Supporting Students with Medical Needs Policy

Date created – 16/10/20
Date reviewed by governors– 29/09/21
Next review date – September 2022

1 Introduction

Co-op Academy Grange is committed to giving all its students opportunities to access the curriculum. Every effort will be made to ensure that students with medical needs experience the best possible care whilst at our Academy. This policy provides a sound basis for ensuring that children with medical needs receive proper care and support at our Academy. In addition, our Academy has adopted the guidance published by the DfE/Department of Health entitled “Supporting Pupils with Medical Needs: a good practice guide”. This publication may be accessed through www.education.gov.uk

All medical information received by our Academy will be treated confidentially. Information to ensure the safety and care of individual students will be disclosed as appropriate to staff of our Academy. Such procedures will be discussed with the student and parent for their agreement prior to the disclosure.

The purpose of this policy is to put into place effective management systems and arrangements to support children and young people with medical needs in our Academy and to provide clear guidance for staff and parents/carers on the administration of prescribed medicines. This document, where appropriate, must be considered in conjunction with all other relevant policies, for example, health and safety.

2 Students with long-term medical needs

Students with medical needs entering Co-op Academy Grange from local primary schools will usually be identified through discussions with the Year 6 teacher. Such information will be checked with the parent to ensure appropriate records are kept and appropriate provision can be made.

Parents/carers are requested to approach our Academy with any information that they feel our Academy will need to care for individual students. This should be in the form of a letter, addressed to the Headteacher with all details or, through a meeting arranged through our Academy.

Parents/carers are responsible for informing our Academy of medical issues that arise during the student’s time in our Academy.

Defibrillator

There is currently a fully charged defibrillator in Reception. The location should be notified to the ambulance service when they arrive. Academy First Aiders should be trained on its use and also CPR.

3 Medicines in our Academy

All medication is locked in a cabinet in the Medical room. It is given to students by the First Aid trained Administration staff.

The First Aid trained Administration staff and Ruby Suleiman should be informed of any prescription medication brought into our Academy at any time and must follow the administration of prescribed medicines procedure.

Information regarding any prescribed medication should be made available to the First Aid trained Administration staff and Ruby Suleiman.

In the event of any special form of administration of prescribed medication being required, the parent/carer must contact our Academy so that arrangements can be made for this to occur.

4 Roles and Responsibilities

All staff in academies / schools and have a duty to maintain professional standards of care and to ensure that children and young people are safe. It is expected good practice our Academy will review cases individually and administer prescribed medication included in a health care plan or written request form to administer medication, which has been agreed by the Headteacher in order to meet the all-round needs of the child. However, there is no legal duty requiring staff to administer medication or to supervise a child when taking medicines. This is a voluntary role.

Under the Equalities Act, Academies, schools and settings should be making reasonable adjustments for disabled children, including those with medical needs, and are under a duty to plan strategically to increase access over time. Schools and settings should consider what reasonable adjustments they need to make to enable children with medical needs to participate fully in all areas of school life, including educational visits and sporting activities.

The Headteacher, in consultation with the Governing Body, staff, parents/carers, health professionals and the local authority, is responsible for deciding whether our Academy can assist a child with medical needs. The Headteacher is responsible for:

  1. implementing the policy on a daily basis 
  2. ensuring that the procedures are understood and implemented
  3. ensuring appropriate training is provided
  4. making sure there is effective communication with parents/carers, children and young people, Academy staff and all relevant health professionals concerning the student’s health needs.

Staff, including supply staff, must always be informed of a child’s medical needs where this is relevant and of any changes to their needs as and when they might arise. The First Aid trained Administration staff are responsible for the medical administration and Ruby Suleiman is responsible for health care plans and proformas.

