{"id":18522,"date":"2022-09-29T16:31:32","date_gmt":"2022-09-29T15:31:32","guid":{"rendered":"https:\/\/www.devon.gov.uk\/support-schools-settings-new\/?page_id=18522"},"modified":"2025-04-23T12:57:05","modified_gmt":"2025-04-23T11:57:05","slug":"schools-guidance-for-supporting-pupils-with-medical-conditions","status":"publish","type":"page","link":"https:\/\/www.devon.gov.uk\/support-schools-settings\/inclusion\/education-inclusion-service\/support-for-pupils-with-health-needs\/schools-guidance-for-supporting-pupils-with-medical-conditions\/","title":{"rendered":"Schools guidance for supporting pupils with medical conditions"},"content":{"rendered":"\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:25%\">\n<div class=\"wp-block-rank-math-toc-block\" id=\"rank-math-toc\"><h2>Contents<\/h2><nav><ul><li class=\"\"><a href=\"#anxiety-based-school-avoidance-flow-chart\">Anxiety based school avoidance flow chart<\/a><\/li><li class=\"\"><a href=\"#1-get-advice\">1. Get advice<\/a><\/li><li class=\"\"><a href=\"#2-get-help\">2. Get help<\/a><\/li><li class=\"\"><a href=\"#3-get-more-help\">3. Get more help<\/a><\/li><li class=\"\"><a href=\"#4-further-support\">4. Further support<\/a><\/li><\/ul><\/nav><\/div>\n\n\n\t<div class=\"dcc-documents-cpt-fixed dccdocs-sticky dccdocs-hidden\">\r\n    <div class=\"grid-container\">\r\n        <div class=\"grid-x grid-margin-x\">\r\n            <div class=\"cell medium-12\">\r\n                <a class=\"back-to-top hide-for-print\" href=\"#content\"><svg class=\"app-c-back-to-top__icon\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"13\" height=\"17\" viewBox=\"0 0 13 17\"><path fill=\"currentColor\" d=\"M6.5 0L0 6.5 1.4 8l4-4v12.7h2V4l4.3 4L13 6.4z\"><\/path><\/svg> Contents<\/a>\r\n            <\/div>\r\n        <\/div>\r\n    <\/div>\r\n\t<\/div>\r\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:75%\">\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:41.333%\"><div class=\"document-meta-acf-block clearfix \" id=\"block_acf-block-6808d58ec887b\"><div class=\" dcc-documents-meta\"><div class=\"dcc-documents-widget dcc-documents-widget-block\"><div class=\"dcc-documents-widget-box2\"><p class=\"dcc-documents-published\"><span>Published<\/span> <time datetime=\"2022-09-29T16:31:32+00:00\">29\/09\/2022 4:31pm<\/time><\/p><p class=\"dcc-documents-updated\"><span>Last Updated<\/span> <time datetime=\"2025-04-23T12:57:05+00:00\">23\/04\/2025 12:57pm<\/time><\/p><\/div><\/div><\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:58.666%\"><div class=\"document-download-acf-block clearfix \" id=\"block_acf-block-6808d58ec88a8\">\r\n\r\n\t\t<div class=\" dcc-documents-downloads hide-for-print\"><div class=\"dcc-documents-widget dcc-documents-widget-block\"><div class=\"dcc-documents-widget-box2\"><div class=\"content-container\"><div class=\"content-column download-copy\"><h2 class=\"dcc-documents-title\">Document resources<\/strong><\/h2><p class=\"dcc-documents-intro\">These files may not be suitable for users of assistive technology.<\/p><\/div><div class=\"content-column download-button\"><ul class=\"dcc-documents-widget-dropdown dcc-documents-widget-menu\"><li class=\"dcc-documents-widget-is-dropdown\"><button class=\"button secondary dcc-documents-widget-noarrow dcc-documents-widget-button dcc-documents-widget-download-button\" >Download<\/button><ul id=\"\" class=\"dcc-documents-widget-vertical dcc-documents-widget-menu dcc-documents-widget-is-submenu\" data-disable-hover=\"true\" data-click-open=\"true\"><li><a href=\"https:\/\/devoncc.sharepoint.com\/:b:\/s\/PublicDocs\/Education\/ERx0KWJTHn5DpA7ZAezh33IB3dZd_rRRtLP_VcywlM6a5A?e=5n0x25\" rel=\"noopener\"><span class=\"dcc-documents-widget-text\"><span>Schools guidance for supporting pupils with medical conditions (Document)<\/span><\/span><span class=\"dcc-documents-widget-size\">132KB<\/span><\/a><\/li><\/ul><\/li><\/ul><\/div><\/div><\/div><\/div><\/div><\/div><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-group is-layout-flow wp-block-group-is-layout-flow\">\n<h2 class=\"wp-block-heading\" id=\"anxiety-based-school-avoidance-flow-chart\">Anxiety