Statutory Responsibilities Some will know more than others – very quick overview, copies for reading, walk you through the most important later

Equality Act 2010 “Must make reasonable adjustments to arrangements or practices to alleviate disadvantage and must also take reasonable steps to provide any necessary auxiliary aids and services” Staring point

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 PRUs to make arrangements for supporting pupils at their school with medical conditions in line with guidance from the Secretary of State The game changer for SEN was the 2014 Children and Families Act The biggest education reforms in a generation for children and young people with special educational needs became law on Monday 1 September 2014. The new Children and Families Act offered simpler, improved and consistent help for children and young people with special educational needs and disabilities, including those with medical needs. It links Education, Health and Social Care, obliging them to work together in a joined up way to the benefit of the child, joint commissioning of services EHCP – support up to 25 Single assessment School Action and School Action + become “Additional SEN support” Personal Budget Families and Children to be more involved in decision making LA to provide local services and make the provision clear

Statutory guidance for governing bodies of maintained schools and proprietors of academies in England December 2015 Main documment – copied. Due for revision. Applies to most schools.

Governing bodies must ensure that arrangements are in place in schools to support pupils at school with medical conditions. Governors have significant accountability for making sure school systems are in place. Might need to remind them of this.

Governing bodies should ensure that school leaders consult health and social care professionals, pupils and parents to ensure that the needs of children with medical conditions are effectively supported. Hugh emphasis on joined up working

Pupils at school with medical conditions should be properly supported so that they have full access to education, including school trips and physical education. Full access, nothing less unless its in the best interest of the child

Governing bodies should ensure that all schools develop a policy for supporting pupils with medical conditions that is reviewed regularly and is readily accessible to parents and school staff. Policy. Has to be reviewed, not fixed for all time and forgotten. Must be easy to understand and lived in practice.

Governing bodies should ensure that the school’s policy sets out the procedures to be followed whenever a school is notified that a pupil has a medical condition And who is responsible for what actions – lots of accountability

Reintegration back into school should be properly supported so that children with medical conditions fully engage with learning and do not fall behind when they are unable to attend This applies equally whether a child cannot attend school at all or can only attend intermittently. LA has a duty to support schools 15 days Might involve the hospital school

“In making their arrangements, governing bodies should take into account that many of the medical conditions that require support at school will affect quality of life and may be life-threatening. Some will be more obvious than others. Governors should therefore ensure that the focus is on the needs of the individual child and how their medical condition impacts on their school life” “Governing bodies should take into account that many of the medical conditions that require support at school will affect quality of life and may be life-threatening. Some will be more obvious than others. Governing bodies should therefore ensure that the focus is on the needs of each individual child and how their medical condition impacts on their school life. ““Governing bodies should take into account that many of the medical conditions that require support at school will affect quality of life and may be life-threatening. Some will be more obvious than others. Governing bodies should therefore ensure that the focus is on the needs of each individual child and how their medical condition impacts on their school life. Governing bodies should take into account that many of the medical conditions that require support at school will affect quality of life and may be life-threatening. Some will be more obvious than others. Governing bodies should therefore ensure that the focus is on the needs of each individual child and how their medical condition impacts on their school life. Different children with the same condition may have different needs to each other or at different times. Arrangements have to be individualised

Governing bodies should ensure that the school’s policy covers the role of individual healthcare plans, and who is responsible for their development, in supporting pupils at school with medical conditions. Subject of afternoon’s session – NOT THE SAME AS EHCP - daily management, medication, emergencies, who’s responsible for what

Governors should ensure that staff are properly trained to provide the support that pupils need “Every member of staff should know what to do and respond accordingly when they become aware that a pupil with a medical condition needs help” “Sufficient staff” “Suitable training” “Competent” Teacher absence and cover teachers Risk assessments for school visits Arrangements for particular activities

Safe in School Film Health Conditions in Schools Alliance 4 minute summary – might be useful for staff training back in school.

When asked in early 2017, only 11 When asked in early 2017, only 11.5 per cent of schools in England could provide an adequate medical conditions policy that meets statutory guidance. All should by law have this policy. 72 per cent of schools report that Ofsted did not ask about their medical conditions policy during their latest inspection. Only 17 per cent of local authorities confirmed that they had a medical conditions policy Health Conditions in Schools Alliance early 2017 Look at own stats Ask about experiences/advice of those who have everything up and running

Pairs exercise Walk though the legislation in folder

Example of Policy Governing bodies should ensure that all schools develop a policy for supporting pupils with medical conditions that is reviewed regularly and is readily accessible to parents and school staff. Needs to be a living document Look at example Walk through the other enclosures Time to browse and ask questions – wall.

Make this policy your own Make this policy your own! Insert your school name and logo where indicated on the next page Read through the document and make changes as instructed in […] or orange. Delete the instructions as you go. Note: you don’t need to edit the contents list directly (see step 4) When you have finalised your document, make a note of step 4 below and then delete this cover page. (Right-click on the teal border above this text and select ‘Cut’) Refresh the contents list so that the page numbers are correct. (Right-click anywhere on the contents list, click on ‘Update field’, then select ‘Update entire table’ and ‘OK’) Save the document as normal Look at policy Walk through the other enclosures

Individual Health Plans Governing bodies should ensure that the school’s policy covers the role of individual healthcare plans, and who is responsible for their development, in supporting pupils at school with medical conditions. Film Why we need them

Louise’s Story Film Health Conditions in Schools Alliance Their purpose

What does an IHP include? Medication/storage/access and who will administer meds/responsibility for checking supplies Symptoms and triggers/what to do if?/when parent should be contacted/ambulance called What help is needed/who will give it/what the child can do for itself Existing legislation Sufficient and indate supplies Descriptions of different scenarios and what to do Really important to child to take responsibility as appropriate to age and capacity

Diet and toilets/daily management PE/Exams/School trips including overnight Risk assessment Record of staff training Arrangements about reviewing Do they need to be reminded to go to the toilet/need to have permission/go to front of lunch queue Exceptional events top be thought about in advance – easier and better Record keeping/cover yourself LOOK AT HANDOUT AT THIS POINT

Pupils with learning difficulties SEN Register   Pupils with learning difficulties SEN Register Pupils with medical conditions and some learning difficulties IHP Pupils with more significant learning difficulties and health/care issues EHCP Pupils with medical conditions Thinking about how to fit IHPs into existing school systems Explain the groups Thoughts about thresholds and how these different systems talk to each other Solutions might be different in different schools – paper/digital How info is communicated to staff

The school, healthcare professional and parent should agree, based on evidence, when a healthcare plan would be inappropriate or disproportionate. If consensus cannot be reached, the headteacher is best placed to take a final view. The school, healthcare professional and parent should agree, based on evidence, when a healthcare plan would be inappropriate or disproportionate. If consensus cannot be reached, the headteacher is best placed to take a final view.

The format for an IHP is not fixed Schools can create their own Example of a generic form

Case Study What information do we lack? Where could we get it from? Show some examples – health charities have done a lot of work on this Take feedback –parents/school nurses/health profs

Involving Parents … should provide the school with sufficient and up-to-date information about their child’s medical needs. They may in some cases be the first to notify the school that their child has a medical condition. … are key partners and should be involved in the development and review of the child’s individual healthcare plan, and may be involved in its drafting. … should carry out any action they have agreed to as part of its implementation, e.g. provide medicines and equipment and ensure they or or another nominated adult are contactable at all times.at all times. Good links with parents/carers essential. Look at handouts for parents