Co-op Academy Brierley wishes to ensure that all pupils with medical conditions receive appropriate care and support at school. This policy has been developed in line with the Department for Education Guidance - Supporting Pupils at School with Medical Conditions (Dec 2015).

Co-op Academy Brierley endeavours to ensure that all its pupils achieve success in their academic work, in their relationships and in their day-to-day experiences at school. Some of our pupils are likely to have medical needs which mean that additional measures are required to ensure that they are enabled to have full access to the curriculum, that the impact of their medical difficulties upon their life in school is

minimised as far as possible, and that all staff who work with the pupils understand the nature of their difficulties and how best to help them.

Our Healthcare Supervisor is able to work with family, pupils and staff to ensure Co-op Academy Brierley can provide an excellent standard of care to all children with medical needs and ensure their medical needs will not be a barrier to them receiving their education.

It is the expectation that whilst pupils are in our care, Teachers and Support Staff are prepared to take swift action in an emergency, both in school and off site, for example during school trips.

The prime responsibility for a pupil’s health lies with the parent or carer who is responsible for the pupil’s medication and should supply the school with any relevant information.

[Update: 11.05.2021] The policy is implemented in conjunction with the Child Protection and Safeguarding Policy.

1. Key Roles and Responsibilities

Trust

1.1. The Trust is responsible for:

1.1.1. The overall implementation of the Supporting Pupils with Medical Conditions Policy and procedures of the Co-op Academy Brierley.

1.1.2. Ensuring that Supporting Pupils with Medical Conditions Policy does not discriminate on any grounds including: ethnicity/national origin, culture, religion, gender, disability or sexual orientation.

1.1.3. Ensuring that any complaints regarding this policy are handled as outlined in the Trust’s Complaints Policy.

1.1.4. Ensuring that pupils with medical conditions are able to participate fully in all aspects of school life.

1.1.5. Ensuring that relevant training is delivered to staff members who take responsibility to support children with medical conditions.

1.1.6. Ensuring that information and teaching support materials regarding supporting pupils with medical conditions are available to members of staff with responsibilities under the policy.

1.1.7. Promoting co-operation between relevant partners and stakeholders regarding supporting pupils with medical conditions.

1.1.8. Ensuring the level of insurance in place reflects the level of risk.

Principle

1.2. The Principal or Headteacher is responsible for:

1.2.1. All staff are aware of this policy on supporting pupils with medical conditions, understand their role in its implementation and follow the correct procedures.

1.2.2. The policy is available for staff in the shared area of the academy system or as a hard copy.

1.2.3.The responsibilities of the SENCo (see below) are carried out effectively, including:

There is a sufficient number of trained staff available to implement this policy and deliver against all individual healthcare plans (IHCPs), including in contingency and emergency situations

1.2.4. Ensuring the school has correct facilities and equipment to provide medical care e.g. medical rooms, locked medication storage.

1.2.5. Ensuring the correct level of insurance is in place for staff who support pupils in line with the policy.

School Colleagues

1.3. Staff Members are responsible for:

1.3.1. Taking appropriate steps to support children with medical conditions.

1.3.2. Where necessary, making reasonable adjustments to include pupils with medical conditions into lessons

1.3.3. Administering medication, where that is part of their job role and they have received suitable training.

1.3.5. Recording all medicine that has been administered in the pupils ‘medicine record log’.

1.3.6. Undertaking training to achieve the necessary competency for supporting pupils with medical conditions if this is defined as part of their job role.

1.3.7. Informing the Healthcare Supervisor or Principle if they do not feel competent in administering medicine/procedure that they have been trained in.

1.3.8. Keeping a record of their own competency training and informing the Healthcare Supervisor prior to the expiry date of training.

1.3.9. Familiarising themselves with procedures detailing how to respond when they become aware that a pupil with a medical condition needs help.

1.3.10. Acting in line with their job descriptions and accepting training in new tasks when they are described in the Individual Healthcare Plan.

Healthcare Supervisor

1.4. The Healthcare Supervisor is responsible for:

1.4.1. Completing Initial Health Assessments with family before a child commences school to assess their health needs to ensure the child is supported to access school.

1.4.2. Ensure written records are kept of any and all medicines administered to individual pupils.

1.4.3. Supporting individual pupil’s NHS care plans to be implemented.

1.4.4. Carry out training with relevant staff - if unable to carry this out, Liaise with other Healthcare professionals to organise training.

