MEDICATION POLICY
AND MANAGEMENT PROCEDURES
Our school is:
a safe, supportive stimulating learning environment;
a team of respectful, tolerant, open minded citizens;
a community where everyone aspires to be the very best they can be;
a community of resilient lifelong learners;
a centre of excellence where all achieve success.
PURPOSE
This policy sets out how Arboretum Primary School will ensure that pupils are fully supported with their medical conditions.
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Review Date |
January 2020 |
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Reviewed By |
Clare Fryer, SENDCo, Welfare Assistant |
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Next Review |
January 2022 |
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Summary of changes
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Updated in line with DDAT policy |
Approved By:
Head Teacher …………………………………………….……………… Date …………………………….
Chair of Governors …………………………………………….……….. Date …………………………….
CONTENTS
2. MEDICATION POLICY STATEMENT. - 4 -
3. MEDICATION MANAGEMENT PROCEDURES. - 5 -
3.1. Roles and Responsibilities. - 5 -
3.1.1. The Governing Body: - 5 -
3.1.5. Other healthcare professionals: - 6 -
3.2. Training / Qualifications for Supporting Pupils with a Medical Condition. - 7 -
3.3. Managing Medicines on School Premises. - 8 -
3.3.1. Liability and Idemnity. - 8 -
3.3.2. Individual Health Care Plan (IHCP) - 8 -
3.3.3. Administering Medication. - 9 -
3.3.5. Refusal to Take Medicine. - 13 -
3.3.6. Storage and Access. - 13 -
3.3.8. Disposal of Medicines. - 14 -
3.3.9. Controlled Drugs (CDs) - 14 -
3.3.10. Unacceptable Practice. - 16 -
3.3.11. Complaints Procedure. - 16 -
3.4. Managing Medication on an Outing/Residential Visit - 17 -
3.5. Emergency Procedures. - 19 -
3.6. Further Guidance / References. - 20 -
Appendix 1: Model IHCP Flowchart - 22 -
Appendix 2 – Consent form: Use of Emergency Salbutamol Inhaler - 23 -
Appendix 3 – Notification to Parent / Carer of Use of Emergency Salbutamol Inhaler - 24 -
Appendix 4 – Consent form: Use of Emergency Adrenaline Auto Injector - 25 -
Appendix 5 – Consent form: Application of Creams/Ointments for Medical Reasons. - 26 -
Appendix 6 - Individual Healthcare Plan (IHCP) Template. - 28 -
Appendix 7 - Administration of Medication Permission and Record. - 31 -
Appendix 8 - Administration of Medication Continuation Sheet - 31 -
This policy has been developed for Derby Diocesan Academy Trust (DDAT) schools to ensure pupils are fully supported with their medical conditions. It has been developed in line with the Department for Education statutory guidance on Supporting Pupils with Medical Conditions (2014) For Governing Bodies of Maintained Schools and Proprietors of Academies in England December 2015
This policy has not been developed by a specific medical professional or organisation / body.
The policy it based on the DDAT model policy provided by YMD Boon and has been customised to reflect management, training, administering and medication storage procedures of Arboretum Primary School.
Section 100 of the Children and Families Act 2014 places a duty on governing bodies of maintained schools, proprietors of academies and management committees of pupil referral units (PRUs) to make arrangements for supporting pupils at their school with medical conditions.
The aim of this policy is to ensure that Arboretum Primary School carries out their statutory duty to make arrangements to support pupils at school with medical conditions.
Arboretum Primary School will:
Signed Date
Olivia Dean - Chair of Governors
3.MEDICATION MANAGEMENT PROCEDURES
The following sections in the Management Procedures outline how Arboretum Primary School (the Academy) will ensure that the Medication Policy Statement is implemented.
Further reference documentation and guidance is detailed at the end of the policy.
3.1:Roles and Responsibilities
3.1.4.School Nurse:
3.1.5.Other healthcare professionals:
(including GPs, paediatricians, nurse specialists/ community paediatric nurses)
3.1.6.Pupils:
3.2.Training / Qualifications for Supporting Pupils with a Medical Condition
Specific support and training needs will be identified through the Individual Health Care Plans (IHCP), together with who will provide the training. This will enable staff who support a pupil with a medical condition to understand the specific conditions, their implications, preventative and emergency procedures.