5 Parents/Carers

It is the responsibility of parents/carers to:

  • Inform our Academy of their child’s medical needs (and a healthcare plan will be drawn up where deemed necessary).
  • Provide any prescribed medication in a container clearly labelled (with the original pharmacy label) with the following:
    • THE CHILD’S NAME
    • DOSE AND FREQUENCY OF PRESCRIBED MEDICATION
    • SPECIAL STORAGE ARRANGEMENTS
  • Collect and dispose of any medicines held in our Academy at the end of each term.
  • Ensure that medicines have not passed the expiry date. 

6 Student Information

Parents/carers will be required to give the following information about their child’s long term medical needs and it is their responsibility to update staff if there are any changes, throughout or at the start of each academic year.

  • Details of student’s medical needs
  • Medication, including any side effects
  • Allergies
  • Name of GP/consultants
  • Special requirements e.g. dietary needs, pre-activity precautions
  • What to do and who to contact in an emergency
  • Cultural and religious views regarding medical care

7 Health Care Plan

Where appropriate, an Individual Health Care Plan will be drawn up in consultation with our Academy, parents/carers and health professionals. The Health Care Plan will outline the child’s needs and the level of support required in school. Health Care Plans will be reviewed annually or as often as required. A specific healthcare plan will be put into place if a student has asthma, epilepsy or diabetes. Our Academy will use Form A – see Appendix.

Examples of where an individual healthcare plan will be drawn up are as follows:

  1. Long term illnesses, e.g. Crohn’s disease, Type 1 Diabetes, kidney disease, sickle cell disease
  2. If the child has an accident that has a physical impact on their ability.
  3. Physical disabilities, e.g. if the student requires a wheelchair, splints, physio or adaptations

Individual Health Care Plans

Ruby Suleiman will monitor students with medical conditions. Individual healthcare plans can help to ensure that schools effectively support students with medical conditions. Our Academy and parent/carer should agree, based on evidence, when a healthcare plan would be appropriate or disproportionate.

Individual Healthcare plans should be reviewed annually or earlier if evidence is presented that the child’s needs have changed.

When a student has SEN but does not have a statement or EHC plan, their special educational needs should be mentioned in their individual healthcare plan. This will be monitored by the SENCO.

Where a child is returning to school following a period of hospital education or alternative provision (including home tuition), our Academy will work with the local authority and education provider to ensure that their individual healthcare plan identifies the support the child will need to reintegrate effectively.

The following information should be recorded on individual healthcare plans:

  • The medical condition, its triggers, signs, symptoms and treatments;
  • The student’s resulting needs, including medication (dose, side effects and storage) any 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 student’s educational, social and emotional needs — for example, how absence will be managed, requirements for extra time to complete exams, use of rest periods or additional support in catching up with lessons, counselling lessons;
  • The level of support needed, (some children will be able to take responsibility for their own health needs), including emergencies. If a child 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 cove arrangements for when they are unavailable;
  • Who in our Academy needs to be aware of the child’s condition and the support required;
  • Arrangements for written permission from parents/carers and the Headteacher for medication to be administered by a member of staff, or self-administered by the student 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 assessment;
  • Where confidentiality issues are raised by the parent/carer/child, the designated individuals to be entrusted with information about the child’s condition; and
  • 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.

We will work in partnership with healthcare professionals (and where appropriate, social care professionals), local authorities, and parents/carers to provide effective support for the child.

8 Academy off-premises visits

Co-op Academy Grange believes that all students are entitled to participate fully in activities associated with our Academy and will attempt at all times to accommodate students with medical needs. However, consideration must be given to the level of responsibility that staff can be expected to accept.

To ensure that as far as possible, all children have access to all activities and areas of Academy life, a thorough risk assessment will be undertaken to ensure the safety of all children and staff. No decision about a child with medical needs attending/not attending a school trip will be taken without prior consultation with the parents/carers. Residential trips and visits off site;

  1. Sufficient essential medicines and appropriate Health Care Plans will be taken and controlled by the member of staff supervising the trip.
  2. If it is felt that additional supervision is required during any activities e.g. swimming, our Academy may request the assistance of the parent/carer.

