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  1. Our Policies
  2. Medical Conditions

Medical Conditions Policy

 

 

Supporting Pupils with Special Medical Needs

 

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).

 

Rationale

LAs and schools have a responsibility for the health and safety of pupils in their care. The Health and Safety at Work Act 1974 makes employers responsible for the health and safety of employees and anyone else on the premises. In the case of pupils with special medical needs, the responsibility of the employer is to make sure that safety measures cover the needs of all pupils at the school. This may mean making special arrangements for particular pupils who may be more at risk than their classmates. Individual procedures may be required. The employer is responsible for making sure that relevant staff know about and are, if necessary, trained to provide any additional support these pupils may need.

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.

The prime responsibility for a child's health lies with the parent who is responsible for the child's medication and should supply the school with information. The school takes advice and guidance from the Hertfordshire Council Medicines in Schools section of the Health and Safety Policy which encourages self- administration of medication when possible. Contact details for our School Nurse can be found in the school prospectus which also states a copy of this policy is available to parents.

 

Aims

The school aims to:

  • assist parents in providing medical care for their children;
  • educate staff and children in respect of special medical needs;
  • adopt and implement the LA policy of Medication in Schools;
  • arrange training for volunteer staff to support individual pupils;
  • liaise as necessary with medical services in support of the individual pupil;
  • ensure access to full education if possible.
  • monitor and keep appropriate records
  • keep parents well informed

Entitlement

  • The school accepts that pupils with medical needs should be assisted if at all possible and that they have a right to the full education available to other pupils.
  • The school believes that pupils with medical needs should be able to have full attendance and receive necessary proper care and support.
  • The school accepts all employees have rights in relation to supporting pupils with medical needs as follows:
  • choose whether or not they are prepared to be involved;
  • receive appropriate training;
  • work to clear guidelines;
  • have concerns about legal liability;
  • bring to the attention of management any concern or matter relating to supporting pupils with medical needs.

Expectations

It is expected that:

  • parents will be encouraged to co-operate in training children to self-administer medication if this is practicable and that members of staff will only be asked to be involved if there is no alternative;
  • where parents have asked the school to administer the medication for their child, they must ask the pharmacist to supply any such medication to be dispensed in a separate container, containing only the quantity required for school use where possible. The prescription and dosage regime should be typed or printed clearly on the outside. The name of the pharmacist should be visible. Any medications not presented properly will not be accepted by school staff. Pupils should not bring in their own medicine. This should be brought into school by the parent. (Appendix C)
  • that employees will consider carefully their response to requests to assist with the giving of medication or supervision of self-medication and that they will consider each request separately.
  • the school will liaise with the School Health Service for advice about a pupil’s special medical needs, and will seek support from the relevant practitioners where necessary and in the interests of the pupil.
  • Any medicines brought into school by the staff e.g. headache tablets, inhalers for personal use should be stored in an appropriate place and kept out of the reach of the pupils. Any staff medicine is the responsibility of the individual concerned and not the school.

Monksmead has clear guidance on the storage of medicines at school

Safe storage - emergency medicine

  • Emergency medicines are readily available to children who require them at all times during the school day or at off-site activities
  • Most children at this school carry their emergency medicine on them at all times. Children keep their own emergency medicines securely
  • Children are reminded to carry take their emergency medicines with them at all times
  • Children, whose healthcare professionals and parents advise the school that their child is not yet able or old enough to self-manage and carry their own emergency medicines on them, know exactly where to access their emergency medicines

Safe storage - general

  • All medicines are supplied and stored, wherever possible, in their original containers. All medicines need to be labelled with the pupil’s name, the name of the medicine, expiry date and the prescriber’s instructions for administration, including dose and frequency
  • Medicines are stored in accordance with instructions paying particular note to temperature
  • Some medicines for children at this school may need to be refrigerated. All refrigerated medicines are stored in an airtight container and are clearly labelled. Refrigerators used for medicine storage are in a secure area inaccessible to children without supervision or lockable as appropriate
  • All medicines are sent home with children at the end of the school year. Medicines are not stored in school over the summer holidays
  • It is the parent’s responsibility to ensure new and in date medicines come into school on the first day of the new academic year

Safe disposal

  • Parents are asked to collect out of date medicines from school
  • If parents do not pick up out of date medicines or at the end of the school year medicines are taken to a local pharmacy for safe disposal
  • Monksmead has clear guidance about record keeping

Policy into Practice

  • There is a need for proper documentation at all stages when considering the issue of support for pupils with medical needs in school.
  • Policy was adopted by the Governing body Autumn 2014.
  • The policy will be reviewed annually

 

First Aid Policy 2014

 

 

Policy Statement

 

At Monksmead we recognise the importance of providing adequate and appropriate first aid equipment and facilities for all children, teaching, non-teaching staff and visitors to the school, and will take all reasonable practical steps to fulfil our responsibility.