Arboretum Primary School will ensure that adequate first aid cover is available at all times. The first aider role is key in emergency procedures – see section 3.5. However, a first aid certificate does not constitute appropriate training in the general day to day support of a pupil with a medical condition.
Training on administering medications/injections for specific medical conditions at the Academy will be carried out by appropriately qualified professionals, for example the KITE team at Derby Hospital.
Named staff will be responsible for administering a pupil’s medication. When a controlled drug has been prescribed for a pupil’s medical condition, at least two members of staff should be trained on how to manage this medication.
Arrangements should be in place to cover staff absence, or staff turnover, so that someone is always available.
All training should be recorded, together with a clear plan for refresher sessions, or updates if the pupil’s condition changes.
The Academy will ensure that whole school awareness training will take place every 3 years, in conjunction with the whole school first aid training. This should include the contents of this policy, and awareness of common conditions such as asthma allergies, epilepsy and diabetes. This training will be carried out by an appropriately qualified trainer.
It is recognised that it is not a requirement to have specific training to administer non-prescribed medications such as pain relief or antihistamines, but in line with good practice, the Welfare Assistant and members of the Office Staff are trained in Administration of Medicines.
Medication will be kept in the Medical Room, except for controlled drugs, which will be kept in the Office safe. All staff who work in this area must be aware of:-
The Administration of Medication Permission and Record (see Appendix 7) will also be kept in the Medical Room, giving details of the dose and frequency of administration to the pupils concerned.
3.3. Managing Medicines on School Premises
Arboretum Primary School will ensure that a level of insurance is in place that appropriately reflects the level of risk for managing medication on the premises. The Department for Education’s guidance for “Supporting Pupils at School with Medical Conditions 2015” refers to the appropriate level of insurance being in place, or that the Academy is a member of the Department for Education’s Risk Protection Arrangements (RPA). RPA is a scheme provided specifically for academies.
https://www.gov.uk/guidance/academies-risk-protection-arrangement-rpa
Currently, Arboretum Primary school is a member of the RPA. This will cover staff providing support to pupils with medication conditions. Insurance policies should be accessible to staff providing such support.
The level and ambit of insurance cover required must be ascertained directly from the insurers. Any requirements of the insurance, such as the need for staff training, should be complied with. Insurers should be updated when a pupil is newly diagnosed, if a pupil’s condition changes resulting in extra support needs, or if a pupil with a medical condition leaves the Academy.
3.3.2:Individual Health Care Plan (IHCP)
An Individual Healthcare Plan – see Appendix 6 - Individual Healthcare Plan (IHCP) Template - will be used to record the support of an individual pupil for their medical condition. The IHCP is developed with the pupil (where appropriate), parent/carer, designed named member of school staff, specialist nurse (where appropriate) and relevant healthcare services. Appendix 1 is a Department for Education model flowchart for an IHCP.
Where a child has SEN but does not have a statement of EHC plan, their special educational needs are mentioned in their IHCP.
The IHCP will cover the following:-
Arboretum Primary School will keep a centralised register of IHCPs, which is the responsibility of the SENDCo.
IHCPs will be reviewed regularly, at least every year, or whenever the pupil’s needs changes.
The parents/carers, specialist nurse (where appropriate) and relevant healthcare services should hold a copy of the IHCP. Other school staff will be made aware of, and have access to the IHCP for the pupils directly in their care.
3.3.3.Administering Medication
Medication will only be administered when it would be detrimental to a pupil’s health or school attendance not to do so.
Arboretum Primary School will not give any medication (prescribed or non-prescribed) to a child under 16 without a parent’s written consent except in exceptional circumstances under direction of a medical professional.
Arboretum Primary School only accept prescribed medicines if these are in-date, labelled, provided in the original container as dispensed by a pharmacist and include instructions for administration, dosage and storage. The exception to this is insulin, which must still be in date, but will generally be available to schools inside an insulin pen or a pump, rather than in its original container.
