CAG - Allergy Awareness Policy
Co-op Academy Grange
Name | Allergy Awareness Policy |
Approved by | |
Policy Created | September 2022 |
Review | Annually |
Update Approved | September 2024 |
All policies are available to stakeholders either on the Academy website or upon request from the Academy’s Main office. |
1. Aims
1.1 | The Academy takes responsibility for the health, safety and welfare of its students and staff very seriously, and are committed to ensuring that those with allergies, especially those likely to have a severe reaction (anaphylaxis), are supported in all aspects of academy life. |
1.2 | Where practicably possible we will try to control allergens in our academy, however we cannot guarantee to be allergen free. |
1.3 | We will:
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1.1 | The academy is not in a position to guarantee a completely allergen free environment, but rather to minimise the risk of exposure. Our academy will ask, encourage self-responsibility and will plan for an effective response to emergencies. |
2. Introduction
2.1 | An allergy is the response of the body’s immune system to normally harmless substances. Whilst in most people these substances (allergens) pose no problem, in allergic individuals their immune system identifies them as a ‘threat’ and in some cases can produce a severe anaphylactic reaction which can affect or restrict the airway and could possibly, in extreme cases, lead to death. |
2.2 | Certain responses can be life threatening and extremely harmful producing a reaction such as anaphylaxis or can be less severe, producing responses such as itching, runny eyes, hives, funny taste in the mouth, swollen eyes and lips. All staff should be aware of these symptoms in relation to this policy |
3. Reducing the risk of allergic reactions
3.1 | The academy should be aware that insect bites and animal allergies could also cause severe reactions, as well as food types causing analgesic reaction, other substances and exposure to certain animals. Therefore, all staff must be diligent and report any signs of insect or animal to the building and estates manager. |
3.2 | If pets or animals are visiting, or kept in school, careful consideration will be given to where the animals are kept, hygiene and cleanliness with animal handling and consideration of individual children’s allergies including completion of risk assessments where necessary. |
3.3 | Substances that cause allergic reactions are known as allergens. Common allergens include:
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3.4 | There are also 14 Food Allergens, all of which can produce an allergic reaction, these include:
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3.5 | The academy is unable to prevent these substances being brought on site and therefore there is a need for all to be vigilant. We can all reduce the risk of exposure to allergens by implementing simple strategies and encouraging participation by all in the academy community; any visitors, parents, carers and pupils are asked to ensure bottles and drinks are clearly labeled with the child’s name for whom they are intended. Food sharing and sharing of utensils and containers must be avoided by pupils and staff at all times:
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4. Responsibilities for allergy management
4.1 | The Head of School will have overall responsibility for ensuring that all staff are aware of this policy and their role. |
4.2 | Appropriate training and support is in place to raise awareness of pupils with allergies and how to administer the necessary medication. That a procedure is established as to how any special dietary request can be communicated and catered for. There are sufficient trained members of staff available to provide treatment to anyone having an allergic reaction or anaphylaxis and staff are trained to recognize and understand the signs and symptoms of an allergic reaction. |
4.3 | Staff understand the rapidity with which anaphylaxis can progress to a life-threatening reaction. Staff are aware that anaphylaxis can occur with or without prior mild symptoms. |
4.4 | Staff are aware where pupil/staff medication (and if appropriate, staff medication) is stored and the academy’s emergency medication is held, and that this is accessible at all times. |
4.5 | Staff attend anaphylaxis awareness training on an annual basis. Where possible this should include: how to recognise the signs and symptoms of an allergic reaction/ anaphylaxis, the treatment of anaphylaxis and awareness of how to use an AAI. |
4.6 | Staff leading on educational visits, ensure they are competent to act in the case of anaphylaxis ensuring they carry all the relevant emergency supplies, including residential trips and sporting fixtures. |
4.7 | Whilst on educational visits, staff must, where possible, supervise any food-related activities ensuring that where food is being provided - used or consumed, food allergen information is available. Equally pupils are also expected to be self-aware and follow processes in line with any condition they may have. |
4.8 | The Catering Manager will be responsible for using only authorised suppliers and being the controlling point and contact for all purchases of food stuffs for School catering. Ensuring suppliers of all foods and catering suppliers are aware of the school’s food allergy policy and the requirements under the labeling law. |
