Supporting children and young people with healthcare needs in schools: guidance

This is a guidance document for NHS Boards, education authorities and schools about supporting children and young people with healthcare needs in schools.


Footnotes

1. Under the Public Bodies (Joint Working) (Scotland) Act 2014, a number of the Health and Social Care Partnerships across Scotland have integrated children's health and/or social care services.

2. Human Medicines (Amendment) (No. 2) Regulations 2014

3. Using emergency adrenaline auto-injectors in schools - GOV.UK

4. In areas where the responsibility for health services for children and young people has been delegated to a Health and Social Care Partnership, under section 25(3) of the Public Bodies Joint Working (Scotland) Act 2014, this guidance applies to the Partnership and should be taken into account when preparing a strategic plan and commissioning the services to which this guidance relates.

5. Guidance on the Administration of Medicines in Schools, Scottish Executive, 2001

6. OHCHR | Convention on the Rights of the Child

7. National Health Service Reform (Scotland) Act 2004

8. Clinical and Care Governance Framework, Public Bodies (Joint Working) (Scotland) Act 2014, Scottish Government, 2015

9. NHS HDL 74 Clinical Governance Arrangements, Scottish Executive, 2001

10. NHS MEL 29 Clinical Governance, Scottish Executive, 2000

11. NHS MEL 75 Clinical Governance, Scottish Executive, 1998

12. How good is our school?, 4th edition, Education Scotland, 2015

13. Education authorities, schools and NHS Boards have a duty under the Equality Act 2010 to provide reasonable adjustments for children and young people with disabilities. Under it, the responsible body of a school is the education authority for public schools, the managers of a grant-aided school and the proprietors of an independent school.

14. Section 39 of the National Health Service (Scotland) Act 1978

15. Education (Scotland) Act 1980

16. Section 1 of the Education (Scotland) Act 1980

17. Section 30 of the Education (Scotland) Act 1980

18. Section 19 of the Education (Scotland) Act 1980

19. Section 32-44 of the Education (Scotland) Act 1980

20. Section 57 of the Education (Scotland) Act 1980

21. Section 2 of the Age of the Legal Capacity (Scotland) Act 1991

22. Part 1 of the Children (Scotland) Act 1995

23. Data Protection Act 1998

24. The EU-wide General Data Protection Regulation ( GDPR) will come into force in May 2018. The UK Parliament is currently considering the Data Protection Bill, which – once enacted – should be read alongside the provisions of the GDPR. For more information, visit the Information Commissioner's Office's pages on data protection reform.

25. Section 1(2) of the Data Protection Act 1998

26. Section 2 of the Data Protections Act 1998

27. Adults with Incapacity (Scotland) Act 2000

28. Section 1 of the Standards in Scotland's Schools etc. Act 2000

29. Section 2 of the Standards in Scotland's Schools etc. Act 2000

30. Section 1 of the Education (Disability Strategies and Pupil Educational Records (Scotland) Act 2002

31. Regulation 6 of the Pupils' Educational Records (Scotland) Regulations 2003

32. Education (Additional Support for Learning) (Scotland) Act 2004, the Education (Additional Support for Learning) (Scotland) Act 2009 and the Education (Scotland) Act 2016. The provision in the 2016 Act are effective from 10 January 2018.

33. Supporting Children's Learning Code of Practice, Scottish Government, 2010

34. Scottish Schools (Parental Involvement) Act 2006

35. The Equality Act 2010

36. Technical Guidance for Schools in Scotland, Equality and Human Rights Commission, 2014

37. Home Page | Equality and Human Rights Commission

38. Guidance on reasonable adjustments for disabled pupils Scotland, Equality and Human Rights Commission, 2014

39. The Public Bodies (Joint Working) (Scotland) Act 2014

40. Children and Young People (Scotland) Act 2014

41. Part 1 of the Children and Young People (Scotland) Act 2014

42. Schedule 1 of the Children and Young People (Scotland) Act 2014

43. These duties came into force in April 2017, with the first reports due in 2020.

44. Part 3 of the Children and Young People (Scotland) Act 2014

45. Human Medicines (Amendment) (No. 2) Regulations 2014

46. Human Medicines Regulations 2012

47. Mental Health (Scotland) Act 2015

48. Mental Health (Care and Treatment) (Scotland) Act 2003

49. Convention of the Rights of the Child, United Nations, 1989

50. Children and Young People (Information Sharing) (Scotland) Bill - Parliamentary Business : Scottish Parliament

51. Broad general education

52. How good is our school, Fourth Edition, Education Scotland, 2015

53. The National Improvement Framework for Scottish Education, Scottish Government, 2016

54. Guidance on the education of children and young people unable to attend school due to ill-health,Scottish Government, 2015

