named:

Please select  all relevant sections.

(a)  has no known allergies at this time and I understand and accept my responsibility to inform the school in writing should this situation change

(b)  has known allergies and I have completed in full the section of this booklet on allergies (Page 4)

(c)  has no known medical conditions at this time and I understand and accept my responsibility to inform the school in writing should this situation change

(d)  has known medical conditions at this time and I have completed in full the section of this booklet on medical conditions (Page 2)

(e)  does not suffer from asthma at this time and I understand and accept my responsibility to inform the school in writing should this situation change

(f)  suffers from asthma at this time and I have completed in full the section of this booklet on asthma (Page 3)

(g)  has no current Medical Management Plan in place

(h)  has a current Medical Management Plan in place and I attach a copy of that plan to this form.

I also confirm that I have read and understood the school’s regulations on the provision and administration of medication in School and on all school. (Page 5)

MEDICAL CONDITIONS

Name of Medical Condition:

Full Details of Medical Condition:

Symptoms:

Treatment:

Emergency Contact Details:

Name of Contact 1:

Relationship to pupil:

 (first number)

 (additional number)

Emergency Contact Details (2):

Name of Contact 2:

Relationship to pupil:

 (first number)

 (additional number)

Parental Declaration

I confirm that the information I have given here is given in full and is both true and correct. I accept, acknowledge and understand my responsibility to inform the School in writing should anything about my son’s medical condition change.

I also confirm that I have read and understood the School’s regulations on the provision and administration of medication in School and on all school activities.

Signed: _____________________________________________ (Parent/Carer) Date: __________________

Please note that if you son has more than ONE medical condition, you will be required to complete an additional form for each condition.

ASTHMA CARE PLAN

Treatment Type:

Please select  all that apply.

Regular Treatment

 Regular Treatment to be taken in School

 Treatment to be taken before exercise

 Relief treatment to be taken as necessary

Name of Treatment:

Time to be taken:

Treatment before Exercise

Name of Treatment:

Time before exercise:

Relief Treatment:

Name of Treatment:

Method of administration

Relief Treatment: for sudden shortness of breath, wheeze, cough or chest tightness

Parental Declaration

I confirm that: (please delete as applicable)

(a) my son is able to take responsibility for the self-administration of his asthma medication and is able to carry his asthma device at school.

(b) my son is not able to self-administer his asthma medication and will require assistance.

I also confirm that I will ensure that a spare inhaler is available to the School and give permission for this inhaler to be safely and securely stored in the School Medical Room. Signed: ___ _____ (Parent/Carer) Date:

ALLERGIES / ALLERGIC REACTIONS

Allergic to:

Full Details of Allergy:

Symptoms:

Treatment:

Emergency Contact Details: Name of Contact 1:

Relationship to pupil:

 (first number)

 (additional number)

Emergency Contact Details (2): Name of Contact 2:

Relationship to pupil:

 (first number)

 (additional number)

Parental Declaration

I confirm that the information I have given here is given in full and is both true and correct. I accept, acknowledge and understand my responsibility to inform the School in writing should anything about my son’s allergy change.

I also confirm that I have read and understood the School’s regulations on the provision and administration of medication in School and on all school activities.

Signed: ____________________________________ _________ (Parent/Carer) Date: _________________

Please note that if your son has more than ONE allergy, you will be required to complete an additional form for each allergy.

INFORMATION FOR PARENTS ON ADMINISTERING MEDICATION IN SCHOOL

Parents must:

(a) sign a consent form giving the school authorisation to administer prescribed medication to their son;

(b) make an appointment to discuss the request with the nominated person. (please allow 15 minutes to do this);

(c) NOT send the medication into school with their son;

(d) hand all medication to the School’s nominated person only and in person;

(e) NOT hand medication to their son’s Tutor;

(f) ensure that all medication is provided in sealed pharmacy labelled packaging;

(g) if necessary, ensure that the supply in medication is split into two by a pharmacist (i.e. package for home and one for school);

(h) collect all medication from school when requested to do so;

(i) ensure that their son takes any prescribed medication for 24 hours before returning to school in case of an allergic reaction;

(j) complete an ‘Administration of Medication in School’ Form (available on the school website)

(k) remember that it is ultimately their responsibility to administer medication to their son.

The School will:

(a) have a nominated and trained member of staff who will be responsible for the safe and appropriate administration and storage of all medication in school;

(b) assess each request to administer medication on its own merits;

(c) have a comprehensive care plan for every pupil receiving medication (except for periods of fewer than five days);

(d) have a dedicated medical room where all medication is administered ensuring privacy and confidentiality;

(e) have an authorised drug cabinet ensuring that all medication is stored safely and a register of all medication administered;

(f) ensure that your son is given his medication at the correct time and in the correct quantity;

(g) keep you informed as to the progress of your son’s medication regime;

(h) act in accordance with DfE and Government Guidelines.

(i) take all reasonably practicable measures to ensure that any pupil with medical problems is given access to the curriculum and that they receive as full an education as possible.

No medication is allowed to be carried by a pupil in school with the exception of epipens and inhalers.

Authorised Persons: The authorised person responsible for the administration of medication in this school is the Assistant Head of House. In the absence of the authorised person(s) medication will be administer by one of the School’s trained First Aiders in telephone consultation with parents/carers. In the unlikely event that this is not possible, then parents/carers will be required to attend in order to administer the medication.

PARENTAL AGREEMENT FOR IN-SCHOOL ADMINISTRATION OF MEDICINE

The school will not give your son medicine unless you complete and sign this form. You are only required to complete this form as part of this Transition Medical Booklet if your son will be taking medicine at the time that he joins St Cuthbert’s Catholic High School

Surname of pupil:

First name of pupil:

Tutor Group: Date of Birth:

Name of Medicine:

Strength of Medicine:

Prescription Date: Expiry Date:

Dosage: Time:

Please give clear details describing the amount of medicine and the required times for administration.

Further details:

Emergency Contact Details:

Name of Contact 1:

Relationship to pupil:

 (first number)

 (additional number)

Emergency Contact Details (2):

Name of Contact 2:

Relationship to pupil:

 (first number)

 (additional number)

Parental Declaration

I confirm that the information I have given here is given in full and is both true and correct. I accept, acknowledge and understand my responsibility to inform the school in writing should anything about my son’s medication change.

Signed: ____________ ______ (Parent/Carer) Date: __________________

Please that if your son has more than ONE medication, you will be required to complete an additional form for each medication to be administer in school.

Agreed Review Date: (to be set by school) Date set by:

ADDITIONAL INFORMATION

If you consider that the School needs to be made aware of additional information regarding your son’s health needs that are not covered by this document or any other aspects of the Transition Information, please record such details here:

Further advice is available from:

• https://www.thechildrenstrust.org.uk/brain-injury-information/info-and-advice/what-is-acquiredbrain-injury/concussion-in-children-and-young-people

• https://childbraininjurytrust.org.uk/wp-content/uploads/2018/11/ABI-Mini-Guide.pdf