Supporting Pupils with Medical Conditions Policy Rationale The Children and Families Act 2014, from September 2014, places a duty on schools to make arrangements for children with medical conditions. Pupils with special medical needs have the same right of admission to school as other children and cannot be refused admission or excluded from school on medical grounds alone. However, teachers and other school staff in charge of pupils have a common law duty to act in loco parentis and may need to take swift action in an emergency. This duty also extends to teachers leading activities taking place off the school site. This could extend to a need to administer medicine. It is the overall policy of St James Primary School to minimise the risks to pupils as a result of the administration of medicines and to ensure there are appropriate measures in place regarding the safe storage of medicines, support for pupils and staff staff training. To promote this aim we work with parents and health professionals to agree procedures for the administration of medicines when necessary and reasonably practical. This policy sets out the arrangements we follow in order to maximise inclusion for pupils with medical needs in as full a range of educational opportunities as possible, and is in line with the Department for Education’s Statutory Guidance September 2014 for Supporting Pupils at School with Medical Conditions. Definition Pupils’ medical needs may be broadly summarised as being of two types: (a) Short-term affecting their participation in school activities which they are on a course of medication. (b) Long-term potentially limiting their access to education and requiring extra care and support (deemed special medical needs). Aims The school aims to: assist parents in providing medical care for their children educate staff and children in respect of medical needs support parents and children in training children to self-administer medication if this is practicable arrange training for staff to support pupils with medical needs liaise as necessary with medical services in support of the individual pupil ensure access to full education if possible monitor and keep appropriate records provide opportunities for parents to update staff on any changes to their child’s medical needs St James CE Primary School – Supporting Pupils with Medical Needs November 2015 The school accepts all employees have rights in relation to supporting pupils with medical needs. There is no statutory or contractual duty for staff to administer medicines. Consequently, we secure the services of volunteers from our existing staff team. Procedures for storing and administering medicine in school Prescribed Medicines (e.g. antibiotics) Medicines should only be administered by staff in school when essential; that is where it would be detrimental to a child’s health if the medicine were not to be administered during the school day. All medicines should be brought into the school office by parents where they will be stored safely and appropriately. Prescribed Medicines (Chronic illnesses e.g. asthma) In cases of chronic medical conditions such as asthma and diabetes, pupils are encouraged to keep their medication with them throughout the school day, so they have access to it when needed and can selfmedicate if age appropriate. Where it is not appropriate for pupils to take responsibility for their own medication, the medication will be stored in class and taken by a supporting adult to all activities, so that it is always easily accessible. In all cases, parents will provide spare medication which will be stored in the office. For all prescribed medicines parents must complete a recognised ‘Parental Agreement for School to Administer Medicine’ form (Appendix 1). Medicines must be provided in the original container as dispensed by a pharmacist and include the prescriber’s instructions. This will include: Name of child Name of medicine Dose (in some conditions this may vary on a daily basis). Method of administration Time/frequency of administration Any side effects Expiry date Non-prescribed Medicines Over the counter medicines are not kept by the school and staff are not permitted to administer any medication to pupils that has not been prescribed by a qualified medical practitioner. In the case of educational visits, where children are off site, paracetamol based painkillers are carried as part of the first aid kit. This type of medication will only be administered if absolutely necessary and only with prior, written parental consent. For all educational visits, risk assessments for individual children with medical needs will be undertaken and actioned appropriately so that children can participate in this type of activity. Staff Training The SENDCo is the person responsible for liaising with external medical agencies to ensure that volunteer staff are appropriately trained to support a child with a specific medical need. St James CE Primary School – Supporting Pupils with Medical Needs November 2015 A member of the admin team is involved in all training for children with a medical need and will be drawn upon in the case of staff absences to ensure that someone is always available. All staff will receive general first aid training annually, including use of Epipen and asthma inhalers. There are seven