SUPPORTING PUPILS AT SCHOOL WITH MEDICAL CONDITIONS POLICY
Signed by Lead Teacher: Anil Sarna
Signed by Chair of Trustees: Wendy Hollway
Next Review Sept 2018
This policy has been drawn up in accordance with the DfE guidance Supporting pupils at
school with medical conditions.
This policy will be readily accessible to parents and school staff, and will be reviewed
annually by the Lead teacher to keep up-to-date with statutory and non-statutory
guidance and legislation.
The next review of this Policy Document will be September 2017
Purpose of policy:
The purpose of this policy is to ensure arrangements are in place to support pupils at
school with medical conditions.
This policy outlines the correct procedures and protocols HBS will follow to
support pupils with long-term and/or complex medical conditions, whilst safeguarding
staff by providing clear and accurate guidance for all staff to adhere to.
To ensure arrangements are made for children with medical conditions to receive
proper care and support whilst meeting our legal responsibilities;
To provide guidance to all teaching and non-teaching staff members, ensuring
staff are fully supported in carrying out their role to support pupils with medical
conditions, including the procedure in an emergency situation;
To identify the areas of responsibility and roles to all parties involved in the
arrangements made to support pupils at school with medical conditions, including
pupils, parents, staff, school nurses, Headteachers, Governing Bodies etc.; and
To ensure procedures are followed to limit the impact of pupils educational
attainment, social and emotional wellbeing that can be associated with medical
conditions, both on site and during off site trips.
This document replaces previous guidance on Managing Medicines in schools and early
years published in March 2005.
Section 100 of the Children and Families Act 2014 places a duty on Governing Bodies to
make arrangements for supporting pupils with medical conditions at school. This is
because pupils with long-term and complex medical conditions may require:
On-going support, medicines or care whilst at school to help them manage their
monitoring and intervention in emergency circumstances.
The School must further comply with their duties under the Equality Act 2010 towards
disabled children and adults.
Roles and Responsibilities:
Supporting a child with a medical condition during school hours is not the sole
responsibility of one person. Collaborative working between school staff, healthcare
professionals, Local authorities, parents and pupils will be critical to ensure that the
needs of pupils with medical conditions are met effectively.
Some of the most important roles and responsibilities at Hebden Bridge School are listed
below, however this is not an exhaustive list:
The Headteacher is responsible for:
ensuring all staff are aware of this policy;
implementing this policy effectively and ensuring that all relevant staff members
are aware of how to support pupils with medical conditions including their role in
the development of individual healthcare plans (IHCP’s);
ensuring there are sufficient trained members of staff available to implement the
policy and deliver against all IHCP, including in contingency and emergency
ensuring all staff who need to know are aware of the child’s condition;
safeguarding school staff by appropriately insuring them and making them aware
that they are insured to support pupils with medical conditions; and
liaising with the school nursing service to inform them of a medical condition that
has not yet been brought to their attention, which may require medical support at
School First Aiders / Responsible Person are responsible for:
supporting staff on implementing a child’s individual healthcare plan and
providing advice on training; and
liaising with lead clinicians locally on appropriate support for the child and
associated staff training needs.
Notifying the school when a child has been identified as having a medical
condition which will require support in school. This should, where possible, be
done before the child starts at the school.
Suitable cover will be provided in the absence of the school nurse/healthcare
School staff (teaching and non-teaching) should:
provide support to pupils with medical conditions. This can be any member of
school staff, and could include the administering of medicines, although you
cannot be required to do so;
take into account the needs of pupils with medical conditions that they teach;
receive sufficient and suitable training to achieve the necessary level of
competency before they take on the responsibility to support children with
medical conditions; and
know what to do and respond accordingly when they become aware that a pupil
with a medical condition needs help.
provide adequate information about how their condition affects them;
be fully involved in discussions about their medical support needs; and
comply with their IHCP.
provide medicine and equipment and ensure they or another nominated adult are
contactable at all times;
provide sufficient and up-to-date information to the school about their child’s
medical needs; and
be involved and assist in drafting and developing their child’s IHCP.
Other healthcare professionals, including GP’s and providers of health services are
notifying the school nurse when a child has been identified as having a medical
condition that requires school support;
providing advice on developing healthcare plans; and
co-operating with schools that are supporting children with a medical condition.
