[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-307592-105":53,"doc-detail-307592-en":127},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":120,"head_meta":122,"extra_data":124,"updated_unix":126},105,"en","supporting-pupils-in-schools-with-medical-conditions-appendix-1","Supporting Pupils in Schools with Medical Conditions - Appendix 1","","Appendix 1 provides a set of editable school templates to support pupils with medical conditions. It includes a framework for an individual healthcare plan, parental agreement for administering medicines, headteacher confirmation, and records for medicines administered. The materials cover staff training documentation, authorisations for specific emergency medicines, procedures for emergency contact, and guidance for recognising and responding to asthma attacks, ensuring schools retain required standard-form information while adapting policies as 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","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-23","2026-09-19",true,{"@type":98,"interactionType":99,"userInteractionCount":101},"InteractionCounter",{"@type":100},"ViewAction",10,{"@type":103,"mainEntity":104},"FAQPage",[105,111,115],{"name":106,"@type":107,"acceptedAnswer":108},"What does Template A require for an individual healthcare plan?","Question",{"text":109,"@type":110},"Template A collects the pupil’s details, medical diagnosis and needs, symptoms and triggers, medication information, daily care requirements, educational and emotional support needs, visit/trip arrangements, and emergency definitions and actions.","Answer",{"name":112,"@type":107,"acceptedAnswer":113},"When must parents complete and sign Template B?",{"text":114,"@type":110},"The school will not give the child medicine unless the parent completes and signs Template B, which includes medicine details, dosage and timing, precautions, side effects, self-administration options, and contact information for the review process.",{"name":116,"@type":107,"acceptedAnswer":117},"How do the templates support emergency management for specific medicines and asthma?",{"text":118,"@type":110},"The pack includes authorisation templates for rectal diazepam and buccal midazolam, procedures for contacting emergency services, forms such as witness seizure documentation, and guidance on recognising and responding to asthma attacks.","https://schema.org",{"og:url":78,"og:type":121,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":123,"canonical":78},"index,follow",{"doc_id":125,"site_id":56},307592,1790175955,{"code":4,"msg":5,"data":128},{"doc_id":125,"user_id":129,"nickname":88,"user_avatar":130,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":101,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":136,"language":137,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":138,"faqs":139,"seo_title":140,"seo_description":61,"update_tm":141,"read_time":142},962085320529,"https://ap-avatar.wpscdn.com/davatar_9964176cb1d06d4a9deccf72a44ae3dc","Appendix 1 Templates  \nSupporting Pupils in Schools with Medical Conditions  \n\n|  |  | Page |\n| --- | --- | --- |\n| Template A | individual healthcare plan | 2 |\n| Template B | parental agreement for setting to administer medicine | 5 |\n| Template C | confirmation for Headteacher’s agreement toadminister medication | 7 |\n| Template D | record of medicine administered to an individual child | 8 |\n| Template E: | record of medicine administered to all children | 10 |\n| Template F | request for child to carry their own medication | 11 |\n| Template G | staff training record – administration of medicines | 12 |\n| Template H | authorisation for the administration of rectal diazepam | 13 |\n| Template I | authorisation for the administration of buccal midazolam | 15 |\n| Template J | contacting emergency services | 16 |\n| Template K | model letter inviting parents to contribute to individual healthcare plan development | 17 |\n| Template L | parents’ consent form for the emergency use of salbutamol inhaler | 18 |\n| Template M | model letter to inform parents of use of salbutamol inhaler | 19 |\n| Template N | witness seizure form | 20 |\n| Template O | how to recognise an asthma attack | 22 |\n| Template P | what to do in the event of an asthma attack | 23 |\n\nSchools may wish to amend these forms to include their logo or adapt them for their particular policies on the administration of medicine but please ensure that all information on the standard form is included.  \nPlease note Template I should not be amended, as the Paediatric Community Service has produced this form.  \nPage 1 of 23  \nTemplate A: individual healthcare plan  \nInsert Pupil’s Photo  \nName of school/setting Child’s name  \nGroup/class/form Date of birth Child’s address  \nMedical diagnosis or condition Date  \nReview date  \nFamily Contact Information  \nName  \nPhone no. (work)(home)  \n(mobile)  \nName Relationship to child Phone no. (work)(home)  \n(mobile)  \nClinic/Hospital Contact  \nName  \nPhone no.  \nG. P.  \nName  \nPhone no.  \nWho is responsible for providing support in school  \nPage 2 of 23  \nDescribe medical needs and give details of child’s symptoms, triggers, signs, treatments, facilities, equipment or devices, environmental issues etc  \nName of medication, dose, method of administration, when to be taken, side effects, contra-indications, administered by/self-administered with/without supervision  \nDaily care requirements  \nSpecific support for the pupil’s educational, social and emotional needs  \nArrangements for school visits/trips etc  \nOther information  \nDescribe what constitutes an emergency, and the action to take if this occurs  \nWho is responsible in an emergency (state if different for off-site activities)  \nPlan developed with  \nStaff training needed/undertaken – who, what, when  \nPage 3 of 23  \nForm copied to  \nSigned by:    \nJob Title:    \nDate:    \nSigned by: ……………………………………………………………………………………..  \nName of Parent: ………………………………………………………………………………  \nDate: …………………………………………………………………………………………...  \nPage 4 of 23  \nTemplate B: parental agreement for school to administer medicine  \nThe school will not give your child medicine unless you complete and sign this form.  \nDate for review to be initiated by Name of school/setting  \nName of child Date of birth Group/class/form  \nMedical condition or illness  \nMedicine  \nName/type of medicine (as described on the container) Expiry date  \nDosage and method Timing  \nSpecial precautions/other instructions  \nAre there any side effects that the school/setting needs to know about? Self-administration – y/n Procedures to take in an emergency Prescription/Non-Prescription (Delete as appropriate)  \n\n|  |\n| --- |\n|  |\n|  |\n|  |\n|  |\n|  |\n\n\n|  |  |\n| --- | --- |\n|  |  |\n|  |  |\n|  |  |\n|  |  |\n|  |  |\n|  |  |\n|  |  |\n| Prescription | Non-prescription |\n\nNB: Medicines must be in the original container as dispensed by the pharmacy  \nContact Details  \nName  \nDaytime telephone no. Relationship to child Address  \nI understand that I must deliv","cbCail9UzfNOdxlD","https://ap.wps.com/l/cbCail9UzfNOdxlD","pdf",171828,23,"English","# Template A: individual healthcare plan\n# Template B: parental agreement for school to administer medicine\n# Template C: confirmation of the Headteacher’s agreement to administer medicine\n# Template D: record of medicine administered to an individual child\n# Template E: record of medicine administered to all children\n# Template F: request for child to carry their own medication\n# Template G: staff training record – administration of medicines\n# Template H: authorisation for the administration of rectal diazepam\n# Template I: authorisation for the administration of buccal midazolam\n# Template J: contacting emergency services\n# Template K: model letter inviting parents to contribute to individual healthcare plan development\n# Template L: parents’ consent form for the emergency use of salbutamol inhaler\n# Template M: model letter to inform parents of use of salbutamol inhaler\n# Template N: witness seizure form\n# Template O: how to recognise an asthma attack\n# Template P: what to do in the event of an asthma attack","[{\"question\":\"What does Template A require for an individual healthcare plan?\",\"answer\":\"Template A collects the pupil’s details, medical diagnosis and needs, symptoms and triggers, medication information, daily care requirements, educational and emotional support needs, visit/trip arrangements, and emergency definitions and actions.\"},{\"question\":\"When must parents complete and sign Template B?\",\"answer\":\"The school will not give the child medicine unless the parent completes and signs Template B, which includes medicine details, dosage and timing, precautions, side effects, self-administration options, and contact information for the review process.\"},{\"question\":\"How do the templates support emergency management for specific medicines and asthma?\",\"answer\":\"The pack includes authorisation templates for rectal diazepam and buccal midazolam, procedures for contacting emergency services, forms such as witness seizure documentation, and guidance on recognising and responding to asthma attacks.\"}]","Supporting Pupils in Schools with Medical Conditions - Appendix 1 | PDF",1789851427,8]