As part of our commitment to ensuring a safe and healthy environment we have adhered to the recommendations of Hertfordshire Council’s guidelines.

 

Aims

  • To formulate and implement effective procedures for incidents requiring first aid, ensuring that all responsible practical steps are taken to meet the needs of all site users.
  • To ensure that all reasonably practical steps are taken to maintain the health and welfare of all persons using the premises.
  • To ensure that all reasonably practical steps are taken to ensure the health and safety of staff, pupils and other supervising adults participating in off-site visits.
  • To establish and maintain safe working procedures amongst staff and pupils.
  • To ensure that all medicines are stored safely and administered according to instructions received from parents and Government guidelines.
  • To develop first aid awareness amongst staff, pupils and other supervising adults.

First Aid Provision

The Headteacher is responsible for ensuring that there is an adequate number of qualified First Aiders. All staff have basic first aid training which is refreshed every 3 years. By January 2015 there will be 16 Paediatric First Aiders. Their names are displayed in the staff room and medical room. The number of first aid personnel is sufficient to cover break and lunchtimes and absences. The school also ensures that there is appropriate provision for after school clubs and activities. People using the school site for evening and weekend lettings are responsible for ensuring their own adequate first aid provision.

Monksmead first aid needs are reviewed on an annual basis by the Assistant Manager, and particularly after any changes, to ensure the provision remains adequate.

Every class has a box which contains a First Aid kit that is taken to PE, Swimming, and on all school visits. (Emergency first aid resources are also taken out when the Fire Alarm is activated)

Monksmead's First Aid Lead will ensure that the first aid rota is up to date and each First Aider must make sure the boxes are replenished as soon as possible after use. The School Business Manager, will authorise the ordering of supplies.

 

First Aid Boxes

First aid boxes are placed in clearly identified accessible locations around school and are fully stocked with suitable first aid materials.

 

Recording and Reporting first Aid Treatment

All accidents that require a “bump and bangs” note are recorded in an accident book recording the following information:

Person’s Name

Date

Class

Injury

Treatment

Teacher informed

Signature of First Aider

 

Pupils – minor accident book (non-reportable accidents)

 

Adults – accident book (non-reportable)

 

Reportable accidentsaccident forms (CARS) (employees only)

 

Serious accidents or dangerous occurrences must be brought to the attention of the Headteacher of who will decide on further action, including the completion of an “injury or dangerous occurrence report form.” These forms are kept in the accident folder, in the office. If an accident is reportable, either the person who suffered the accident, or an adult who witnessed or was responsible for the supervision of that child who sustained the injury completes the form.

In the event of a serious accident, the School Administrator will contact the ambulance service and request an ambulance. The child’s parents will be informed as soon as possible. Two members of staff will accompany the child to hospital if their parents are not available.

Parents are informed of any treatment administered by a First Aider in a letter (Bumps and Bangs note). Parents will be contacted by telephone if deemed necessary.

 

Medicines in school

 

The school adopts the guidance for the administration of medicines in school within the Health and Safety Code of Practice.

A qualified First Aider or a member of the office staff will administer prescription medicines only. The medication must be prescribed by a doctor and be in the original packaging with the child’s name clearly marked. Parents are requested to complete and sign a medicine form giving their permission for the medicine to be administered.

A log is kept of all medicine administered plus name of the staff member administering it. This log is kept in the school office.

 

 

Asthma Policy 2014

 

Monksmead School is an inclusive community that aims to support and welcome pupils with asthma. We ensure that the whole school environment, which includes physical, social, sporting and educational activities, is inclusive and favorable to children with asthma. Monksmead’s Asthma Policy is drawn up in consultation with a wide range of local key stakeholders within both the school and health settings. We ensure all staff understand their duty of care to children and young people in the event of an emergency. All staff feels confident in knowing what to do in an emergency. All new school staff receive asthma awareness training. Monksmead has clear guidance on the administration and storage of medicines at school. We have clear guidance about record keeping. Each member of the school and health community know their roles and responsibilities in maintaining and implementing an effective medical condition policy. The Asthma Policy is regularly reviewed evaluated and updated. Updates occur every year.