55. Developing the Young Workforce (DYW)

56. Pre-Birth to Three, Positive Outcomes for Scotland's Children and Families, National Guidance, Learning Teaching Scotland, 2010

57. Building the Ambition, National Practice Guidance on Early Learning and Childcare, Children and Young People (Scotland) Act 2014, Scottish Government, 2014

58. Health for all children 4: Guidance on Implementation in Scotland, Scottish Executive, 2005

59. Refresh of HALL 4, Reinforcing the key messages, CEL 15, Scottish Government, 2010

60. A new look at HALL 4, The Early Years Good Health for Every Child, Scottish Government, 2011

61. The Scottish Child Health Programme, Guidance on the 27-30 month review, Scottish Government, 2012

62. Universal Health Visiting Pathway in Scotland – Pre Birth to Pre School, Scottish Government, 2015

63. Role of the Child Health Commissioner, CEL 19, Scottish Government, 2011

64. Ready to Act - A transformational plan for Children and young people, their parents, carers and families who require support from allied health professionals (AHPs)

65. Children’s rights are to be further extended under the Education (Scotland) Act 2016 once the relevant provisions are commenced. This will give children a range of rights under Education (Additional Support for Learning) (Scotland) Act 2004 (as amended).

66. Guidance on the education of children unable to attend school due to ill health

67. Parental consent is only required if the medical practitioner is satisfied that the child does not have sufficient understanding. However, where parental consent is not legally required, good practice would seek to involve parents/carers, with the child's consent.

68. Parents/carers of children under 16 have the same rights as young people under the Education (Additional Support for Learning) Scotland) Act 2004 (as amended).

69. Section 14 of the Education (Additional Support for Learning) (Scotland) Act 2004 (as amended)

70. Section 23 of the Education (Additional Support for Learning) (Scotland) Act 2004 (as amended)

71. Section 26(2)(f) of the Education (Additional Support for Learning)(Scotland) Act 2004

72. Section 26 of the Education (Additional Support for Learning)(Scotland) Act 2004

73. Traditionally the school health team (or service) has provided a wide service ranging from health promotion in schools, immunisation and work with children and families with additional needs.

74. As set out in Public Health Nursing Services – Future Focus (CEL 13), Scottish Government, 2013, the qualified school nurse role is being refocused to provide a clear distinction between the qualified school nurse role and role of the wider school health team which may include healthcare support workers, community children's nurses and other registered nurses working within schools. Going forward the qualified school nurse role will centre on work with children, young people and their families with additional needs and a number of priority areas (looked after children, mental health and well-being, substance misuse, domestic abuse, youth justice, young carers, homeless families and children, transition periods and child protection). The wider school health team will lead on providing other key public health interventions and services within schools such as immunisations, health zones; height and weight. Following initial testing it is envisaged roll out of this refocused role will take place in 2017/18.

75. Where it has been agreed that a Child's Plan should be prepared, there will be a lead professional to make sure that the Child's Plan is managed properly and to co-ordinate the support described in the plan.

76. A New Look at Hall 4 – the Early Years – Good Health for Every Child

77. Universal Health Visiting Pathway in Scotland - Pre Birth to Pre School

78. Enquire Factsheet 4 - Resolving Disagreements

79. After 12 January 22018 Additional Support Needs Tribunal for Scotland transfers to Scottish Tribunals

80. Common Core of Skills, Knowledge & Understanding and Values for the "Children's Workforce" in Scotland, Scottish Government, 2012

81. This framework includes the Data Protection Act 1998 and the Pupils‟ Educational Records (Scotland) Regulations 2003.

