1. SENCo Clusters Summer 2016 Secondary – Tuesday 19 th April 9.30 -11.30amVenue: The Highwood Centre Primary – Tuesday 19 th April 1.15 – 3.15pm Venue: The Highwood Centre Thursday 5 th May 9.30 – 11.30amVenue: Oulder Hill Training Suite

2. Agenda How’s it going – share your news Our news - local and national updates Statutory Guidance – Supporting Pupils at School with Medical Conditions Introducing the Rochdale paperwork for Individual Healthcare Plans Occupational Therapy – Launch of Pre-referral Strategies for Sensory Needs tracy.jubb@rochdale.gov.ukshona.hopkins@rochdale.gov.uksally.townend@nhs.net

3. Statutory Guidance https://www.gov.uk/government/publications/supporting-pupils-at-school-with- medical-conditions--3 http://www.medicalconditionsatschool.org.uk/

4. Background Replaces earlier version published in September 2014 Applies to ‘appropriate authorities’ (as per Section 100 of Children and Families Act 2014) i.e. governing bodies of maintained schools, proprietors of academies, management committees of PRUs Statutory duty to make arrangements to support pupils at school with medical conditions, also applies to activities taking place off-site as part of normal educational activities Must have regard to the guidance i.e. must have very good reason for not following it [EY settings should continue to apply Statutory Framework for EYFS]

5. Key Points Pupils at school with medical conditions should be properly supported so that they have full access to education, including school trips and physical education Arrangements should be in place in schools to support pupils with medical conditions School leaders should consult health and social care professionals, pupils and parents to ensure that the needs of children with medical conditions are properly understood and effectively supported

6. Discussion What educational and/or social issues might impact on children with medical conditions? What can we do to help?

7. Links SEND Code of Practice 2014 Equality Act 2010 Definition of Disability - ‘physical or mental impairment which has a substantial (more than minor or trivial) and long term (a year or more) adverse effect on that person’s ability to carry out normal day to day activities.’ Must: - Make reasonable adjustments to ensure that those with disabilities can fully partake in the activities of the school - Provide auxiliary aids and services as reasonable adjustments Must not: - Have ‘blanket’ rules, policies or practices which apply to everyone but which particularly disadvantage disabled people - Treat children with disabilities less favourably than non-disabled children for a reason relating to their disability

8. Appropriate Authorities must: Ensure arrangements are in place, develop a policy* for supporting children and young people with medical conditions Ensure those with medical conditions can access and enjoy the same opportunities at school as any other child Focus on the needs of the individual child and how their medical condition impacts on their school life Receive and fully consider advice from healthcare professionals Ensure that staff are properly trained to provide the support that is needed Listen to and value the views of parents and pupils Develop, use and review individual healthcare plans to support children and young people with medical conditions

9. What should be covered in the policy? Mission statement/commitment Responsibilities Process* Partnerships Training & support Emergencies Managing medicines* Insurance arrangements Unacceptable practice* Complaints process

10. Re medications Records should be kept of all medicines administered to pupils Medications should only be administered in school where it would be detrimental to a child’s health or school attendance not to do so. Where clinically possible medicines should be prescribed in dose frequencies which enable them to be taken outside school hours No child under 16 should be given medicines without their parent’s consent – except in exceptional circumstances A child under 16 should never be given medicine containing aspirin unless prescribed by a doctor

11. Re medications Schools should only accept medicines if they are in-date, labelled and provided in the original container as dispensed by a pharmacist with instructions for administration, dosage and storage (exception – insulin pen/pump) Medicines should be stored safely, children should know where this is and be able to access them immediately A child who has been prescribed a controlled drug may legally have it in their possession if they are competent to do so

12. Unacceptable Practice Prevent children from easily accessing their inhalers and medication and administering their medication when and where necessary Assume that every child with the same condition requires the same treatment Ignore the view of the child or their parents; or ignore medical evidence or opinion (although this may be challenged) Send children with medical conditions home frequently or prevent them from staying for normal school activities, unless specified in their individual healthcare plans If the child becomes ill, send them to the school office or medical room unaccompanied or with someone unsuitable

13. Unacceptable Practice Penalise children for their attendance record if their absences are related to their medical condition, e.g. hospital appointments Prevent pupils from drinking, eating or taking toilet or other breaks whenever they need to in order to manage their medical condition effectively Require parents, or otherwise make them feel obliged, to attend school to administer medication or provide medical support to their child, including with toileting issues. Prevent children from participating, or create unnecessary barriers to children participating in any aspect of school life e.g. by requiring parents to accompany the child

14. Annex A - Model Process NB SEE ATTACHED DOCUMENT

15. Templates The Guidance Templates fire evacuation medical emergency feeding moving and handling equipment fatigue management trips and visits physical access intimate care medication A Rochdale Template – why?

16. The format Rochdale’s Template for an Individual Health Care Plan Rochdale’s Template for a School Risk Assessment for Children with Additional Needs Both these documents available on the RSI Activity: Look at one of the case studies and consider which parts of the healthcare plan would be relevant/necessary for the child concerned

17. Feedback from schools and families “It’s clear what everybody is meant to do and when” “We’ve got a proper plan now, it’s all come together” “I like knowing who will help me if I need it” “I feel more confident that she’s safe and will be looked after” “It was great telling people what I wanted” “It was good talking through and writing it together”

18. Questions and comments? tracy.jubb@rochdale.gov.ukshona.hopkins@rochdale.gov.uksally.townend@nhs.net