based school avoidance flow chart<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"1-get-advice\">1. Get advice<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Swift response once concerns are identified<\/li>\n\n\n\n<li>Active listening \u2013 Pupil voice<\/li>\n\n\n\n<li><a href=\"https:\/\/assets.publishing.service.gov.uk\/government\/uploads\/system\/uploads\/attachment_data\/file\/1099677\/Working_together_to_improve_school_attendance.pdf\" rel=\"noopener\">Maintain clear communication with family and pupil<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.communitycare.co.uk\/2018\/05\/30\/strengths-based-conversations-quick-tips-practice\/\" rel=\"noopener\">Strengths-based discussions<\/a> with pupil and family<\/li>\n\n\n\n<li>Joint approach and plans agreed with school\/pupil\/family\/EWO<\/li>\n\n\n\n<li>Consider a <a href=\"https:\/\/www.devon.gov.uk\/support-schools-settings\/ordinarily-available-inclusive-provision\/targeted\/the-graduated-approach\/\">Graduated Approach<\/a> to identify needs<\/li>\n\n\n\n<li>Consider referral into <a href=\"https:\/\/childrenandfamilyhealthdevon.nhs.uk\/\" rel=\"noopener\">SPA<\/a> or <a href=\"https:\/\/www.devon.gov.uk\/educationandfamilies\/health\/public-health-nursing-school-nursing\/\">School nurse<\/a><\/li>\n\n\n\n<li>Make <a href=\"https:\/\/assets.publishing.service.gov.uk\/government\/uploads\/system\/uploads\/attachment_data\/file\/1099677\/Working_together_to_improve_school_attendance.pdf\" rel=\"noopener\">reasonable adjustments<\/a> and plan for full reintegration to school promptly<\/li>\n\n\n\n<li>Signpost to wellbeing platform&nbsp;(young people) <a href=\"https:\/\/www.kooth.com\/\" rel=\"noopener\">Kooth<\/a><\/li>\n\n\n\n<li>Highlight with Mental Health Lead in school<\/li>\n\n\n\n<li>Healthy Schools training\/resources<\/li>\n\n\n\n<li>Review regularly<\/li>\n<\/ul>\n\n\n\n<p><strong>PROGRESS IS MADE \u2013 MOVE TO UNIVERSAL KEEPING ADJUSTMENTS THAT ARE SUCCESSFUL<\/strong><\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"2-get-help\">2. Get help<\/h2>\n\n\n\n<p>All the previous plus:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Mental Health Support Teams in schools (where available)\/<a href=\"https:\/\/www.dcfp.org.uk\/health-and-wellbeing\/emotional-and-mental-health\/therapeutic-wellbeing-service-devon\/\" rel=\"noopener\">TWS<\/a> for children open to social care<\/li>\n\n\n\n<li>Involve <a href=\"https:\/\/www.devon.gov.uk\/educationandfamilies\/health\/public-health-nursing-school-nursing\/\">School nurse<\/a> and <a href=\"https:\/\/www.devon.gov.uk\/support-schools-settings\/inclusion\/attendance-improvement\/\">Education Welfare Officer<\/a><\/li>\n\n\n\n<li>Consider <a href=\"https:\/\/www.gov.uk\/government\/publications\/supporting-pupils-at-school-with-medical-conditions--3\" rel=\"noopener\">Individual Health Care Plan<\/a><\/li>\n\n\n\n<li>Consider <a href=\"https:\/\/www.dcfp.org.uk\/early-help\/\" rel=\"noopener\">Early Help<\/a> support and a Multi-agency approach (family, education, health and social care)<\/li>\n\n\n\n<li>Involve <a href=\"https:\/\/www.devon.gov.uk\/support-schools-settings\/send\/educational-psychology\/educational-psychology-service\/\">EP for advice<\/a> on next steps, interventions and assessments<\/li>\n\n\n\n<li>Consider the following for referrals: &nbsp;<a href=\"https:\/\/www.youngdevon.org\/\" rel=\"noopener\">Young Devon<\/a>, <a href=\"https:\/\/childrenandfamilyhealthdevon.nhs.uk\/camhs\/\" rel=\"noopener\">CAMHS<\/a>, <a href=\"https:\/\/www.devon.gov.uk\/support-schools-settings\/send\/areas-of-need\/communication-and-interaction\/\">C&amp;IT<\/a> &amp; <a href=\"https:\/\/www.devon.gov.uk\/support-schools-settings\/send\/areas-of-need\/social-emotional-and-mental-health\/\">SEMH<\/a> Advisory Teams<\/li>\n\n\n\n<li>Agree a plan and timescale for support<\/li>\n<\/ul>\n\n\n\n<p><strong>REVIEW AND REFER BACK TO UNIVERSAL KEEPING ADAPTATIONS\/INTERVENTIONS THAT ARE SUCCESSFUL<\/strong><\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"3-get-more-help\">3. Get more