Arboretum Primary School only accept non-prescribed medicines if these are in-date, labelled, provided in the original container as purchased, and include instructions for administration, dosage and storage.
In all cases it is necessary to check:
• Name of child
• Name of medicine
• Dosage
• Written instructions provided by prescriber
• Expiry date
An Administration of Medicine Permission & Record form (Appendix 7) must be completed and signed by the parent / carer.
When a member of staff administers medicine, they will check the child’s Administration of Medication Permission and Record form (Appendix 7) against the medication, to ensure that the dose and timing are correct. They will then administer the medicine as required, and record this on the form. For long-term medication, an Administration of Medication Continuation Sheet (Appendix 8) will be used as necessary.
Pain relief, anti-histamine and cough relief mixtures
When administering pain relief, anti-histamine or cough relief medication, the member of staff will check the maximum dosage and when a previous dose was given. Parents/carers will be informed of all doses given at school.
The Academy will only give non-prescription medicines to pupils for a maximum of 3 days, even where parents give permission. The only exemption to this is if pain relief is required during the healing period of an injury such as a sprained joint, or broken/fractured limb.
A child under 16 years of age should never be given medicine containing Aspirin unless prescribed by a healthcare professional.
Some medicines need to be given at specific times, for example
Schools must have robust communication procedures in place to ensure that any information relating to the administration of medications, whilst in their care, is shared with external providers. For example, extra curriculum activity, including Before and After School clubs, whether led by the school or an external provider.
Oral Mixtures
A measuring spoon/syringe/vessel must be provided by the parent/carer, and the dose of medicine is measured using this. Instructions on the medication label must be followed. Wherever possible, the spoon/syringe/vessel should be handed to the pupil for them to administer the dose themselves. Each individual pupil’s spoon/syringe/vessel should be cleaned and kept with their own medication.
Tablets/capsules
Pupils who need tablets usually take them before or after their meal according to their GP’s instructions. They may however be needed at other times of the day.
Pupils should go to the Welfare Assistant or Office and ask for their tablets from the appropriate member of staff.
Inhalers
Inhalers will be kept in individual classrooms in a grab bag, unless there is a specific reason why this is not appropriate, which must be documented in the IHCP. When the pupil needs to take their inhaler, e.g. before a PE lesson, or at break time/lunchtime, the teacher/admin staff should record this on a daily record. Where a child increases the number of times they need their inhaler, staff will be alerted to this by the record, and they are able to pass this information onto the parents, so that the ‘preventer’ inhaler dose can be checked by their GP.
Pupils are trained how to access and use their inhaler, and the importance of adult supervision. Pupils should be supervised when they take their inhaler. If they have any difficulty, the First Aider should be called to assist.
If parents request that their child keeps their inhaler with them during the day, the pupil must be reminded by the class teacher to record when a dose has been taken.
Emergency Salbutamol Inhalers
Arboretum Primary School has chosen to hold an emergency inhaler for use by pupils who have been diagnosed with asthma and prescribed a reliever inhaler, OR who have been prescribed a reliever inhaler.
Written parental consent for its use will be obtained using the Consent form: Use of Emergency Salbutamol Inhaler (Appendix 2), and a copy of this is kept with the emergency inhalers to establish which pupils have this in place. The Welfare Assistant is responsible for ensuring that this register is reviewed and kept up to date. This information will also be included on the pupil’s IHCP.
If there is an emergency situation whereby consent has not been received, either for a pupil with diagnosed asthma, or for a pupil with no previous history or knowledge of asthma and symptoms suggest an asthma attack is occurring, the emergency services will be called. If advised to do so by the emergency services, the emergency inhaler will be used even where consent has not been received and full details of the advice given and dosage administered will be recorded.
An emergency kit is in place, kept in the Medical Room, which includes:-
To avoid possible risk of cross-infection, the plastic spacer should not be reused. It can be given to the pupil to take home for future personal use. The inhaler can be cleaned and reused.
If a pupil has used the emergency inhaler, their parent/carer will be informed as soon as possible, using the Notification to Parent / Carer of Use of Emergency Salbutamol Inhaler (Appendix 3). This will be completed by the Welfare Assistant.
