Schools guidance for supporting pupils with medical conditions

Anxiety based school avoidance flow chart

1. Get advice

• Swift response once concerns are identified
• Active listening – Pupil voice
• Maintain clear communication with family and pupil
• Strengths-based discussions with pupil and family
• Joint approach and plans agreed with school/pupil/family/EWO
• Consider Graduated Response Tool to identify needs
• Consider referral into SPA or School nurse
• Make reasonable adjustments and plan for full reintegration to school promptly
• Signpost to wellbeing platform  (adults) Qwell (young people) Kooth
• Highlight with Mental Health Lead in school
• Healthy Schools training/resources
• Review regularly

PROGRESS IS MADE – MOVE TO UNIVERSAL KEEPING ADJUSTMENTS THAT ARE SUCCESSFUL

2. Get help

All the previous plus:

• Mental Health Support Teams in schools (where available)/TWS for children open to social care
• Involve School nurse and Education Welfare Officer
• Consider Individual Health Care Plan
• Consider Early Help support and a Multi-agency approach (family, education, health and social care)
• Involve EP for advice on next steps, interventions and assessments
• Consider the following for referrals:  Young Devon, CAMHS, C&IT & SEMH Advisory Teams
• Agree a plan and timescale for support

REVIEW AND REFER BACK TO UNIVERSAL KEEPING ADAPTATIONS/INTERVENTIONS THAT ARE SUCCESSFUL

3. Get more help

All the previous plus:

• Bespoke planning , adaptations & advice: Education Wellbeing Team
• Referral to bespoke support eg: Normal Magic, EMTAS, GRT, Proud2be, Intercom Trust
• Early Help participants are fully engaged in the process
• Graduated Response (assess-plan-do-review)

MAINTAIN CONTACT WITH UNIVERSAL AND RETAIN ADAPTATIONS/STRATEGIES THAT SUPPORT PROGRESS

4. Further support

All previous plus:

• Multi-agency meeting to risk assess current support
• Consider MASH for support and advice
• Consider S19 referral
• Review current offer and provision
• Personalised package of support
• Consider pathways back into learning
• Review Graduated Response  (assess-plan-do-review)