HILLARY PRIMARY SCHOOL MEDICINE AND MEDICAL CONDITIONS POLICY September 2014 1. Introduction This policy sets out the procedures which Hillary Primary School will follow when dealing with administering medicines. This policy includes arrangements for children with medical conditions, such as asthma, diabetes and epilepsy. This policy reflects the Children and Families Act 2014, with special reference to Chapter 6, Part 5 – Welfare of children. It reflects the consensus of opinion of all the teaching staff, and has the full agreement of the staff and Governors, and takes into account the school and local authority policies on Safeguarding, Data Protection and Code of Conduct. 2. Managing Prescription medicines to be taken during the day Medicines should only be taken to school when essential, that is where it would be detrimental to a child’s health if the medicine were not administered during the school day. We will only accept medicines that have been prescribed by a doctor, dentist, nurse practitioner or pharmacist prescriber. Medicines should always be provided in the original container and include the prescriber’s instructions for administration. A record of when the medicine is administered will be kept as Appendix 1 and parents will undertake discussions with the Inclusion Manager or member of SLT. The record will be kept in the front office. 3. Controlled drugs Some controlled drugs may be prescribed as medication for use by children. Staff administering medicine should do so in accordance with the prescriber’s instructions. The school would look after the controlled drug in a locked container/cupboard. A record will be kept. Only staff trained in administration of controlled drugs will administer, in accordance with agreed Care Plan. Inhalers are kept in class and monitored by class-based staff. All medicines will be returned to parents when no longer required. 4. Non prescription medicines Non prescription medicines will not be administered, unless in special circumstances by parents coming in to school after making arrangements with the HT, or in her absence the DHT/AHT, to do so. Staff should never give non prescribed medicine to a child unless there is specific prior written permission from the parents/carers. In such circumstances where a parent/carer cannot administer the medicine and it would be detrimental to a child’s health if they did not take the medicine, then it will be done by a First Aider or the HT and a record will be kept of when it is administered on Appendix 3 and parents will be informed. This is at the discretion of the HT or in her absence the DHT/AHT. Children under 16 should never be given aspirin or medicines containing ibuprofen unless prescribed by a doctor. Bonjela should also never be given to children under 16. 5. Administering medicines No child at school should be given medicines without the parent’s written consent. (See Appendix 2 Parental Agreement for Staff to Administer Medicine). Any member of staff giving medicines to a child must check: o The child’s name o Prescribed dose o Expiry date o Written instructions provided by the prescriber on label or container If in doubt staff should not administer the medicine and should check with parents/carers or a health professional before taking further action. CR/T/TEACHERS/POLICY/MEDICINE POLICY Staff should complete and sign a written record each time they give medicine to a child or witness self administration. See Appendix 3. We recommend that dosage and administration be witnessed by a second adult. We encourage children to take responsibility to manage their own medicines. The age at which they do so will vary. If a child can take the medicines themselves staff need only supervise. Parents/carers will indicate on the Parental Agreement Form if their child is to self administered the medicine, and this will have been witnessed by staff at the time of completion of appendix 3. Older children with a long term illness should wherever possible assume complete responsibility for administering medicines; this will also be detailed in the Care Plan. If a child refuses to take medicine, staff should not force them to do so but should note this in records. Parents should be informed on the same day. 6. Record Keeping Parents are to fill in Appendix 2 Parental Agreement for School to Administer Medicines before a member of staff will administer any medicine to a child. Copies of this form will be kept in the school office as some of the details are confidential. Children with Asthma/inhalers will need a record booklet which witnessing staff must complete when inhalers are taken. School will keep a record of all medicines given to pupils and staff involved. See Appendix 1. This will be kept in the Medical Room. Children with long-term illness/medical condition will have a Care Plan agreed with the child/parent/carer and relevant agencies. 