members of staff who are accredited with First Aid training. All school staff will be made aware of a child’s medical needs and will know procedures to follow if they have any concern regarding children’s medical needs. In the case of supply teachers the SENDCo will be responsible for briefing them as appropriate. Individual Health Care Plans The SENDCo is responsible for Individual Healthcare Plans (IHCPs). IHCPs will be prepared for pupils with medical conditions to provide clarity about what needs to be done, when and by whom. IHCPs are helpful where medical conditions are long-term and complex. Parents, child, health care professionals and school will work in partnership to create an appropriate and manageable IHCP. The IHCP will be regularly reviewed and changes made as appropriate. Once an IHCP has been drawn up it will be kept in the pupil’s individual record file. A copy will be given to relevant staff, including the class teacher, admin officer/first aider and parents. The IHCP will be reviewed annually or earlier if needs arise. (Example of IHCP - Appendix 4). Record keeping Medical needs will be recorded on the schools Management Information System (SIMS) on entry to school or when a medical condition becomes known to staff. Teachers will receive a class list at the beginning of each school year with medical information for their class. This will be updated whenever a new child joins the class and/or new condition is added. If a child has been prescribed a medicine that will need to be administered in school then the parent must complete the form headed Parental Agreement for School to Administer Medicine. (Appendix 1) Once this has been received and agreed by the Head teacher, the parent will receive a confirmation letter from the Headteacher agreeing to administer the prescribed medicine. (Appendix 2) Medicine that has been administered by school staff will be recorded using an appropriate recording sheet. (Appendix 3) Appendices Parental Agreement For School to Administer Medicine (Appendix 1) Head Teacher Agreement (Appendix 2) Record of Medicines Administered (Appendix 3) Individual Healthcare Plan (Appendix 4) Review The Governors are responsible for monitoring the implementation of this policy. The policy will be reviewed annually by the Governing Body. Updated November 2015 St James CE Primary School – Supporting Pupils with Medical Needs November 2015 Appendix 1 Parental Agreement for Schools to Administer Medicine Please ask for a copy of our medicine policy. We will not give your child medicine unless you complete and sign this form. Name of Child Date of Birth Class/Year group Medical Condition Condition Name/type of Medicine Date dispensed Expiry date Agreed review date Dosage and method Time Special precautions Possible side effects Emergency procedures Contact details Name Daytime telephone Relationship to pupil Address Medicines will be delivered to Mrs Taylor/Mrs Hignett at reception I accept that this is a service that the school is not obliged to undertake. I understand that I must notify the school of any changes in writing. Name:________________________________ Date:………./………./…………. Signature:_____________________________ St James CE Primary School – Supporting Pupils with Medical Needs November 2015 Appendix 2 Headteacher Agreement to Administer Medicine It is agreed that ________________________will receive ___________________ everyday at ____________________________ ______________________________ will be given/supervised whilst he/she takes their medication by (Named member of staff). This agreement will continue until (either date course of treatment ends or until instructed by parents). Date ………./………./………. Signed …………………………………………………………… Headteacher Signed …………………………………………………………… Mrs Taylor/Mrs Hignett St James CE Primary School – Supporting Pupils with Medical Needs November 2015 St James CE Primary School – Supporting Pupils with Medical Needs November 2015 Appendix 3 Record of Medicines Administered to _____________________________________________________________ Medicine: Date Time Dose Any reaction Print Name Signature St James CE Primary School – Supporting Pupils with Medical Needs November 2015 Appendix 4 Individual Healthcare Plan Name of Child Date of Birth Class/Year group Medical Condition Triggers, signs and symptoms Medication needs (dose, storage) Are other treatments/actions needed? (E.g. 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) What level of support is needed? (Some children will be able to take responsibility for their own health needs, including emergencies. If a child is self-managing their medication, this should be clearly stated with appropriate arrangements for monitoring). Has written permission been provided by parents for the administration of medication by staff or self-administered by the pupil during school hours? What to do in an emergency. St James CE Primary School – Supporting Pupils with Medical Needs November 2015 Appendix 4 Individual Healthcare Plan (cont’d) Specific support for the pupil’s educational, social and emotional needs. (E.g. 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). Who will provide this support? (Identify 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). St James CE Primary School – Supporting Pupils with Medical Needs November 2015