1.4.5. Ensuring sufficient trained members of staff are available to implement the policy and deliver NHS Care Plans in normal, contingency and emergency situations.

1.4.6. Keeping staff updated to any change in policy or legislation on supporting pupils with medical conditions.

1.4.7. Ensuring if a pupil is on short term medication then, at the end of the course of treatment, it is marked complete.

1.4.8. Implement appropriate Care Plans for all children with Medical Needs.

1.4.9. Keeping a register of all medicine that is brought into school and the expiry dates of all medication is monitored on a regular basis. To communicate with parents to ensure they are informed with sufficient time to replace.

1.4.10. Ensure all personal competencies are up to date and carry out personal CPD to be able to carry out the role.

1.4.11. Working seamlessly with other health professionals to ensure that the health needs of our children and young people are met.

1.4.12. Where possible attending parents evening and coffee morning in the school setting to enable parents to discuss any concerns.

Parents and Carers Responsibilities

1.5. Parents/Carers are responsible for:

1.5.1. Parents/Carers to keep the school informed about any changes to their child’s health.

1.5.2. Completing a parental agreement for school to administer medicine before bringing medicine into school.

1.5.3. Provide up-to-date contact information so that parents/carers or other nominated adults are contactable at all times.

1.5.4. Provide any medication in its original packaging with the pharmacy label, clearly stating child’s name, child’s date of birth, name of medication, frequency / time medication administered, dosage and method of administration, special storage arrangements.

1.5.5. Parents/Carers may provide over the counter medication e.g. paracetamol or antihistamines if required but the medication must be sealed and in date with the appropriate instructions for the child’s age.

1.5.6. Provide any equipment required to carry out a medical intervention e.g. Epipens, inhalers and spacers, gastrostomy equipment.

2. Managing Medicine / Medical interventions at the academy

Managing Medication

2.1.1. Medicine / medical interventions will only be administered at academy when it would be detrimental to a pupil’s health or attendance not to do so.

2.1.2. It is expected that parents/carers will administer medication / medical interventions to their children during their time at home, where at all possible.

2.1.3. No medication / medical intervention will be administered without prior written permission from the parents/carers (with the exception of a medical emergency).

2.1.4. No changes to administration method or dosage of medication or changes in procedures relating to medical interventions will be carried out without written authority from parents/carers.

2.1.5. Any member of staff, on each occasion, giving medicine / medical intervention to a pupil should check:

Name of pupil
Written Instructions by the parents/carers of healthcare professionals
Prescribed dose or age appropriate dose, dependent on medication
Expiry Date
Any member of staff, on each occasion, will make a written record of medication / medical intervention, administered on the Medication Administration Record Chart.
No child under 16 will be given medicine containing Aspirin unless prescribed by a doctor
Anyone giving a pupil any medication (for example pain relief or antihistamines), will first check maximum dosages and when the previous dosage was taken. Parents/carers will always be informed.

2.1.6. All medication will be kept in a locked drug cabinet, all controlled drugs will be signed in and double locked whilst on site.

Emergency Supply of Allergy medication / Asthma Medication

2.2.1. All schools will have an appropriate number of adrenaline auto injectors and inhalers in case of emergencies.

2.2.2. Schools will follow government guidance on the use and supply of adrenaline auto injectors.

2.2.3. All educational visits and trips have an emergency adrenaline auto injector within the first aid box for emergency use only.

2.2.4. The emergency supply of this medication can only be given to those who have their own medication prescribed.

3. Pupil Role in Managing their own Medical Needs

3.1. Following discussion with parents / carers, children who are competent will be encouraged to take responsibility for managing their own medicine and procedures whenever possible.

3.2. Written permission from the parents/carers will be required for pupils to self-administer Medication.

3.3. It must be documented on each occasion that a child self-administers their own medication / medical intervention.

3.4. Children self-administering medication / medical intervention, will be supervised by a trained member of staff and may still require a level of adult support e.g. in the event of an emergency.

4. Staff Training

4.1. Staff must not give prescription or non-prescription medicines or undertake healthcare procedures without appropriate training. A First Aid Certificate does not constitute appropriate training in supporting children with medical conditions. Staff must not give advice or a medical view on a child’s health or a member of staff.

5. Refusing Medication / Medical Intervention

5.1. If a child refuses to take their medication / medical intervention, staff will not force them to do so. Refusal to take medication will be recorded and dated on the child’s record sheet. Reasons for refusal to take medication to / medical intervention must also be recorded as well as the action then taken by the member of staff and Parents / Carers informed.