82. Enquire » Factsheet 4: Resolving disagreements

83. The Schools (Health Promotion and Nutrition) Scotland Act 2007, which made amendments to the Standards in Scotland Schools Act 2000 in this regard places a duty on education authorities and managers of grant-aided schools to endeavour to ensure that public schools and grant-aided schools are health-promoting. (Section 2A)

84. The role of the Named Person

85. Under the Education (Additional Support for Learning) (Scotland) Act 2004 (as amended), a Co-ordinated Support Plan is a statutory plan required if a child or young person's needs will last a year or more and will require significant additional support from education and more than one other agency.

86. A guide to good practice in the management of controlled drugs in primary care - Scotland, Version 2.0, September 2014

87. Age of Legal Capacity (Scotland) Act 1991: Exceptions to General Rule

88. The NHS Minor Ailment Service at your local pharmacy

89. Aspirin - Tests & treatments | NHS inform

90. Codeine for cough and cold: restricted use in children - GOV.UK

91. Paragraph 12 of Schedule 4 of the Waste Management Licensing (Scotland) Regulations 2011

92. Waste carriers and brokers | Scottish Environment Protection Agency (SEPA)

93. Professional Collectors and Transporters of Waste - SEPA

94. Clinical waste | Scottish Environment Protection Agency (SEPA)

95. Technical guidance for schools in Scotland | Equality and Human Rights Commission

96. Health and Safety on Educational Excursions: A Good Practice Guide

97. Supporting You at College

98. The Human Medicines (Amendment) (No. 2) Regulations 2014

99. The Human Medicines Regulations 2012

100. Regulation 27 of The Human Medicines (Amendment) (No. 2) Regulations 2014 amends Schedule 17 of The Human Medicines Regulations 2012 to set out the principles of supply to schools.

101. School is defined in section 22 of The Human Medicines (Amendment) (No. 2) Regulations 2014 with reference to the definition in section 135 (1) of the Education (Scotland) Act 1980 as meaning "an institution for the provision of primary or secondary education or both primary and secondary education being a public school, a grant-aided school or an independent school, and includes a nursery school and a special school"; and the expression "school" where used without qualification includes any such school or all such schools as the context may require.

102. British Guidelines on the management of Asthma

103. Asthma | Guidance and guidelines | NICE

104. Regulation 27 of The Human Medicines (Amendment) (No. 2) Regulations 2014 amends Regulation 17 of The Human Medicines Regulations 2012 to permit persons selling or supplying prescription only medicines comprising salbutamol inhalers, subject to the condition that the principal or head teacher of the school has to present a signed order stating the name of the school, the purpose for which the medicine is required and the total quantity, and provided the purpose is for the supply of the medicine to pupils in an emergency.

105. Professional Collectors and Transporters of Waste - SEPA

106. The Human Medicines (Amendment) Regulations 2017

107. Adrenaline auto-injector advice for patients - GOV.UK

108. The Human Medicines (Amendment) (No. 2) Regulations 2014

109. The Human Medicines Regulations 2012

110. The Human Medicines (Amendment) Regulations 2017

111. The Human Medicines Regulations 2012

112. Epipen

113. Auto injector for anaphylaxis | Emerade

114. Anaphylaxis | ALK Lifeline (Jext) | Jext adrenaline auto-injector

115. Section 20 of the Equality Act 2010

116. Reasonable adjustments for disabled pupils Scotland, EHRC 2014

117. Technical guidance on the Public Sector Equality Duty: Scotland | Equality and Human Rights Commission

118. Technical Guidance for schools in Scotland, EHRC 2014

119. Section 149 of the Equality Act 2010

120. Public Authorities in Scotland - Who is covered by the Specific Duties? | Equality and Human Rights Commission

121. The Equality Act 2010 (Specific Duties) (Scotland) Regulations 2012

122. Technical guidance on the Public Sector Equality Duty: Scotland | Equality and Human Rights Commission

123. Guidance for Scottish public authorities | Equality and Human Rights Commission

124. The Human Medicines Regulations 2012

125. Patient group directions (PGDs) - GOV.UK

126. Medicines and Healthcare products Regulatory Agency - GOV.UK

127. The Human Medicines Regulations 2012

128. The Controlled Drugs (Supervision of Management and Use) Regulations 2013

129. Health and Safety at Work etc. Act 1974

130. The Management of Health and Safety at Work Regulations 1999

131. The Education (School and Placing Information) (Scotland) Regulations 2012

132. The Waste Management Licensing (Scotland) Regulations 2011

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