 

Policy Guidelines

Monksmead is an inclusive community that aims to support and welcome children with asthma.

  • Every asthmatic child should have two inhalers in school at all times – one reliever inhaler for daily use and one reliever inhaler for emergency use.
  • Children with asthma are encouraged to take control of their condition
  • Children feel confident in the support they receive from the school to help them do this
  • Children with asthma are included in all school activities
  • All staff feel confident in knowing what to do in an emergency
  • The school Asthma Policy is understood and supported by the whole school and local health community
  • All named emergency inhalers are kept in the office, including the school emergency Salbutamol Inhaler.
  • All Emergency boxes must be taken out in the event of a Fire alarm – where possible

(DO NOT re-enter the building)

  • All inhalers must be taken on all trips – including Church/Swimming

We ensure that the whole school environment, which includes physical, social, sporting and educational activities, is inclusive and favourable to children with asthma.

Monksmead is committed to providing children with a physical environment, which is accessible to children with asthma.

Our commitment to an accessible physical environment includes out of school visits and the school ensures these visits are accessible to all children.

We ensure the needs of children and young people with asthma are adequately considered to ensure they have full access to extended school activities such as school productions, after school clubs and residential visits.

All staff at Monksmead are aware of the potential social problems that children with asthma may experience. Staff use this knowledge to try to prevent and deal with problems in accordance with the school’s Anti Bullying and Behavior Policies.

Staff use opportunities such as Personal, Social and Health Education (PSHE) lessons to raise awareness of asthma amongst children and to help create a positive social environment.

Monksmead ensures all classroom teachers, TAs and sporting coaches understand that pupil’s with asthma should not be forced to take part in activity if they feel unwell.

We ensure all classroom teachers and TAs are aware of the potential triggers for pupil’s asthma when exercising and are aware of ways to minimise these triggers.

Monksmead ensures all children have the appropriate medicines with them during physical activity and that children take them when needed.

Risk assessments are carried out for any out of school visit and asthma is always considered during this process. Factors considered include how routine and emergency medicines will be stored and administered and where help could be obtained in an emergency.

There may be additional medicines, equipment or factors to consider when planning residential visits. These may be in addition to any medicines, facilities and healthcare plans that are normally available in school.

 

All staff understand asthma and are trained in what to do in an emergency

 

Staff at Monksmead understand their duty of care to children in the event of an emergency.

In an emergency situation school staff are required under common law duty of care, to act like any reasonably prudent parent. This may include administering medicines.

All staff who work with children at this school receive training and know what to do in an emergency for the children in their care with asthma.

 

The emergency salbutamol inhaler should only be used by children, for whom written parental consent for use of the emergency inhaler has been given, who have either been diagnosed with asthma and prescribed an inhaler, or who have been prescribed an inhaler as reliever medication. (Appendix B)

                                                                                                                                                                      

The inhaler can be used if the pupil’s prescribed inhaler is not available (for example, because it is broken, or empty). This change applies to all primary and secondary schools in the UK. Schools are not required to hold an inhaler – this is a discretionary power enabling schools to do this if they wish.

 

Monksmead uses school asthma healthcare plans, where supplied, to inform the appropriate staff (including supply teachers and support staff), of children in their care who may need emergency help.

Monksmead has procedures in place for a copy of the pupil’s health care plan to be sent to the emergency care setting with the pupil. On occasions when this is not possible, the form is sent or the information on it is communicated to the hospital as soon as possible.

If a pupil needs to be taken to hospital, a member of staff will always accompany them and will stay with them until a parent arrives. The school tries to ensure that the staff member will be one the pupil knows.

Generally staff should not take children to hospital in their own car.

 

Monksmead has clear guidance on the administration of medicines at school

 

Emergency medicines

  • All children at Monksmead with asthma have easy access to their emergency medicines
  • All children are encouraged to carry and administer their own emergency medicine, when their parents and health specialists determine they are able to start taking responsibility for their condition
  • Children who do not carry and administer their own emergency medicines, should know where the drugs or medicines are stored and how to gain access
  • All school staff have been informed through training that they are required, under common law duty of care, to act like any reasonably prudent parent. In an emergency situation, this may include taking action such as administering medicines