5.2. Parents / Carers will be informed as soon as possible. Where the child is potentially placing themselves at risk by refusal, parents / carers will be informed immediately.

6. Storage of Medicines/Medical Intervention Equipment and Resources

6.1. All medicines will be stored securely in a lockable fridge/store cupboard (if medication is to be kept at an ambient temperature)

6.2. All medication must be stored out of reach of pupils at all times.

6.3. Signage must be displayed to identify where emergency medication is stored.

7. Controlled and Non-Controlled Drugs

Controlled Drugs

7.1.1. Controlled drugs are prescription medicines that are controlled under the misuse of Drugs Regulation 2001 and subsequent amendments, such as morphine or methadone.

7.1.2. A child who is prescribed a controlled drug may legally have it in their possession if they are competent to do so but passing it to another child for us is an offence. E

7.1.3. Where controlled drugs are not an individual child’s responsibility, they will be kept in a non-portable locked cabinet in a secure environment e.g. admin office, medical room.

7.1.4. Only named staff will have access.

7.1.5. Controlled drugs will be easily accessible in an emergency as agreed with parents/carers or described in the child’s IHCP.

7.1.6. Where controlled drugs are not an individual child’s responsibility, records will be kept of any doses used and the amount kept on the premises.

7.1.7. All controlled drugs to be in a double locked cupboard.

Non-Controlled Drugs

7.2.1. Parents can request administration of non-prescribed drugs (e.g. Calpol, paracetamol). Such medication should be labelled with the child’s name and DOB. The written procedure for administering the medication should be followed.

7.2.2. Schools are not permitted to have their own supplies of non-prescribed medicines (such as Calpol or Paracetamol) for administration to pupils.

7.2.3. All medication to be kept in a locked cupboard.

8. Records

8.1. The academy will keep a record of all medicines / medical interventions administered to individual children on each occasion, including the following:

Name of pupil
Date and time of administration
Who supervised the administration
Name of medication
Dosage A note of any side effects / reactions observed

9. Individual Health Care Plans (IHCP) and Medical Risk Assessments (MIPRA)

9.1. Where appropriate, an IHCP will be drawn up in consultation with the academy,

parents / carers, health professionals and other relevant professionals.

9.2 Where a medical professional assesses that a child has a medical condition that is unstable, a Medical Risk Assessment (MIPRA) should be completed to sit alongside the IHCP.

9.3. Where necessary, an NHS Care Plan will be used as the basis for an IHCP.

9.4. All Care Plans will be easily accessible whilst preserving confidentiality.

9.5. All Care Plans will be reviewed when a change to the child’s medical circumstances is identified. It remains the responsibility of the school to manage this.

10. Off-Site and Extended Academy Activities

10.1. Pupils with medical conditions will be actively supported in accessing all activities on offer including academy trips, sporting activities, clubs and residential / holidays.

10.2. Preparation and forward planning for all off-site and extended academy activities will take place to support a child with a medical condition to participate fully.

10.3. The academy will carry out and record a thorough risk assessment to ensure the safety of all pupils and staff. In the case of pupils with medical needs, the risk assessment process will involve children, parents/carers and relevant healthcare professionals to ensure the pupil can participate safely.

10.4. In some circumstances, evidence from a clinician, such as a hospital consultant, may state that participation in some aspects offered is not possible. Where this happens, the academy will make alternative arrangements for the child.

10.5. Arrangements will be in place to ensure that an IHCP can be implemented full and safely when out of academy. Risk Assessments utilising the MIPRA documentation will identify how IHCPs will be implemented effectively off-site and where additional supervision or resources are required.

10.6. The MIPRA for each child must be completed when taking children’s IHCPs off-site.

11. Managing Emergencies and Emergency Procedures

11.1. All staff will be made aware of the academy’s general risk management processes and planned emergency procedures.

11.2. Where a child has an IHCP, this will clearly define what constitutes an emergency and describe what to do. This may include:

11.2.1. An Emergency Medical Protocol that details the actions to be taken by staff and supported by specialist training where relevant e.g. seizure management and administration of rescue medication.

11.2.2. A Personal Emergency Evacuation Plan (PEEP) that details the actions to be taken by staff to support the child’s evacuation from the building, supported by specialist training where relevant.

11.2.3. The academy must have a procedure for contacting emergency services which is displayed in the appropriate places e.g. office, staff room etc.