Procedure when the school is notified of a medical condition:
It will either be a healthcare professional, GP or
paediatrician who will notify the Lead teacher when a child has been identified as
having a medical condition that requires support.
The Lead teacher should take the necessary steps to co-ordinate a meeting to discuss the child’s medical support needs. The meeting will involve key school staff, the pupil, parents, relevant healthcare professionals and other medical/health clinicians as appropriate.
A decision will be made as to whether an IHCP will be created for the child.
For children new to the school, support arrangements will be in place in time for the start of the relevant school term.
In cases where the child moves to the school mid-term or receives a new diagnosis, the school will make every effort to ensure the arrangements are in place within two weeks.
The school will not have to wait for a formal diagnosis before providing support to pupils.
In cases where a pupil’s medical condition is unclear, or where there is a difference of
opinion, judgements will be made about what support to provide based on available
medical evidence and through consultation with parents.
Individual Healthcare Plans (IHCP):
A pupil’s IHCP provides clarity about what needs to be done, when and by whom. When
deciding whether an IHCP is appropriate and proportionate, schools should follow the
Stage 1 – Gathering the information
The Leadteacher or member of staff co-ordinates a meeting between the
school, healthcare professional and parent to discuss the medical support needs
of the pupil.
Pupils should be involved when possible.
The meeting should ascertain whether an IHCP is appropriate, as not all children
will require one.
All parties should agree, based on the evidence, as to whether an IHCP would be
suitable. However, the Leadteacher is best placed to take the final view if consensus cannot be reached.
The decision should be based on:
A whether there is a high risk that emergency intervention will be needed;
A whether the medical condition is long-term and/or complex;
A whether the child is returning to school following a period of hospital education or alternative provision (including home tuition);
A whether medical conditions are likely to fluctuate.
A member of the school staff should be identified as being the person who will
provide support to the pupil.
Stage 2: Developing an Individual Healthcare Plan
The purpose of an IHCP is to capture steps which the school will take to help the child
manage their condition and overcome any potential barriers to getting the most from
Staff training and support:
Hebden Bridge School will provide the following support to all staff involved in supporting
pupils with medical needs:
Any member of school staff providing support to a pupil with medical needs will
receive suitable training. Staff training needs will be identified during the
development or review of the pupils IHCP. Staff who already have some
knowledge of the specific support needed by a child with a medical condition may
not require extensive training.
Staff who provide support to pupils with medical conditions will, when possible,
be included in the meetings where this is discussed.
The HEALTHCARE PROFESSIONAL will lead on identifying and
agreeing with the school the type and level of training required. It will be the
school’s responsibility to arrange training and ensure that this remains up-todate.
The training will be sufficient to ensure all staff are competent and have
confidence in their ability to support pupils with medical conditions, and to fulfil
the requirements set out in the IHCP.
Staff will be made aware of the specific medical conditions they are being asked
to deal with, their implications and preventative measures.
Staff must not give prescription medicines or undertake health care procedures
without appropriate training (including amendments to the IHCP). A first-aid
certificate does not constitute appropriate training in supporting children with
The Healthcare Professional will provide confirmation of the proficiency of staff in a medical procedure, or in providing medication.
As well as individual training, the school will make arrangements for whole school
awareness training and induction arrangements for new members of staff. This
will include preventative and emergency measures so that staff can recognise and
act quickly when a problem occurs.
Pupils role in managing their own medical needs:
Pupils may be competent to manage their own health needs and medicines. HBS will discuss individual competencies with parents and ensure the IHCP reflects
the pupil’s competencies for managing their own medicines and procedures.
Competent pupils will be allowed to carry their own medicines and relevant devices, or
will have access to their medicines from The first Aid Room, kept in a locked cabinet for
self-medication quickly and easily, wherever possible. Pupils who can take their
medicines themselves may require an appropriate level of supervision. When it is not
appropriate for the pupil to self-manage, staff will help to administer medicines and
manage procedures for them.
If a pupil does refuse to take their own medicine, or refuses to carryout necessary
procedures relating to their medical needs, staff will not force them to do so, but will
follow the procedure agreed within the pupils IHCP. The pupils Learning Support
Assistant be responsible for informing the pupil’s parents, so that alternative options can
be considered for future situations.