Non-emergency medicine

  • All staff are aware that there is no legal or contractual duty for any member of staff to administer medicine or supervise a pupil taking medicines unless they have been specifically contracted to do so
  • Many other members of staff who are happy to take on the voluntary role of administering medicines may administer prescribed medicines to children under the age of 16, but only with the written consent of the parent
  • Training is given to all staff members who agree to administer medicines to children and the Local Authority provides full indemnity
  • Should the medicine change or be discontinued, or the dose or administration method change, parents will notify the school immediately
  • If a pupil refuses their medicine, staff should record this. Parents or carers should be informed as soon as possible
  • All staff attending off site visits should be aware of any children on the visit with asthma. They should receive information about what to do in an emergency and any other additional support necessary, including any additional medicines or equipment needed
  • If a trained member of staff, who is usually responsible for carrying or administering medicine, is not available the school should make alternative arrangements to provide the service. This should be addressed in the risk assessment for the activity
  • If a pupil misuses medicines, either their own or another pupil’s, their parents will be informed as soon as possible and they will be subject to the school’s usual disciplinary procedures

School Asthma Health Care Plans

Monksmead encourages parents to obtain a Health Care Plan to record important details about individual children’s medical needs, their triggers, signs, symptoms, medicines at enrollment

  • when a diagnosis is first communicated to the school

Parents may need to liaise with their child’s health care professionals to complete the form. Parents are also encouraged to complete the schools Asthma health care plan (Appendix B). Monksmead ensures that a relevant member of school staff is available to give help or advice if needed.

 

School Asthma Register

  • The Asthma Health Care Plans are used to create a centralised register of children with asthma
  • An identified member of staff has responsibility for the register at this school
  • The responsible member of staff follows up any of the details on a pupil’s Asthma Health Care Plan or if permission for administration of medicines is unclear or incomplete
  • Parents at Monksmead are regularly reminded to update their child’s Asthma Health Care Plan if their child has a medical emergency or if there have been changes to their symptoms (getting better or worse) or their medicines and treatments change
  • Staff at Monksmead use opportunities such as teacher-parent interviews to check that information held by the school on a pupil’s condition is accurate and up to date
  • Health care plans are kept in a secure central location at school
  • All members of staff who work with groups of children, have access to the health care plans of children in their care
  • When a member of staff is new to a pupil group, the school makes sure that they are made aware of (and have access to) the health care plans of children in their care
  • Monksmead ensures that all staff protect pupil confidentiality
  • Monksmead seeks permission from parents to allow the health care plan to be sent ahead to emergency care staff should an emergency happen during school hours or at an out of school hours school activity

Monksmead uses the health care plans to:

  • Inform the appropriate staff and a supply teachers about the individual needs of a pupil with a medical condition in their care
  • Identify common or important individual pupil triggers at school that bring on symptoms and can cause emergencies
  • Ensure that all medicines stored at school are within the expiry date
  • Ensure this school’s local emergency care facilities have a timely and accurate summary of a pupil’s current asthma management and healthcare in the event of an emergency
  • Remind parents of children with asthma to ensure that any medicines kept at school for their child are within their expiry dates

Consent to administer medicines

  • If a child requires regular prescribed or non-prescribed medicines at school parents are asked to provide consent giving staff permission to administer medicines on a regular/daily basis, if required. A separate form is available for short programs of medicine if parents and school require it
  • All parents of children with asthma are asked to provide consent on the health care plan giving staff permission to administer medicines in an emergency. If a child requires regular/daily help in administering their medicines then Monksmead will outline our agreement to administer those medicine/s on the health care plan. The school and parents keep a copy of this agreement
  • Parents of children with asthma at Monksmead are all asked at the start of the school year on the healthcare plan if they and/or the child’s healthcare professional believe the child is able to self-manage, carry and administer their own emergency medicines
  • Parents are sent a medicines form to be completed and returned to school shortly before their child leaves for an overnight or extended day trip. This form requests up to date information about the pupil’s current condition and their overall health. This provides up to date information to relevant staff to help the pupil manage their condition while they are away including information about medicines not normally taken during school hours. The medicines form is taken by the relevant staff member to the off-site trip and for all out of school hours activities along with a copy of the pupil’s health care plan
  • All parents of children with asthma attending a school trip or overnight visit are asked to give consent for staff to administer medicines at night or in the morning if required
  • The medical form also details what medicines and what dose the pupil is currently taking at different times of the day. It helps to provide up-to-date information to relevant staff and supervisors to help the pupil manage their condition while they are away.

Other record keeping

 

Monksmead keeps an accurate record of each occasion an individual pupil is given or supervised taking medicines. Details of the supervising staff member, pupil, dose, date and time are recorded

Asthma

  • Record on Class Asthma Log or
  • Record in Office Asthma Book ( which is located in the main office for emergency inhaler use only).