help<\/h2>\n\n\n\n<p>All the previous plus:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Bespoke planning , adaptations &amp; advice: <a href=\"https:\/\/www.devon.gov.uk\/educationandfamilies\/school-information\/education-inclusion-service\/\">Education Wellbeing Team<\/a><\/li>\n\n\n\n<li>Referral to bespoke support eg: <a href=\"https:\/\/www.normalmagic.co.uk\/\" rel=\"noopener\">Normal Magic<\/a>, <a href=\"https:\/\/www.devon.gov.uk\/support-schools-settings\/inclusion\/ethnically-diverse-education-achievement-service\/\">EMTAS<\/a>, <a href=\"https:\/\/www.devon.gov.uk\/support-schools-settings\/inclusion\/ethnically-diverse-education-achievement-service\/gypsy-roma-traveller-showmen\/\">GRT<\/a>, <a href=\"https:\/\/www.proud2be.org.uk\/\" rel=\"noopener\">Proud2be<\/a>, <a href=\"https:\/\/www.intercomtrust.org.uk\/\" rel=\"noopener\">Intercom Trust<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.dcfp.org.uk\/early-help\/\" rel=\"noopener\">Early Help<\/a> participants are fully engaged in the process<\/li>\n\n\n\n<li><a href=\"https:\/\/www.devon.gov.uk\/support-schools-settings\/ordinarily-available-inclusive-provision\/targeted\/the-graduated-approach\/\">Graduated approach<\/a> (assess-plan-do-review)<\/li>\n<\/ul>\n\n\n\n<p><strong>MAINTAIN CONTACT WITH UNIVERSAL AND RETAIN ADAPTATIONS\/STRATEGIES THAT SUPPORT PROGRESS<\/strong><\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"4-further-support\">4. Further support<\/h2>\n\n\n\n<p>All previous plus:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Multi-agency meeting to risk assess current support<\/li>\n\n\n\n<li>Consider MASH for support and advice<\/li>\n\n\n\n<li>Consider <a href=\"https:\/\/www.smartsurvey.co.uk\/s\/ALTPS19\/\" rel=\"noopener\">S19 referral<\/a><\/li>\n\n\n\n<li>Review current offer and provision<\/li>\n\n\n\n<li>Personalised package of support<\/li>\n\n\n\n<li>Consider pathways back into learning<\/li>\n\n\n\n<li>Review <a href=\"https:\/\/www.devon.gov.uk\/support-schools-settings\/ordinarily-available-inclusive-provision\/targeted\/the-graduated-approach\/\">Graduated approach<\/a>\u00a0 (assess-plan-do-review)<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Anxiety based school avoidance flow chart 1. Get advice PROGRESS IS MADE \u2013 MOVE TO UNIVERSAL KEEPING ADJUSTMENTS THAT ARE SUCCESSFUL 2. Get help All [&hellip;]<\/p>\n","protected":false},"author":2471,"featured_media":0,"parent":15280,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"longdocument-template.php","meta":{"_acf_changed":false,"footnotes":"","_links_to":"","_links_to_target":""},"class_list":["post-18522","page","type-page","status-publish","hentry"],"acf":{"updated":"","dccdocs_documents":null,"section-guidance":"","sections":null},"publishpress_future_action":{"enabled":false,"date":"2026-04-29 06:01:48","action":"change-status","newStatus":"draft","terms":[],"taxonomy":"","extraData":[]},"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"_links":{"self":[{"href":"https:\/\/www.devon.gov.uk\/support-schools-settings\/wp-json\/wp\/v2\/pages\/18522","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.devon.gov.uk\/support-schools-settings\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.devon.gov.uk\/support-schools-settings\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.devon.gov.uk\/support-schools-settings\/wp-json\/wp\/v2\/users\/2471"}],"replies":[{"embeddable":true,"href":"https:\/\/www.devon.gov.uk\/support-schools-settings\/wp-json\/wp\/v2\/comments?post=18522"}],"version-history":[{"count":5,"href":"https:\/\/www.devon.gov.uk\/support-schools-settings\/wp-json\/wp\/v2\/pages\/18522\/revisions"}],"predecessor-version":[{"id":32070,"href":"https:\/\/www.devon.gov.uk\/support-schools-settings\/wp-json\/wp\/v2\/pages\/18522\/revisions\/32070"}],"up":[{"embeddable":true,"href":"https:\/\/www.devon.gov.uk\/support-schools-settings\/wp-json\/wp\/v2\/pages\/15280"}],"wp:attachment":[{"href":"https:\/\/www.devon.gov.uk\/support-schools-settings\/wp-json\/wp\/v2\/media?parent=18522"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}