7. Medical Conditions Children and Families Act 2014, Chapter 6, Part 5 – Welfare of children. The appropriate authority for a school to which this section applies must make arrangements for supporting pupils at the school with medical conditions. Children with medical conditions will be supported in school, and adjustments to their school day will be taken into consideration. Staff will take measures to ensure these children and others are not put at risk. Individual health care plans will be agreed to by parents, appropriate medical staff and school. Staff will be trained when necessary to be able to administer medicines. Emergency procedures will be put in place for any children with a medical condition. 8. Education Visits The school will always consider what reasonable adjustments it will take to enable children with medical needs to participate fully and safely on visits. It might include a risk assessment for such children. Staff supervising visits should always be aware of any medical needs and relevant emergency procedures. An identified adult accompanying the trip should be responsible for medication and recording administration. 9. Sporting activities Some children may need to take precautionary measures before or during exercise and may need immediate access to medicines such as inhalers. Staff should be aware of relevant medical conditions and any preventative medicine that may need to be taken (see record keeping). 10. Roles and Responsibility Parents / carers It only requires one adult with Parental Right to agree or request that medicines be administered; in the case of Looked After Children, foster carer may request with agreement of Local Authority keyworker. Headteacher The HT is responsible for day to day decisions with regard to medicines or in his absence the DHT/AHT. It is the HT responsibility to ensure all parents and staff are aware of this policy and procedures for dealing with medical needs. Only a trained First Aider or the Headteacher will administer medicines to a child. (Appendix 3) CR/T/TEACHERS/POLICY/MEDICINE POLICY 11. Storing medicines Medicines should be stored in accordance with product instructions and in the original container. Children should know where their medicines are stored – all non emergency medicines will be kept in the safe in the office not accessible by children. All emergency medicines such as inhalers and adrenaline pens are kept in the class in a container – clearly labelled and will be readily available. Any medicines kept in the refrigerator in the staffroom will be kept in an airtight container and will be clearly labelled. 12. Confidentiality The HT and staff should always treat medical information confidentially. The HT will agree with the parent/carer who else should have access to records and information about a child. Long term medical conditions should be recorded on SIMS under ‘Medical’ needs. 13. Review The Headteacher and staff will review this policy in 2015. Any suggested amendments will be presented to the Governors for discussion at their first meeting. Signed: Date: CR/T/TEACHERS/POLICY/MEDICINE POLICY Appendix 1 Medical Care Plan Pupil Name & Class: Date of Birth: NHS NO: Parent Contact Details: Primary Care Trust Contact: Details of Medical Need & Administration of Medication routine Condition Likely Presentation during episode Medication routine Parent/Carer Signature Date: Signature of Head Teacher/Inclusion Manager Date: Signature of School Health & Safety Representative Date: This plan should be updated twice yearly as minimum Copy to: Child’s Admin File Parent/Carer ClassTeacher Medical Folder (Office) School Health SEN/Safeguarding file (if appropriate) Appendix 2 Parental agreement for school to administer medicine CR/T/TEACHERS/POLICY/MEDICINE POLICY Staff at Hillary Primary School will not give your child medicine unless you complete and sign this form. Child’s Name _________________________________ Date _________________________________ Class _________________________________ Medical Condition/Illness _________________________________ Name of Medicine _________________________________ Expiry Date _________________________________ Dosage _________________________________ When to be given _________________________________ Any other instructions _________________________________ _________________________________ _________________________________ *Self Administration Yes / No (Delete as appropriate) *This must have been observed by staff or the child must be able to communicate their self administration routine. Note: Medicines must be in original container as dispensed by the pharmacy. Daytime phone no. of _________________________________ Parent or adult contact Name and phone no. of GP _________________________________ The above information is, to the best of my knowledge, accurate at the time of writing and I give consent to Hillary Primary School staff administering medicine in accordance with the school policy. I will inform the school immediately, in writing, if there is any change in dosage or frequency of the medication or if the medicine is stopped. Parent’s signature _________________________________ Appendix 3 Medical Supervision Log Name of medicine CR/T/TEACHERS/POLICY/MEDICINE POLICY Quantity to be given and when Date & time Name of Adult Replace with Name of Medicine CR/T/TEACHERS/POLICY/MEDICINE POLICY Replace with Name of Medicine Signature of staff supervising Comments