If a pupil refuses to have medicines administered, this is also recorded and parents are informed as soon as possible

 

The parents at Monksmead have a responsibility to:

  • Tell the school if their child has asthma
  • Ensure the school has a complete and up-to-date school healthcare plan/asthma care plan for their child
  • Inform the school about the medicines their child requires during school hours
  • Inform the school of any medicines the child requires while taking part in visits, outings or field trips and other out-of-school activities such as school team sports
  • Tell the school about any changes to their child’s medicines, what they take and how much
  • Inform the school of any changes to their child’s condition
  • Ensure their medicines and medical devices are labeled with their full name
  • Ensure that their child’s medicines are within their expiry dates
  • Keep their child at home if they are not well enough to attend school
  • Ensure their child catches up on any school work they have missed
  • Ensure their child has regular reviews with their doctor or specialist healthcare professional
  • Ensure their child has a written self-management plan from their doctor or specialist healthcare professional to help them manage their child’s condition

All staff at Monksmead have a responsibility to:

  • Be aware of the potential triggers, signs and symptoms of asthma and know what to do in an emergency
  • Understand the school’s Asthma Policy
  • Know which children have asthma and be familiar with the content of their individual health care plan
  • Allow all children to have immediate access to their emergency medicines
  • Maintain effective communication with parents including informing them if their child has been unwell at school.
  • Ensure children who carry their medicines with them, have them when they go on a school trip or out of the classroom
  • Be aware that long term conditions can affect a pupil’s learning and provide extra help when children need it
  • Be aware of children with asthma who may need extra social support
  • Liaise with parents, the child’s healthcare professionals, special educational needs coordinator and welfare officers if a child is falling behind with their work because of their condition
  • Use opportunities such as PSHE to raise pupil awareness about asthma
  • Understand asthma and the impact it can have on children. (Children should not be forced to take part in activity if they feel unwell)
  • Ensure all children with asthma are not excluded from activities they wish to take part in
  • Ensure children have the appropriate medicines with them during activity or exercise and are allowed to take it when needed

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Appendix A

 

PUPIL MEDICINE IN SCHOOL FORM

 

This form should be completed by parents who wish their child to be given prescribed medicine by school staff during school time.

 

Name of child ………………………………………………………………………………

 

Class Teacher……………………………………………………………………………

 

MEDICATION

 

Name/Type of Medication Date Dispensed .……………………………………………………………………

 

Dosage ……………………………………………………………………………………………………………..

 

Time/s to be administer ……………………………………………………………………………………………

 

Storage Instruction e.g. Fridge etc……………………………………………………………………………….

 

CONTACT DETAILS

Name ……………………………………………………………………………………………………………….

 

Daytime Telephone Number/s …………………………………………………………………………………..

 

Are there any special precautions, symptoms which may occur or other circumstances in which we should contact you urgently? ……………………………………………………………………………………………..

 

Are there specific staff members that you would prefer to administer the medicine to your child ………………………………………………………… If not write “any”

 

I understand that I must deliver the medicine personally to the school office and accept that this is a service which the school is not obliged to undertake.

 

Signature of Parent / Guardian ……………………………………………………………………………………

 

Other Comments …………………………………………………………………………………………………….

 

Headteacher’s signature …………………………………………………………………………………………….

 

This form should be kept for a period of twelve months after completion

 

 

 

 

 

                     

Appendix B

ASTHMA HEALTH CARE PLAN

 

Name of child………………………………………………………Class………………………………

 

 

Please tick

I confirm my child has been diagnosed with asthma

 

My child has been prescribed an inhaler

 

My child has a working, in-date inhaler, clearly labelled with their name, which is brought to school every day/kept in school in the classroom

 

My child has a working, in-date inhaler, clearly labelled with their name which is kept in the school office

 

My child is able to self-administer their inhaler without adult help

 

My child’s inhaler is called ………………….

Its colour is………………..

Number of puffs needed:

When:

What makes their asthma worse(triggers):

 

 

     

 

Signed:………………………………………  Date:…………………………

 

EMERGENCY SALBUTAMOL INHALER USE

 

In the event of my child displaying symptoms of asthma, and if their inhaler is not available or is unusable   (delete as appropriate)

  • I consent for my child to receive salbutamol from an emergency inhaler held by the school for such emergencies.
  • I do not consent for my child to receive salbutamol from an emergency inhaler held by the school for such emergencies.

 

 

Signed………………………………………Name(print)…………………………

 

Parent’s address and contact details:

………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………

 

Telephone:…………………………………Email:……………………………

 

                     

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