Further information can be found in the Department of Health’s “Guidance on the user of emergency salbutamol inhalers in school – March 2015”
Emergency Medication for Anaphylactic Shock
Pupils with a known allergy, for example, to wasp stings, food allergies and medications, should have an Individual Health Care Plan (IHCP), with an emergency action plan, completed by their healthcare professional.
Where an adrenaline auto-injector has been prescribed, the pupil’s parent/carer should ensure that two in date adrenaline auto injectors (e.g. an Epi Pen) are kept in the school. If appropriate, the pupil may keep an auto injector on their person – refer to the section on Self-Management. If this is not appropriate, the auto injector should be kept safely in the pupil’s classroom. The second auto-injector should be kept in the medicine cupboard in the Medical Room and be available for administering if the pupil goes into anaphylactic shock. Both auto-injectors should be kept in a container clearly labelled with the child’s name, class and photograph..
If a pupil is going into anaphylactic shock, the emergency services will be called immediately – see Emergency Procedures 3.4.
If there is an emergency situation where a pupil has no previous history or knowledge of having an allergy but symptoms suggest anaphylactic shock is occurring, the emergency services will be called. If advised to do so by the emergency services, another pupil’s auto-injector will be used even where consent has not been received and full details of the advice given and dosage administered will be recorded. The Academy should inform the emergency services that an emergency adrenaline auto-injector is in the school.
Emergency Adrenaline Auto-Injector
Arboretum Primary School has chosen to hold an emergency Adrenaline Auto-Injector to be administered to pupils in an emergency if the pupil’s own prescribed auto-injector cannot be administered correctly without delay.
Written parental consent for its use has been obtained, and a record of this is kept with the emergency injector to establish which pupils have this in place. The Welfare Assistant is responsible for ensuring that this register is reviewed and kept up to date. This information will also be included on the pupil’s IHCP.
Injections
School staff will not give a pupil an injection unless staff have agreed and specific training to do so has been delivered. This training will be delivered by a Healthcare professional.
Ointments/creams
Arboretum Primary School will only administer ointments/creams prescribed by healthcare professionals. All efforts should be made for the pupil’s ointment/cream to be applied at home by parent/carers. If it is necessary to apply a prescribed dose during school hours, this should be recorded on Appendix 7 - Administration of Medication Permission and Record.
If it is a long-term prescription (i.e. more than 4 weeks), a Healthcare Plan should be provided by the pupil’s healthcare professionals.
The pupil will be encouraged to apply the cream/ointment themselves, under supervision from a member of staff. Where this is not possible due to competency or location area on the body then the Consent form: Application of Creams/Ointments for Medical Reasons (Appendix 5) should be completed. A body map should be completed for the area where the cream/ointment is to be applied – See Appendix 5.
Eye, Nose and Ear Drops
Arboretum Primary School will only administer ear, nose or eye drops prescribed by healthcare professionals. All efforts should be made for the pupil’s ear, nose or eye drops to be applied at home by parent/carers. If it is necessary to apply a prescribed dose during school hours, this should be recorded on Appendix 7 - Administration of Medication Permission and Record. The drops should be administered, following the label’s instructions by a member of staff. Good infection prevention practice should be adhered to, i.e. using a clean environment, with handwashing facilities immediately available.
Defibrillator
Arboretum Primary School has a defibrillator, which is kept in the Medical Room. Sudden cardiac arrest is when the heart stops beating and can happen to people of any age and without warning. If this does happen, quick action (in the form of early CPR and defibrillation) can help save lives. A defibrillator is a machine used to give an electric shock to restart a patient’s heart when they are in cardiac arrest. Modern defibrillators are easy to use, inexpensive and safe. Staff members are trained in the use of CPR and defibrillators as part of their first aid training.
It is good practice to support and encourage pupils, who are able, to take responsibility to manage their own medicines from a relatively early age, and Arboretum Primary School will encourage pupils to manage the use of their inhalers and adrenaline auto injectors (Epi-Pens) accordingly. The school acknowledges that the age at which pupils are ready to take care of and be responsible for, their own medication varies. Health professionals need to assess, with parents and pupil, the appropriate time to make this transition.