9 Policy on specific medical issues

Our Academy welcomes all students and encourages them to participate fully in all activities.

Our Academy will advise all staff on the practical aspects of management of:

  1. Asthma attacks
  2. Diabetes
  3. Epilepsy
  4. An Anaphylactic Reaction

Our Academy will keep a record of students who may require such treatment.

Our Academy expects all parents whose children may require such treatment to ensure that appropriate medication has been lodged with our Academy together with clear guidance on the usage of the medication.

10 Administering Medication

It is expected that parents/carers will normally administer medication to their children at home. Our Academy will not allow under any circumstances the administration of non-prescription medicines in our Academy. Prescribed medication will only be administered with prior written permission from the parents/carers, including written medical authority if the prescribed medicine needs to be altered (e.g. crushing of tablets). A Request to Administer Prescription Medication Form must be completed (see Appendix, Form B). As stated in Section 4 (Roles and Responsibilities), staff are not legally required to administer prescribed medicines or to supervise a child when taking prescribed medicine. This is a voluntary role and only First Aid trained members of the Administration team may take this role.

The Headteacher will decide whether any medication will be administered in our Academy and following consultation with staff, by whom. All medicine will normally be administered during breaks and lunchtime. If, for medical reasons, medicine has to be taken at other times during the day, arrangements will be made for the medicine to be administered at other prescribed times. Students will be told where their prescribed medication is kept and who will administer it. See Appendix, Form C

Any named member of staff, on each occasion, giving prescribed medicine to a student should check:

  1. Name of student
  2. Written instructions provided by the parents/carers or doctor
  3. Prescribed dose
  4. Expiry date

It is the responsibility of the parent/carers to ensure there is enough medication in our Academy for what the student requires

11 Storage

All prescribed medicine will be kept in a locked cabinet in the Medical room. All medicine will be logged onto our Academy’s file.

12 Records

A named member of staff will complete and sign a record sheet each time medication is given to a child (See Appendix, Form C). The sheets will record the following:

  1. Name of student
  2. Date and time of administration
  3. Who supervised the administration
  4. Name of medication
  5. Dosage
  6. A note of any side effects
  7. If medicine has been altered for administration (e.g. crushing tablets) and authority for doing so

13 Refusing Medication

If a child refuses to take their medication, staff will not force them to do so. Parents/carers will be informed as soon as possible. Refusal to take medication will be recorded and dated on the child’s record sheet. Reasons for refusal to take medications must also be recorded as well as the action then taken.

14 Training

Training and advice will be provided by health professions for staff involved in the administration of prescribed medicines. Training for First Aiders will be provided on a range of medical needs, including any resultant learning needs, as and when appropriate.

15 Intimate or Invasive treatment

This will only take place at the discretion of the Headteacher and Governors, with written permission from the parents/carers and only under exceptional circumstances. Two adults, one of the same gender as the child, must be present for the administration of such treatment. Cases will be agreed and reviewed on an individual basis. All such treatment will be recorded.

16 Emergency Procedures

Procedures are in place in case of an emergency.

17 Carrying medicines

For safety reasons children are only allowed to carry inhalers for the use with an asthmatic condition. No other medication must be carried.

18 Unacceptable practices

No child under 16 should be given prescription or non-prescription medicines without their parent’s written consent – except in exceptional circumstances where the medicine has been prescribed to the child without the knowledge of the parents. In such cases, every effort should be made to encourage the child or young person to involve their parents while respecting their right to confidentiality. 

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. Parents should be informed

19 Monitoring, Evaluation and Review

The Governing Body will review this policy annually and assess its implementation and effectiveness. The policy will be promoted and implemented throughout our Academy.

20 Complaints 

Complaints with regard to the implementation of this policy should be made directly to the school using the Trust complaints policy, A link to this document can be found on the school website.  

To see the appendix for this policy, download it below.