11.3. Where an NHS Care Plan is in place it should detail :

11.3.1 What constitutes the threshold of an ambulance call out.

11.3.2. Action to be taken in an emergency.

11.4. If a pupil needs to be taken to the hospital in an emergency. A member of staff will remain with the pupil until their parent / carer arrives.

12. Confidentiality and Sharing of Information within academy

12.1. The Academy is aware of the need to manage confidential information sensitively and respectfully, maintaining the dignity of the child and family at all times, in line with GDPR.

12.2. The Academy will disseminate information to key members of staff involved in the child’s care on a needs - to - know basis, as agreed with parents/carers.

12.3. Where the child has an IHCP this will be shared with key staff with regular and scheduled briefings.

12.4. The academy will ensure that arrangements are in place to inform new members of staff of the child’s medical needs.

12.5. The academy will ensure that arrangements are in place to transfer information on a child’s medical needs to staff during any transition.

13. Liability and Indemnity

13.1. The academy insurance policies provide liability cover relating to the administration of medicines. A full and comprehensive set of documentation must be available to ensure academy insurance policies can be validated for all pupils who are administered medication on academy sites. Failure to demonstrate the correct documentation may invalidate insurance cover.

13.2. In the case of medical interventions, individual cover may be arranged for any specific healthcare procedures, including information about appropriate staff training and other defined requirements of the insurance policy.

13.3. The expectation is that only appropriately trained and insured staff will be involved in supporting medical interventions.

14. Complaints Procedure and Unacceptable Procedure

Complaints Procedure

14.1.1. In the first instance parents/carers dissatisfied with the support provided by their child’s medical condition should discuss their concerns directly with the SENDCo.

14.1.2. If this does not resolve the issue then the Complaints Policy can be followed. ]

Unacceptable Procedure

14.2. The academy works to prevent the following:

14.2.1. Requiring parents/carers to attend the academy to administer medicines / medical interventions or provide medical support to their child, including around toileting issues.

14.2.2. Preventing children from participating or creating unnecessary barriers to children participating in any aspect of school life, including trips, including by requiring parents/carers to accompany the child.

14.2.3. Assuming every child with the same condition requires the same treatment.

14.2.4. Ignoring the view of the child and/or their parents/carers (although this may be professionally challenged)

14.2.5. Ignoring medical evidence or opinion (although this may be professionally challenged)

14.2.6. Sending children with medical conditions home frequently.

14.2.7. Preventing children with medical conditions from staying at the academy for normal academy activities, including lunch, unless this is specified in their IHCP

14.2.8. If the child becomes ill, sending them to the academy office or medical room unaccompanied or with someone unsuitable.

14.2.9. Penalising children for their attendance record if their absences are related to their medical condition e..g hospital appointments.

Use of Emergency Salbutamol Inhalers in School

From 1st October 2014, the Human Medicines (Amendment) (No. 2) Regulations 2014 allow schools to keep a salbutamol inhaler for use in emergencies. The inhaler can be used if the pupil’s prescribed inhaler is not available (for example, because it is broken, or empty). This change applies to all primary and secondary schools in the UK. Schools are not required to hold an inhaler – this is a discretionary power enabling schools to do this if they wish.

At Co-op Academy Brierley we will be holding Emergency Salbutamol Inhalers and we will ensure that it will only be used by children, for whom written parental consent for use of the emergency inhaler has been given, who have either been diagnosed with asthma and prescribed an inhaler, or who have been prescribed an inhaler as reliever medication. A child may be prescribed an inhaler for their asthma which contains an alternative reliever medication to salbutamol (such as terbutaline). The salbutamol inhaler should still be used by these children if their own inhaler is not accessible – it will still help to relieve their asthma and could save their life.

We have arrangements for the supply, storage, care, and disposal of the inhaler and spacers in line with the Trust Policy on Supporting Pupils with Medical Conditions. Also in place will be the following:

Pupils Health Care Plan in each relevant classroom of pupils in the school that have been diagnosed with asthma or prescribed a reliever inhaler, a copy of which will be kept with the emergency inhaler. There will be a list in the front, of all children who have parental permission for the use of the Emergency Inhaler. This allows staff to have a quick check for initiating the emergency response.
Ensuring that the emergency inhaler is only used by children with asthma with written parental consent for its use. (The letter for consent at Appendix A will be used for this)
Keeping a record of parental consent on the asthma register will also enable staff to quickly check whether a child is able to use the inhaler in an emergency.
Consent will be updated annually to take account of changes to a child’s condition.
Appropriate support and training for staff in the use of the emergency inhaler in line with the Trust’s wider policy on Supporting Pupils with Medical Conditions.
Keeping a record of use of the emergency inhaler as required by Supporting Pupils at School with Medical Conditions Policy and informing parents or carers that their child has used the emergency inhaler. The letter at Appendix B will be used to notify parents.
Having at least two members of staff responsible for ensuring the protocol is followed.
The use of an emergency asthma inhaler should also be specified in a pupil’s individual healthcare plan where appropriate.