3.3.5.Refusal to Take Medicine
If a pupil refuses to take their medication, staff should not force them to do so. If a prescribed condition critical medication/injection is refused, the Academy must take prompt action by informing the parent/carer and healthcare professional as soon as possible, as outlined in their IHCP.
If a pupil refuses to take a non-prescribed medication, this should be recorded in the pupil’s records. Parent/carers should be informed of the refusal on the same day.
If a refusal to take medication results in an emergency, the academy’s emergency procedures should be followed – see Section 3.4.
All medications should be stored safely. Pupils with medical conditions should know where they are at all times and have access to them immediately.
A refrigerator is provided in the Medical Room to provide cold storage for medications once opened, if required, as directed by prescription/written instructions from a healthcare professional.
Medications should not be stored in any first aid boxes on the premises.
Arboretum Primary School will only accept medication that is in date, labelled and in its original container including prescribing instructions for administration.
Medicine (with the exception of individual inhalers) should be stored in the Medical Room cupboard or refrigerator, with each pupil’s medicine clearly marked with the pupil’s name and the dose to be taken.
Adrenaline auto-injectors will be stored in a box clearly labelled with the child’s name and photograph for clear identification
It is essential that a pupils’ emergency medication is immediately accessible for that pupil, if participating in an extra curriculum activity, including Before and After School clubs, whether led by the school or an external provider.
Parents/carers should be asked to collect all medications/equipment at the end of the school term, and to provide new and in date medication at the start of each term.
As part of the Academy’s admissions process and annual data collection exercise parents/carers are asked if their son/daughter has any medical conditions. These procedures also cover transitional arrangements between schools.
General Record Keeping
The pupil’s confidentiality should be protected and the Academy should seek permission from parents/carers before sharing any medical information with any other party.
Arboretum Primary School will keep an accurate record of all medication administered, including the dose, time, date and supervising staff by using Appendix 7 - Administration of Medication Permission and Record.
The Welfare Assistant will check all medicines kept in school each term to ensure that they have not exceeded their expiry date. Parents/carers will be notified of any that need to be replaced. Parents/carers are responsible for ensuring that date-expired medicines are returned to a pharmacy for safe disposal. If parents do not collect all medicines, they should be taken to a local pharmacy for safe disposal.
Sharps boxes should always be used for the disposal of needles. There is a sharps box in the Medical Room. If any child requires regular injections (eg. Insulin), they will have their own sharps box which can be taken offsite with them on trips etc. The parents will be notified when the box is almost full so that they can bring in a new box and take the full box for disposal.
Some pupils may require routine, or emergency prescribed controlled drugs administering whilst at school. Controlled Drugs require additional safety controls for storage, administration and disposal, under the Misuse of Drugs Regulations 2001. Arboretum Primary School will follow these to ensure that all legal requirements and best practice are adhered to.
A list of commonly encountered controlled drugs can be found at the following link:-
Guidance on how a controlled drug is classified can be found at the following link:
An example of a medical condition that may require a controlled drug is ADHD, for which methylphenidate (Ritalin tm) may be prescribed.
Midazolam Buccal, which is a medication used for controlling seizures, is a Schedule 3 controlled drug, and does not require the same controls as other Schedule 1 and 2 controlled drugs under the legislation. However it is best practice to store and control this medication in the same way as other controlled drugs.
A controlled drug can only be admitted on the school premises if it is recorded in the pupil’s individual healthcare plan – see Appendix 6 - Individual Healthcare Plan (IHCP) Template. When a controlled drug is prescribed, and has to be administered during school hours, it should be highlighted on the IHCP. Extra training requirements should be highlighted and undertaken for staff administering a controlled drug. Advice should be sought from healthcare professionals, or the School Nurse, together with consultation with the parent/carers.
The following requirements should be met, in line with the above legislation:-
3.3.10.Unacceptable Practice
Although school staff should use their discretion and judge each case on its merits with reference to the pupil’s individual healthcare plan, the following is generally not acceptable practice.
Arboretum Primary School will not:
If a pupil misuses their medication, or anyone else’s, their parent/carer is informed as soon as possible and the Academy’s disciplinary procedures are followed.
