Managing medical conditions in schools

It is a statutory requirement for all schools to have a policy that makes clear the arrangements to support pupils with medical conditions.

Supporting pupils with medical conditions at school guidance (GOV.UK)
Statutory guidance about support that pupils with medical conditions should receive at school.

Policy and supporting documents

Revised Ealing supporting pupils with medical conditions in schools policy. (Based on the Department for Education (DfE) guidance Supporting Pupils with Medical Conditions in Schools 2014).

The policy was consulted on with schools, health professionals and other related stakeholders before being endorsed by the Ealing Safeguarding Children Board (ESCB). In addition to the policy there are also a number of supporting documents below:

The local authority is recommending that all governing boards (GBs) review this policy according to their specific needs before adopting. It should not be adopted ‘wholesale’ without reviewing to make sure it is fit for purpose and that provision for any training or role related changes are planned for and implemented. We request that this happens by the end of autumn 2018.

School checklist – baseline of current provision

As part of the policy, appendix one contains a useful checklist to ascertain the school’s current provision and future needs. To assess the impact of this policy we would be grateful if you could complete this medical conditions survey by the end of autumn 2018 term. The results will be anonymised and only used to inform future training and support needs. Our intention is to repeat this in autumn 2019 to gauge the impact of the policy and further support and training needs.

Resources and guidance

EpiPen expiry dates and alternative devices
Schools will be aware of the supply issue affecting the EpiPen for the remainder of 2018.

Department of Health and Social Care - EpiPen shortage and guidance (pdf)

Department of Health and Social Care guidance on using alternative devices and and the use of EpiPen's after their expiry dates (pdf)

The above guidance from children’s allergy experts is now subject to the following updates:

  • During this period of reduced supply, 300mcg (the same as 0.3mg) of adrenaline can be prescribed to children weighing 25kg or above, even where the pen might state 30kg or above; and
  • In the event of anaphylaxis during this shortage period, if a child has no in-date pen, an out of date pen can be used. Using an out-of-date pen might give a lower dose of adrenaline but it is better to use an out of date pen than wait for an ambulance to arrive.

NHS letter to parents affected by the EpiPen shortage (pdf)

Anaphylaxis resources

Free online anaphylaxis training course AllergyWise for Schools is designed to ensure that key staff in schools are fully aware of the signs and symptoms of anaphylaxis, how to provide emergency treatment and the implications for management of severely allergic children from Key Stages 1 to 5 in an education setting.

Asthma: School guidance (pdf)

Asthma toolkit (Healthy London website)

Asthma online course - (Supporting children’s health website) - helping you support children who have asthma.

Bladder and Bowel guidance (ERIC - Children's bowel and bladder charity website)

Diabetes schools’ guidance (Health London website)

Emergency Inhalers and Adrenaline Auto-Injectors (AAIs) (GOV, pdf)

Epilepsy schools’ guidance (Health London website)

Food allergy free online training (Food Standards Agency) - Catering providers and catering staff can study the modules and pass the tests to gain a continuing professional development (CPD) certificate.

Food allergen information (GOV.UK) - Allergen information and downloadable posters for schools.

MindEd (Mind website)- a free educational resource on children and young people's mental health for all adults.

Specialist toileting needs guidance in early years and schools (pdf)
Guidance from Early Start Ealing to assist leaders and managers in fulfilling their legal responsibilities in meeting the needs of children who require additional toileting support.


For further information contact:

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Last updated: 14 Feb 2019