Supporting CYP with Medical Needs

A child or young person (CYP) with medical needs does not necessarily have special educational needs or a disability. The Children and Families Act 2014 places a duty on school to support CYP with medical conditions. This support might be specified in a healthcare plan (different to an EHCP).

Government guidance on supporting CYP with medical conditions at school can be found here. Training is also available from the Somerset PIMS team. Further information can be found here.

Medical Funding

There are a small number of CYP whose medical needs are very complex and the impact of their condition on the school day could be considered as additional to what is expected of schools to deliver under the above guidance. CYP with such complex conditions will have extensive involvement from health and educational support services to provide assessment, monitoring, training, and necessary care plans.

Requests, for additional funding on medical grounds where a CYP has medical needs only (and no EHCP) can be directed to Simon Heritage SHeritage@somerset.gov.uk until the end of the current academic year as this process is currently under review. The requests, together with supporting evidence, are passed across to Health colleagues and are considered at a monthly Medical Panel. If agreed, schools are notified and funding is allocated.

Details of the new process will be shared with schools at the beginning of the summer term and those schools currently receiving funding will be notified individually of the changes and any actions they need to take.Provision from the Partnership SchoolsSome CYP who have medical needs may access their education on a temporary basis through the medical element of their local partnership school (Tor, South Somerset Partnership School, The Bridge, or Taunton Deane Partnership) when there is a view from their medical professional that they are too unwell to access any education in their school. Medical reasons can be both physical, such as cancer or chronic fatigue, or mental health, such as anxiety. Before referring a CYP to the Local Authority, it is expected that schools have worked with parent carers and medical professionals at an early stage to support continued attendance at school including consideration of part time timetables or the use of an AV1 robot.

The offer from the partnership school is dependent on the needs and age of the CYP and takes account of the medical advice. It could include funding for a school-based teaching assistant to provide additional tuition to a CYP in their home, online teaching, occasionally home tuition, or a placement at the partnership school. In order for a CYP to access this provision medical evidence is required, for physical needs this should come from the CYP’s paediatrician or specialist health team and for mental health needs from their psychiatrist or psychologist. Further information can be found here.

Medical Needs and Disability

Some CYP with medical conditions may be considered disabled. A CYP with a medical condition that is physical or mental and that has a ‘long term and substantial adverse effect on their ability to carry out day to day activities’ may be defined as disabled by the Equality Act 2010. This means they may also be covered under the SEND Code of Practice legislation. In this instance, the processes set out in this document should be followed, for example, the graduated response.

Last reviewed:October 13, 2022 byNick

Next review due:April 13, 2023

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