Arboretum Primary School will ensure that all staff responsible for administering medications understand that they must strictly adhere to the prescription dosage, and the implications for not doing so. This will be done at the time of agreeing to undertake this role.
Staff should be aware that they must not alter/amend any medications, i.e. by crushing tablets or increasing a dose if requested by the pupil. Specific written instructions will be given by a healthcare professional if there are any changes to a dose or methods of administration.
Arboretum Primary School will make it clear to staff responsible for administering medicines of the implications for covertly taking medications and that the Academy will immediately undertake disciplinary action/police investigations as needed.
Arboretum Primary School will ensure that any complaints concerning the support provided to pupils with medical conditions will be investigated appropriately.
Should parent/carers be dissatisfied with the support provided, they should discuss their concerns directly with the Academy. If, for whatever reason this does not resolve the issue, they may make a formal complaint via the Academy’s complaints procedure.
Making a formal complaint to the Department for Education should only occur if it comes within scope of section 496/497 of the Education Act 1996, and after other attempts at resolution have been exhausted.
It will be relevant to consider whether the Academy has breached the terms of its Funding Agreement, or failed to comply with any other legal obligation placed on it. Ultimately, parents (and pupils) will be able to take independent legal advice and bring formal proceedings if they consider they have legitimate grounds to do so.
It is good practice for schools to encourage pupils with medical needs to participate in offsite visits. All staff supervising visits should be aware of any medical needs and relevant emergency procedures. Risk assessments are completed before each school trip and outing. Risks for pupils with known medical conditions are considered, as well as any potential risk to others. A member of staff who is trained to administer any specific medication will accompany the pupil and ensure that the appropriate medication is taken on the visit. Inhalers must be taken for all children who suffer from asthma.
Pupils who require short term medication for the duration of the trip/residential
Parent/carers complete medical forms at least three weeks before the visit at which point the Academy will establish, from parents/carers, the medication, circumstances in which it can be administered, the precise time the dose is given and the exact dose.
All medication must be provided in the original packaging as supplied from the pharmacy.
Travel Sickness
Tablets can be given with written consent from a parent but the child’s name, dosage, time of dose and any possible side effects (the child must have had the travel sickness preventative at home before the trip in case of side effects) should be clearly marked on the container, which must be the original packaging. Parents will need to complete an Administration of Medication Permission and Record form.
Pain Relief
Pupil’s/students who require regular/prescribed pain relief that needs to be taken whilst on an outing/residential visit must bring in their own supply of the medication and parents must complete a separate medication consent form. All pupil/student medication will be held in by the Visit Leader.
The Academy may take a central store of medication such as Calpol/paracetamol on a residential visit. Parental consent must still have been given for administration. This will be achieved as part of the parental consent to act in loco parentis in emergency situations. Prior to administering medication that has not been directly provided by the parent/carer, the Visit Leader will always attempt to contact the parent/carer to explain why the medication is being given.
Pupils with an Individual Healthcare Plan in place
For pupils with known medical conditions, staff will make contact with the parent/carer in advance of the trip. This will ensure that they are fully briefed to ensure that there are adequate quantities of medication available, that the pupil’s condition is stable, and which emergency details are required should the pupil need to have additional support. This is documented for the Group Leader.
For Early Years/Foundation Stage pupils, where it is assessed that the pupil cannot self-manage their inhaler, Group Leaders will ensure that staff keep the inhalers for pupils allocated to them. All doses administered need to be recorded.
Controlled drugs
The Academy will make every effort to accommodate pupils with a medical condition who require controlled drugs to be administered when in the school’s care, but off the school premises. For a residential visit, consultation with the venue will need to take place, to ensure safe storage facilities will be in place.
The flowchart follows Template F of the Department for Education statutory guidance.
Staff should not take pupils to hospital in their own vehicle.