4.9 | Ensuring suppliers of food stuff are nut free or labeled ‘may contain nuts’. Being aware of pupils and staff who have such food allergies and updating this training annually. All staff must be informed of this during their in-house induction training. Pupils of any age, where possible, must be familiar with what their allergies are and provide, where possible, information about how their allergies affect them. |
4.10 | Students should be fully involved in discussions about how to reduce the risk of an allergic reaction and be empowered to reduce those risks. Students should already be trained to administer their own auto injector, will be encouraged to carry it on their person. |
4.11 | Pupils are responsible when carrying their own medication to ensure it is in date and kept safe and not used for any purpose other than its intended use. |
4.12 | On entry to the academy, parents/carers are responsible for notifying the academy via the Medical Form of any history of allergy, previous severe reactions and if any, history of anaphylaxis. Parents are responsible for ensuring the academy is provided with sufficient and up to date information about their child’s medical needs. If an Allergy or Individual Health Care Plan has not already been provided by the school nurse, specialist nurse, hospital or previous school, parents/carers are required to participate in the preparation of an Individual Health Care Plan and informing the academy, in line with the medical needs policy. |
4.13 | Parents/carers are required to provide consent to the academy to administer medication using Form 5 of the Medical Needs and Medicines policy. |
4.14 | Parents/carers are responsible for ensuring any required medication is always kept on site, is in date, provided in its original packaging and is replaced as necessary (The MHRA recommend). This will be shared in line with the medical needs policy |
4.15 | Parents are responsible for ensuring that they or another nominated adult are contactable at all times and that student records are up to date. |
4.16 | Due to the diverse nature of the academy, it is important that allergen information is accessible to all parties who visit the site. |
4.17 | During bookings for external events, it is important that guests are informed of the requirements for any known person with food allergies/intolerances. This should be undertaken during the booking process. This information should then be passed to the Catering teams to allow them to plan appropriate menus and selections of food. |
4.18 | The Catering Department will also hold information folders during each breakfast, mid-morning break and lunch service outlining the contents of all food dishes at that specific service. This can be referred to upon request by any guests. |
4.19 | Health Care Professionals, including GPs, paediatricians and specialist nurse practitioners, should provide parents with an appropriate Allergy Healthcare Plan or Individual Health Care Plan for pupils at risk of anaphylaxis. |
4.20 | If the Academy is notified that a pupil is at risk of anaphylaxis, and are not in possession of an Allergy or Individual Health Care Plan, actively seek to locate the appropriate Plan. The academy is not responsible for preparing the IHCP in isolation (see the relevant medical policy) |
5. Emergency Auto- Injectors
5.1 | Non-statutory guidance was released by the Department of Health in October 2017 permitting Academies to hold emergency Adrenaline Auto Injectors (AAI) on site for emergency use. The academy is allowed to use and hold emergency auto-injectors. |
5.2 | The use of the spare AAIs is intended for emergency use only on children regarded as being at risk of anaphylaxis or whose own AAI is not available or working. Spare AAIs can be administered to a child if their own AAI cannot be used. The academy can administer spare AAIs without prescription for use in emergencies if:
NOTE: The academy must highlight that if instruction is given by the emergency services (paramedics) to administer an adrenaline auto injector and parental consent cannot be obtained to administer the academy’s spare AAI, the academy should follow the instructions provided by the emergency services. |
5.3 | Purchasing AAIs for emergency use The academy can purchase AAIs from pharmaceutical suppliers (local pharmacy). All requests must come from the Principal in written form. (Appendix 2 Sample letter for purchasing emergency AAIs). Academies are advised to use this letter rather than writing their own. |
5.4 | AAIs are available in different dosages; it is therefore recommended that anaphylaxis be treated as per the dose provided. |
5.5 | Storage and Access to Emergency AAIs AAIs will not be locked away but should be available and accessible at all times from a known location in the general office. This includes offices where access might be restricted or controlled. AAIs should be stored no more than five minutes away from where they are needed. Spare AAIs must be clearly labelled and should not be confused with a pupils own medication. |
5.6 | Emergency AAI Kit The Academy is required to name two members of staff responsible for maintaining the Spare AAI Kit. One to lead, and second to deputise in the absence of the lead. Spare AAI kits should include:
Appendix 1 for sample Consent to administer emergency Adrenaline Auto Injector).
