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Supporting Children and Young People with Healthcare Needs in Schools

Official Print Publication Date
Website Publication DateDecember 20, 2017


ISBN 978 1 78851 532 0 (Web only publication)
PPDAS 344946


An eratta was published on 02/02/2018 as a result of further changes to Annex B, General Information, paragraph 11.

The pdf and html published 20 December 2017 have both been updated to reflect this change.

An errata was published on 24/01/2018 at the following pdf pages:

Page 53 - General Information, paragraph 11

Text has been updated to read: The school’s spare adrenaline auto-injectors should only be used on children and young people where both medical authorisation and written parental consent has been provided to allow the school to do so. This also includes for children at risk of anaphylaxis, but who have not been prescribed with an AAI of their own. The school’s spare AAI can be administered in cases where the pupil’s own device cannot be administered correctly without delay. Emergency AAI devices must be held by the school and cannot be given to a child or young person to take home. AAI’s can be used through clothes and injected into the upper outer thigh in line with the instructions provided by the manufacturer.

The pdf and html have both been updated within the document to reflect these changes.

This document is also available in pdf format (678KB)


What is this guidance about?
How should this guidance be used?
What is the status of this guidance?

Chapter 1 - The Legislative and Policy Context
Legislative context
Policy context

Chapter 2 - Supporting Children and Young People With Healthcare Needs in Schools: Rights and Responsibilities
Introduction to rights and responsibilities
Children and young people's rights

Chapter 3 - Developing Policies and Procedures for Supporting Children and Young People with Healthcare Needs - NHS Board and Education Authority Agreements and Policies
Local strategic joint agreements
Policy framework on supporting children and young people with healthcare needs in schools
The allocation of support staff to meet the healthcare needs of children and young people in schools
Training and development of staff to support healthcare needs in schools
Education Authority indemnification/insurance
Sharing information and confidentiality
Resolving disagreements

Chapter 4 - Supporting Children and Young People with Healthcare Needs at School Level
The role of schools
School level training issues
Identifying and supporting healthcare needs in schools
Individual healthcare plans
Dealing with medicines safely
Access to medication
Administering medication
Paracetamol (and the use of other non-prescription medicines in schools)
Hygiene/infection control
Refusing medication
Disposal of medication
Intimate care

Chapter 5 - Circumstances Where a School May Need to Make Special Arrangements for Supporting Children and Young People with Healthcare Needs
The need to make reasonable adjustments
School trips and other outdoor learning activities Sporting activities
Social/fund raising activities
Work placements and vocational pathways delivered through school-college partnerships

Annex A: Guidance for Education Authorities, NHS Boards and Schools in Scotland on the use of Emergency Salbutamol Inhalers
General information in regard to the use of emergency salbutamol in schools in Scotland
Guidance for school staff on how to respond if a child or young person is having an asthma attack
Signs of an asthma attack
Useful information about the management of asthma

Annex B: Other Condition Specific Information
The use of adrenaline auto-injectors in schools
Signs of an allergic reaction
General information
Local policy: Education authorities and NHS Boards
Staff and training
School trips and sporting activities
Children and young people with epilepsy prescribed with emergency rescue Medicine
Insurance and indemnification

Annex C: Other Relevant Legislation and Policy to Support the Healthcare Needs of Children and Young People in Schools
The Equality Act 2010
Public Sector Equality Duty
Patient Group Directions
Independent Prescribers
Administration of injectable medicines for the purpose of saving life in an 62 emergency Controlled Drugs
Health and Safety at Work
Education (Schools and Placing Information) (Scotland) Regulations 2012
The Waste Management Licensing (Scotland) Regulations 2011

Annex D: Other Useful Guidance Documents and Useful Organisations
Other useful guidance
Useful organisations