Where an Ambulance needs to be called in school, there are several roles which need to be fulfilled. The responsibility for these roles is fluid, to cover staff absence/cover. All staff should be aware of the procedures. (Please refer to the pdf for further details)
3.6.Further Guidance / References
GUIDANCE
Department for Education – “Supporting Pupils at School with Medical Conditions - December 2015”
Royal Pharmaceutical Society of Great Britain (RPSGB) - The Handling of Medicines in Social Care
Department of Health - “Guidance on the use of emergency salbutamol inhalers in school – March 2015”
LEGISLATION:
Section 2 of the Health and Safety at Work Act 1974 and the associated regulations, provides that it is the duty of the employer (the governing body and academy trust) to take reasonable steps to ensure that staff and pupils are not exposed to risks to their health and safety.
Misuse of Drugs Regulations 2001 and associated regulations the supply, administration, possession and storage of certain drugs are controlled. Schools may have a pupil who has been prescribed a controlled drug.
The Medicines Act 1968 specifies the way that medicines are prescribed, supplied and administered within the UK and places restrictions on dealings with medicinal products, including their administration.
Regulation 5 of the School Premises (England) Regulations 2012 (as amended) provides that maintained schools must have accommodation appropriate and readily available for use for medical examination and treatment and for the caring of sick or injured pupils. It must contain a washing facility and be reasonably near to a toilet. It must not be teaching accommodation. Paragraph 24 of the Schedule to the Education (Independent School Standards) Regulations 2014 replicates this provision for independent schools (including academy schools and alternative provision academies).
Section 100 of the Children and Families Act 2014 places a duty on governing bodies of maintained schools, proprietors of academies and management committees of pupil referral units (PRUs) to make arrangements for supporting pupils at their school with medical conditions.
Appendix 1: Model IHCP flowchart
Appendix 2: Consent form from parent/carer for use of emergency inhaler
Appendix 3: Form to inform parent/carer of use of emergency inhaler
Appendix 4: Consent form from parent/carer for use of emergency adrenaline auto-injector
Appendix 5: Consent form for application of creams / ointments
Appendix 6: Template for Individual Healthcare Plan (IHCP)
Appendix 7: Administration of Medication Permission and Record
Appendix 8: Administration of Medication Continuation Sheet
Appendix 9: Model Letter inviting parents to contribute to Individual Healthcare Plan Development
CONSENT FORM:
USE OF EMERGENCY SALBUTAMOL INHALER
Child showing symptoms of asthma / having asthma attack
1. I can confirm that my child has been diagnosed with asthma / has been prescribed an inhaler
[delete as appropriate].
2. My child has a working, in-date inhaler, clearly labelled with their name, which they keep in school.
3. In the event of my child displaying symptoms of asthma, and if their inhaler is not available or is unusable,
I consent for my child to receive salbutamol from emergency inhaler held by the school for such
emergencies.
Signed:……………………………………. . . Date:………………………………………………
Name (print):………………………………………………………………………………………………………….
Child’s name:………………………………………………………………………………………………………….
Class:………………………………………………………………………………………………………………….
Parent’s address and contact details:
…………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………
Telephone:……………………………………………………………………………………………………………
E-mail:…………………………………………………………………………………………………………………
Notification of Use of Emergency Salbutamol Inhaler
Name of pupil: ………………………………………Date of Birth:………………………………
Class:.………………………………………………………………………………………………
Dear Parent / Carer,
This letter is to formally notify you that your child has had problems with their breathing today.
Details …………………………………………………..……………………………………………….
……………………………………………………………………………………………………………
They did not have their own asthma inhaler with them / Their own asthma inhaler was not working
[Delete as appropriate]
A member of staff helped them to use the emergency asthma inhaler containing salbutamol.
They were given ……… puffs.
We would strongly advise that you have your seen by your own doctor as soon as possible and arrange for a new salbutamol inhaler to be provided and kept in school.
Name ………………………………………………………………………………………………
Signed ………………………………………………………… Date ……………………………
Consent form: Use of Emergency Adrenaline Auto Injector
This form is to give consent for use of the school’s emergency adrenaline auto injector for pupils who have been diagnosed with severe allergies and have a prescribed personal adrenaline auto injector.
Name of pupil: ………………………………………Date of Birth:………………………………
Class:.………………………………………………………………………………………………
For food or other allergy, please give details ………………………………………………..