Record keeping and managing/storing of medicines:
Written records of all medicines administered to individual children will be kept in the
medical room, in the same locked cabinet and is also kept in the students personal
folder, detailing what, how and how much was administered, when and by whom. All
relevant master forms are kept on drop box for senior management access.
These accurate records offer protection to staff and children, whilst providing evidence
that agreed procedures have been followed.
Parents will be informed when their child has been unwell at school by the students
Managing medicines on school premises:
In order to manage pupil’s medical conditions effectively, HBS will not
prevent pupils from eating, drinking or taking breaks when required.
The following procedures will be followed to manage medicines on-site:
a pupil under 16 should never be given prescribed or non-prescribed medicines
without their parent’s written consent. All relevant master forms are kept on drop
box for senior management access.
only prescribed medicines that are in-date, labelled and include instructions for
administration, dosage and storage will be accepted by the school. In most circumstances, the medicines should be provided in the original container and
dispensed by a pharmacist, with the exception of insulin, which will be inside an
insulin pen or pump;
all medicines will be stored safely. Children must know where their medicines are
kept, and be able to access them immediately. Where relevant, children should
be made aware that the Admin Assistant holds the key to the storage facility;
a pupil who has been prescribed a controlled drug may legally have it in their
possession if competent to do so, but must not pass it to another child for use, as
this is an offence. HBS will otherwise keep controlled drugs that
have been prescribed for a pupil securely stored in a non-portable container in
the First Aid Room and only the Admin Assistant will have a key for access.
controlled drugs will be easily accessible in an emergency at all times; and
no pupil will be given medicine containing aspirin unless prescribed by a doctor.
Other medication, i.e. for pain relief will not be given without first checking the
maximum dosages and when any previous doses were taken. Parents will be
contacted by the teacher to ask for permission first before giving it to them.
Storage/Disposal of Medicines:
Wherever possible, children will be allowed to carry their own medicines/relevant devices
or will be able to access their medicines in the First Aid Room for self-medication, quickly
and easily. Pupils’ medicine will not be locked away out of the pupil’s access; this is
especially important on school trips. It is the responsibility of the School to return
medicines that are no longer required, to the parent for safe disposal.
HBS will assess what reasonable adjustments can be made to enable
pupils with medical needs can participate fully and safely during off-site trips.
All staff members should be aware of how the pupils individual medical condition will
impact their participation, but should allow enough flexibility for pupils to participate
according to their own abilities, unless evidence from a GP states otherwise.
A risk assessment will be carried out by the assistant teachers or higher management
prior to the off-site trip taking place to ensure pupils with medical conditions can
participate safely. This will require consultation with parents and pupils and advice from
the relevant healthcare professionals.
Staff should use their discretion and judge each case on its merits with reference to the
child’s IHCP. However, it is not general acceptable practice to:
assume that every child with the same condition requires the same treatment;
prevent children from accessing their inhalers or medication easily, and
administering their medication when and where necessary;
if the pupil becomes ill, send them to the school medical room unaccompanied or
with someone unsuitable;
send pupils with medical conditions home frequently or prevent them from
participating in normal school activities, unless specified in their IHCP.
penalise pupils for their attendance record if absences relate to their medical
condition i.e. hospital appointments;
ignore the views of the pupil or their parents; or ignore medical evidence or
opinion, (although this may be challenged);
prevent children from drinking, eating or taking toilet breaks whenever they need
to in order to manage their medical condition effectively;
create barriers to pupils participating in any aspect of school life, including off-site
school trips; or
require parents to attend school to administer medication or provide medical
support to their child.
The school provides the appropriate level of insurance to cover staff providing support to
pupils with medical conditions. The schools insurance arrangements are Public, Products
& Employer’s liability policy through Aon. The schools insurance policy covers liability relating to the administration of medication.
Should parents or pupils be dissatisfied with the support HBS has
provided, the initial concern should be raised with the Lead teacher.
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 the above attempts
at resolution have been exhausted.
Supporting Pupils at School with Medical Conditions Policy Declaration:
By signing this form you are acknowledging that you have read and understood the
policy and procedures in place by the school to support pupils with medical conditions.
Print name ……………………………………………………………..
Please return this form to the office by no later than one
week after receiving it.