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5.7 | The spare AAIs are kept in the same location as the emergency inhaler kits within the academy identified on the academy inhaler posters. The academy will keep all records on AAIs in line with the medical policy. |
5.8 | Disposal of spent AAIs Once used, an AAI cannot be reused. It/they can be given to the paramedics on arrival for them to dispose of, or will be disposed of in a yellow sharps bin. Out of date medication will be returned to the parents/carers, or if not collected from the academy must be returned to a pharmacy for safe controlled disposal. |
5.9 | Spare AAIs on Educational Visits With all emergency medication pupils, where able, should carry their own medication and spares held by the group leader/first aider. If it is considered appropriate, spare AAIs will be taken on a school trip; but only is there are sufficient supplies also left at the academy. The academy’s a spare AAI should only be used as a spare, not a replacement for a child’s own AAI. Spare AAIs held by the school are in addition to those prescribed for a student Communication with Paramedics: If an AAI is administered, schools will be required to relay the following information to the paramedics:
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6. Training and Awareness
6.1 | We will arrange specialist anaphylaxis training for staff. This will include practical instruction in how to use the different AAI devices available. Staff will also get the opportunity to practise using training pens |
6.2 | All staff have access to the Staff Hand Book; this book contains information for all staff on how to administer the Epi Pen. It also contains information on the locations of the academy emergency Epi Pens. The staff hand book also contains the location of the emergency Asthma pumps and the guidance on how to administer Asthma medication to a student if required. EG: Location 1. The PA to the Principals office stored within the fridge Location 2. The General office stored within the fridge Location 3. The site team office stored within the fridge Staff and Parental awareness Under GDPR the academy will issue a letter which gives the parent the opportunity to confirm they are happy that emergency allergy treatment can be administered if required. This letter will be issued annually and the information uploaded onto the student records as soon as possible. The academy will also update the transition information which is issued when pupils arrive on campus in year 7. All staff must be issued with a letter to update the central record system. All staff who suffer from allergies must be identified and a list must be made available. This record must also contain photo identification of the staff member. A risk assessment should be in place identifying a buddy who understands the medical condition. In the event of an incident the buddy would be able to locate any medication that is stored and the dosage and the regime to administer in the event of an emergency. |
6.3 | Resources for educating pupils and children on the risk of anaphylaxis are available via BBC Bitesize website animation tool “living with anaphylactic allergies – Izzy and Ben’s story ”https://www.bbc.com/bitesize/clips/zpdy6fr and these may be used. |
6.4 | Further resources for schools are available via the following sites:
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7. The In-house Catering Team
7.1 | Special Diet Requests - where food allergy is a concern, parents/carers will be required to cooperate with the academy’s catering provision and adhere to the caterer’s special diet procedure regarding any special diet requests. |
7.2 | Dependent on the complexity of the allergy/allergies parents may be required to meet with the catering team to fully inform them of their child’s dietary needs |
7.3 | Special Diet Request forms, and Procedures and a list of FAQ’s are available to parents via the academy main office. Allergen reports for core menu items are also available from the catering manager and should be referred to in case of an allergen query. |
7.4 | Staff preparing food on residential visits are required to take into account the dietary and allergy needs of all participants. See educational visits policy for further information . |