Parent/carer signature………………………………………………… Date: ……………………
Parent/carer name ….………………………………………………………………………………
Consent form: Application of Creams/Ointments for Medical Reasons
For use for pupils who require assistance with the application of creams/ointments for medical reasons
(The body map must be completed by the parent/carer before any cream or ointment is applied at school)
Name of pupil:………………………………………Date of Birth: ……………………………..
Class: ………………………………………………………………………………………………..
Name of medication: ……………………………………………………………………………….
Reason for, and frequency of application:
……………………………………………………………………………………………………………….....
Name(s) of staff to apply prescribed cream/ointment:………………………………………….
………………………………………………………………………………………………………..
Indicate below the affected areas where cream/ointment may require applying.
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Parent/carer signature …………………………………………………….. Date ………………..
Parent/carer name …………………………………………………………………………………..
Record of application
Pupil Name: ………………………………………………… Class ………………………
Medication: ………………………………………………………………………………….
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If no healthcare professional input has been received, choose one of the following statements: Delete one or both as appropriate
Mild ill health (seasonal/childhood asthma or allergies of a mild nature)
The ill health condition of the pupil does not require direct input from a healthcare professional. Parents/carers are confident that they are able to provide sufficient information to enable the pupil to be safety supported at school.
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More serious medical conditions
(insert pupil name) healthcare professional (insert name) has been requested to provide information/assist in the development of the Individual Healthcare Plan
The healthcare professional (insert name) has declined to provide information/assist (attach response or date/time if a phone call).
The information and management controls within this plan have been developed from the information provided by parents/carers only, to the best of their ability without the requested healthcare professional assistance.
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Child’s name |
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Date of birth |
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Child’s address |
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Medical diagnosis or condition |
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Date |
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Family Contact Information |
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Name |
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Phone no. (work) |
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(home) |
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(mobile) |
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Name |
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Relationship to child |
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Phone no. (work) |
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(home) |
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(mobile) |
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Clinic/Hospital Contact |
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Name |
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Phone no. |
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G.P. |
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Name |
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Phone no. |
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Who is responsible for providing support in Academy |
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Describe medical needs and give details of child’s symptoms, triggers, signs, treatments, facilities, equipment or devices, environmental issues etc.
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Name of medication – dose, method of administration, when to be taken, side effects, contra-indications, administered by/self-administered with/without supervision.
If this is a controlled drug – detail the arrangements required for storage, administering and disposal
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Daily care requirements
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Specific support for the pupil’s educational, social and emotional needs
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Arrangements for Academy visits/trips etc
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Other information
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Describe what constitutes an emergency, and the action to take if this occurs
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Who is responsible in an emergency (state if different for off-site activities)
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Plan developed with
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Staff training needed/undertaken – who, what, when
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Form copied to
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Dear Parent
DEVELOPING AN INDIVIDUAL HEALTHCARE PLAN FOR YOUR CHILD
Thank you for informing us of your child’s medical condition. I enclose a copy of the Academy’s policy for supporting pupils at Academy with medical conditions for your information.
A central requirement of the policy is for an individual healthcare plan to be prepared, setting out what support each pupil needs and how this will be provided. Individual healthcare plans are developed in partnership between the Academy, parents, pupils, and the relevant healthcare professional who can advise on your child’s case. The aim is to ensure that we know how to support your child effectively and to provide clarity about what needs to be done, when and by whom. Although individual healthcare plans are likely to be helpful in the majority of cases, it is possible that not all children will require one. We will need to make judgements about how your child’s medical condition impacts on their ability to participate fully in Academy life, and the level of detail within plans will depend on the complexity of their condition and the degree of support needed.
A meeting to start the process of developing your child’s individual health care plan has been scheduled for xx/xx/xx. I hope that this is convenient for you and would be grateful if you could confirm whether you are able to attend. The meeting will involve [the following people]. Please let us know if you would like us to invite another medical practitioner, healthcare professional or specialist and provide any other evidence you would like us to consider at the meeting as soon as possible.
If you are unable to attend, it would be helpful if you could complete the attached individual healthcare plan template and return it, together with any relevant evidence, for consideration at the meeting. I [or another member of staff involved in plan development or pupil support] would be happy for you contact me [them] by email or to speak by phone if this would be helpful.
Yours sincerely