The emergency kit

Our emergency asthma inhaler kit includes:

A salbutamol metered dose inhaler;

At least two single-use plastic spacers compatible with the inhaler;

Instructions on using the inhaler and spacer/plastic chamber;

Instructions on cleaning and storing the inhaler;

Manufacturer’s information;

Checklist of inhalers, identified by their batch number and expiry date, with monthly checks recorded;

Note of the arrangements for replacing the inhaler and spacers;

A list of children permitted to use the emergency inhaler as per parental consent form;

A record of administration (i.e. when the inhaler has been used).

Two emergency kits will be kept in the Care Team Room which is known to all staff, and to which all staff have access at all times. The inhaler and spacer will not be locked away but will be out of the reach and sight of pupils. The emergency inhaler will be clearly labelled to avoid confusion with a child’s inhaler.

Storage and care of the inhaler:

There will be least two named members of staff that will have responsibility for ensuring that:

On a monthly basis the inhaler and spacers are present and in working order, and the inhaler has sufficient number of doses available;

That replacement inhalers are obtained when expiry dates approach;

Replacement spacers are available following use;

The plastic inhaler housing (which holds the canister) has been cleaned, dried and returned to storage following use, or that replacements are available if necessary;

An inhaler should be primed when first used (e.g. spray two puffs). As it can become blocked again when not used over a period of time, it should be regularly primed by spraying two puffs.

To avoid possible risk of cross-infection, the plastic spacer should not be reused. It can be given to the child to take home for future personal use.

The inhaler itself however can usually be reused, provided it is cleaned after use. The inhaler canister should be removed, and the plastic inhaler housing and cap should be washed in warm running water, and left to dry in air in a clean, safe place. The canister should be returned when it is dry, and replaced, and the inhaler returned to the designated storage place. However, if there is any risk of contamination with blood (for example if the inhaler has been used without a spacer), it should also not be reused

but disposed of.

Responding to asthma symptoms and an asthma attack:

Salbutamol inhalers are intended for use where a child has asthma. The symptoms of other serious conditions/illnesses, including allergic reaction, hyperventilation and choking from an inhaled foreign body can be mistaken for those of asthma, and the use of the emergency inhaler in such cases could lead to a delay in the child getting the treatment they need. For this reason, the emergency inhaler should only be used by children who have been diagnosed with asthma, and prescribed a reliever inhaler, or who have been prescribed a reliever inhaler AND whose parents have given

consent for an emergency inhaler to be used.

Common ‘day to day’ symptoms of asthma are:

Cough and wheeze (a ‘whistle’ heard on breathing out) when exercising

Shortness of breath when exercising

Intermittent cough

These symptoms are usually responsive to use of their own inhaler and rest (e.g. stopping exercise). They would not usually require the child to be sent home from school or to need urgent medical attention.

Signs of an asthma attack include:

Persistent cough (when at rest)

A wheezing sound coming from the chest (when at rest)

Being unusually quiet

The child complains of shortness of breath at rest, feeling tight in the chest (younger children may express this feeling as a tummy ache)

Difficulty in breathing (fast and deep respiration)

Nasal flaring

Being unable to complete sentences

Appearing exhausted

A blue / white tinge around the lips

Going blue

If a child is displaying the above signs of an asthma attack, the guidance below on responding to an asthma attack should be followed.

CALL AN AMBULANCE IMMEDIATELY AND COMMENCE THE ASTHMA ATTACK PROCEDURE WITHOUT DELAY IF THE CHILD

Appears exhausted

Has a blue/white tinge around lips

Is going blue

Has collapsed

Responding to signs of an asthma attack:

Keep calm and reassure the child.

Encourage the child to sit up and slightly forward.

Use the child’s own inhaler – if not available or there is a problem i.e.: broken, empty, out of date, not in school, use the emergency inhaler which is located in the Care Team Room.

Remain with the child while inhaler and spacer are brought to them.