7.5 | Specialist dietary requirements for staff and students on residential trips need to be planned well in advance to ensure they are adequately accommodated during the trips. Parents/carers will need to be involved in all aspects of the planning to ensure that students are not exposed to allergens which put them at risk. |
7.6 | Pupils will not be excluded from educational visits due to their dietary or medical needs. Where possible, we will work around these, carrying out a risk assessment as required. |
8. Educational Visits and Trips
8.1 | All staff undertaking an offsite trip will have attended the School’s Medication and Anaphylaxis training. This is part of the risk assessment. Staff must also:
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Appendix 1
Definitions
Key definitions are detailed below:
- AAI – Adrenaline Auto Injector
- Allergy – An allergy is the response of the body's immune system to normally harmless substances, such as pollens, foods, and house dust mite
- Allergen – A substance which causes an allergic reaction
- Anaphylaxis – Anaphylaxis, or anaphylactic shock is a severe and potentially life-threatening allergic reaction affecting more than one body system such as the airways, heart, circulation, gut and ski
- EPIPEN® – Brand name for hypodermic device which delivers epinephrine (adrenaline) used for the treatment of an acute allergic reaction
- Emerade® – Brand name for adrenaline auto-injector used for the emergency treatment of severe acute allergic reactions
- IHCP – Individual Health Care Plan
- Jext® - Brand name of adrenaline auto-injector used in the emergency treatment of anaphylactic shock, or an anaphylactic reaction.
Appendix 2
Consent to administer emergency Adrenaline Auto Injector
Consent Form: Use of Emergency Adrenaline Auto Injector
1. I can confirm that my child has been prescribed with an adrenaline auto-injector.
2. In the event my child does not have their own auto-injector, or there is a malfunction of other prescribed auto-injectors held/carried, I consent for my child to receive the academy held emergency adrenaline auto-injector in an emergency.
Signed:
Date:
Name (print):
Childs Name:
Class/ Form:
Parents address and contact details:
Telephone:
E-Mail:
Appendix 3
Sample letter for purchasing emergency Adrenaline Auto-injectors
[To be completed on headed paper]
[Date]
We wish to purchase emergency Adrenaline Auto-injector devices for use in our academy. The adrenaline auto-injectors will be used in line with the manufacturer’s instructions, for
the emergency treatment of anaphylaxis in accordance with the Human Medicines (Amendment) Regulations 2017. This allows schools to purchase “spare” back-up adrenaline auto-injectors for the emergency treatment of anaphylaxis. (Further information can be found at https://www.gov.uk/government/consultations/allowing-schools-to-hold-spare- adrenaline-auto-injectors)
Please supply the following devices:
Signed: Date:
Print name:
Principal
Appendix 4
Anaphylaxis and Automatic Auto-Injector trained staff
Academies should maintain records of all staff trained to administer Automated Auto- Injectors and those trained in anaphylaxis.
Person responsible for maintaining this list
Name | Job Title | Type of Training Completed | Date Undertaken | Date Refresher Required |
Appendix 5
Dealing with Anaphylaxia
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Time of dose to be noted and used auto-injector to be retained |
If there is no improvement within 5 minutes, a second injection may be given |
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Appendix 6
Emergency Instruction for allergic reaction – Auto-Injector EpiPen®/ Jext®/Emerade®)
Student’s Name:
DOB:
Allergic to:
ASSESS THE SITUATION
Send someone to get the students spare auto injector or emergency kit, which is kept in:
IT IS IMPORTANT TO REALISE THAT THE STAGES DESCRIBED BELOW MAY MERGE INTO EACH OTHER RAPIDLY AS A REACTION DEVELOPS
MILD REACTION
Generalised itching
Mild swelling of lips or face
Feeling unwell/Nausea
Vomiting
ACTIONS
Give (antihistamine) immediately
Monitor student until you are happy he/she has returned to normal.
SEVERE REACTION
Difficulty breathing/choking/coughing
Severe swelling of lips/eyes/face
Pale/floppy
Collapsed/unconscious
ACTIONS
1. Get _auto-injector out and send someone to telephone 999 and tell the operator that the student is having an
‘ANAPHYLACTIC REACTION’
1. Sit or lay student on floor.
2. Take auto-injector and remove grey safety cap.