Immediately help the child to take two puffs of the salbutamol via the spacer immediately.

If there is no immediate improvement, continue to give two puffs every two minutes up to a maximum of 10 puffs, or until their symptoms improve. The inhaler should be shaken between puffs.

Stay calm and reassure the child. Stay with the child until they feel better. The child can return to school activities when they feel better.

If the child does not feel better or you are worried at ANYTIME before you have reached 10 puffs, CALL 999 FOR AN AMBULANCE.

If an ambulance does not arrive in 10 minutes give another 10 puffs in the sameway.

The child’s parents or carers should be contacted after the ambulance has been called.

A member of staff should always accompany a child taken to hospital by ambulance and stay with them until a parent or carer arrives.

Recording use of the inhaler and informing parents/carers:

Use of the emergency inhaler should be recorded. This should include where and when the attack took place (e.g. PE lesson, playground, classroom), how much medication was given, and by whom. Supporting Pupils with Medical Conditions Policy requires written records to be kept of medicines administered to children. The child’s parents must be informed in writing so that this information can also be passed onto the child’s GP. The draft letter at Appendix B will be used to notify parents.

Staff

Any member of staff may volunteer to take on these responsibilities, but they cannot be required to do so. These staff may already have wider responsibilities for administering medication and/or supporting pupils with medical conditions.

In the following advice, the term ‘designated member of staff’ refers to any member of staff who has responsibility for helping to administer an emergency inhaler, e.g. they have volunteered to help a child use the emergency inhaler, and been trained to do this.

ALL staff are informed of:

Symptoms of an asthma attack, and ideally, how to distinguish them from other conditions with similar symptoms;

Staff who administer inhalers have appropriate training

Aware of the asthma policy;

Aware of how to check if a child is on the register;

Aware of how to access the inhaler;

Aware of who the designated members of staff are, and the policy on how to access their help;

Administering salbutamol inhalers through a spacer;

The school nurses deliver this training each year to all members of school staff.

Designated members of staff are trained in:

Recognising asthma attacks (and distinguishing them from other conditions with similar symptoms);

responding appropriately to a request for help from another member of staff;

recognising when emergency action is necessary;

Making appropriate records of asthma attacks.

Use of Emergency Adrenaline Auto-Injectors in School

From 1st October 2014, the Human Medicines (Amendment) (No. 2) Regulations 2014 allow schools to keep Adrenaline Auto-Injectors for use in emergencies. The Adrenaline Auto-Injector can be used if the pupil’s prescribed Adrenaline Auto-Injectors are not available (for example, because it is broken). This change applies to all primary and secondary schools in the UK. Schools are not required to hold an Auto-Injector – this is a discretionary power enabling schools to do this if they wish.

At Co-op Academy Brierley we will be holding Emergency Adrenaline Auto-Injectors and we will ensure that it will only be used by children, for whom written parental consent for use of the emergency Adrenaline Auto-Injector has been given, who have been diagnosed with severe allergies and prescribed an Adrenaline Auto-Injector.

We hold 2 different strengths of Adrenaline Auto-Injectors and will only administer the correct prescribed strength to a child.

There will be Pupils Health Care Plan in each relevant classroom of pupils in the school that have been diagnosed with severe allergies and prescribed a Adrenaline Auto-Injector inhaler.There will be a list in the front of the Auto-Injector storage, of all children who have parental permission for the use of the Emergency Inhaler. This allows staff to have a quick check for initiating the emergency response.
Ensuring that the Auto-Injector is only used by children with a prescribed Auto-Injector and with written parental consent for its use. (The letter for consent at Appendix C will be used for this)
Keeping a record of parental consent on the Auto-Injector register will also enable staff to quickly check whether a child is able to use the inhaler in an emergency.
Consent will be updated annually to take account of changes to a child’s condition.
Appropriate support and training for staff in the use of the emergency inhaler in line with the Trust’s wider policy on Supporting Pupils with Medical Conditions.
In the event of having to use the emergency Adrenaline Auto-Injector, an ambulance will be called due to the severity of the allergic reaction and parents will be immediately informed.
Having at least two members of staff responsible for ensuring the protocol is followed.

Appendix A

Consent form : Use of Emergency Salbutamol Inhaler

Appendix B

Letter to inform parents / carers of emergency Salbutamol Inhaler use

Appendix C

Consent form : Use of Emergency Adrenaline Auto-Injector

Appendix D

Consent Form : Medication to be administered within school hours