Health care
Health care
Individual Health Care Plan
An Individual Healthcare Plan (IHP) is used in education to detail exactly what sort of care a child needs at school to support their medical condition. Individual healthcare plans do not have to be created for every child, they're only needed for children with complex medical needs. Individual Health Care Plans are developed in partnership between the school, parents, pupils, and the relevant healthcare professional who can advise on a child's needs. The aim is to ensure that schools know how to support the child effectively and to provide clarity about what needs to be done, when and by whom.
IHPs are designed for children with both physical and mental health conditions. It details what medical needs a child has and how they should be treated. The Children and Families Act 2014 ensures that children with medical needs are supported to give them the best quality of life at school.
The purpose of an IHP is to help school staff support children with medical conditions, offering them the same opportunities as every other child. Plans should be kept confidential and should be reviewed at a date set by parents and school staff in charge of the child's care plan. It is recommended that plans are reviewed at least once a year, but if deemed necessary they should happen more frequently (depending on the child's specific medical needs).
There is not a strict set of criteria which determines whether or not your child should have an IHP, it is up to the school's Headteacher to decide if they need one. Common medical needs that require an IHP are; asthma, epilepsy, diabetes and allergies, but there are many other conditions where a child may require a plan.
IHPs should be made with the child's best interest in mind. Each child is an individual who copes differently with various medical conditions. One child with the same medical condition as another may require an IHP whereas the other child doesn't.
An IHP should include:
- Child's details: name, address, date of birth, class
- Details about their condition: description, symptoms
- Daily requirements – what medication they require and dosage; for example aspirin, inhaler as well as any dietary needs
- Who will administer medication – who provides support and care
- Side effects of medication
- Family Contact information – names, contact numbers, address, relationship to the child
- GP and Hospital contact numbers and names
- Medical emergency – what action to take, who to contact
- Date of when the plan was created and when it is next reviewed
- IHPs should aim to provide any necessary information about how to best care for the child and what to do in emergency situations, so no information is bad information.
In some cases, depending on the child, their age and various other attributes some students will manage their own medical needs. Each individual will be assessed and the IHP will document whether the child carries their own medication to administer themselves. If a child does not want this responsibility, then staff should support them until they are able to do so on their own.
A IHP is a document which is drawn up involving people who may be required to contribute to a child's care whilst at school. This could include, but not limited to, child, parent, GP, health professional, head teacher, class teacher, care or support staff or any member of staff who might need to provide medical care or emergency care to the child the plan is in place for.
The plan is intended to set out what sort of support the child needs to participate in school life including physical education and school trips just like other children. Some children with medical conditions may be considered to be disabled under the definition set out in the Equality Act 2010. Where this is the case governing bodies must comply with their duties under that Act.
It's a written document that specifies what sort of help the school can provide for your child – for example, what medicines they can administer, and what to do in a medical emergency. Healthcare plans should be kept confidential, but your child's school will need to share the information with anyone who might need to deal with an emergency involving your child (for example, midday supervisors who monitor the dining hall and playground at lunchtime). The Headteacher should discuss who will need to see the plan with you (and your child, if they are old enough to understand).
Individual healthcare plans are not the same as Education, Health and Care Plans (EHCPs), which set out the support needed by children with special educational needs, although some children may have both types of plan.
Further information about supporting pupils at school with medical conditions can be found on the GOV.UK website.
Mental health
- A&E; If your life is at risk and you feel unable to keep yourself safe, you need an emergency service. A&E departments are open 24 hours a day or you can call 999.
- CYP Haven mental health crisis service for young people aged 10 to 18. 4pm to 8.30pm weekdays, 12pm to 6pm weekends.
- Extended Hope is for young people aged 11 plus in a mental health crisis. 01483 517898 operates 5pm to 11pm 7 days a week.
- The Mental Health Crisis helpline (sabp.nhs.uk) is a telephone service offering support to those who are experiencing a mental health crisis. Lines are open 24 hours, seven days a week, call 0800 915 4644 or text 07717 989024.
Mindworks (CAMHS) Single Point of Access
A single point of contact for referrals to Surrey and Borders Partnership services is called the Mindworks (CAMHS) Single Point of Access.
Referrals can be made by all health, education and social care practitioners, for example GPs and teachers. If a child or young person is already known to a team, please contact them directly on 0300 222 5755. They are open 8am to 8pm, Monday to Friday and then 9am to 12pm on a Saturday. The service is not open on bank holidays or Sundays.
- Mindworks Community Teams work across Surrey, promoting good mental health and provide assessment and treatment to children and young people up to the age of 18 with mental health concerns.
- Mindworks Eating Disorders Service, a community eating disorder service for children and young people age 0-18.
- Mindworks Sexual Trauma Assessment Recovery and Support (STARS) for young people who have been affected by sexual abuse.
- Kooth, a online counselling, self-help and moderated peer support for young people age 10-18.
- Learning Space, early intervention for young people age 5+.
- Relate, a counselling service for 10-18-year-olds with mild to moderate mental health in West Surrey.
- B-eat, an eating disorders support service.
- YoungMinds, children and young people's mental health charity.
- Childline, providing advice and support about a range of issues.
- Mind, mental health charity.
- Papyrus, a charity for the prevention of young suicide.
- Samaritans work to make sure there is always someone there for anyone who needs someone.
- SHOUT 85258 is a free, confidential 24/7 text support service.
- Stem4, a charity that supports positive mental health in teenagers.
- Dallaglio Rugby Works, supporting young people out of education or in Pupil Referral Units (PRU) (UK wide).
- Heart Heroes, supporting families of children with heart condition both the child and their siblings (England and Wales).
- Heads Together is counselling for young people age 11 to 24 in East Surrey provided by the YMCA.
- Mindworks Reaching Out Service is mental health support for young people 16-25 not in education, employment or training.
- Mindworks Youth Counselling Service is counselling for young people age 12-24.
- Step by Step is counselling for 11-25-year olds living in South West Surrey.
- The Mary Francis Trust, a mental health and emotional wellbeing charity in Surrey available for young people 18+.
- The Mix, information and support for young people under 25.
- CAMHS Child Wellbeing Practitioners (Healthysurrey.org.uk) offer guided self-help for children and adolescent with mild to moderate mental health difficulties'
- Mindworks Primary Mental Health Team supports children and young people when you feel emotionally or mentally unwell by helping to build resilience.
- Eikon, providing wellbeing support service in schools.
- Children in Care Services (sabp.nhs.uk) (3C's), a Specialist team providing mental health support for young people who are in the care of Surrey's Children Services.
- Mindworks Care Leavers Service, for young people age 16-25 with emerging moderate mental health difficulties.
- Mindworks Post Order Support Service, a dedicated service to children and young people age 0-18 years old who are subject to adoption or special guardianship order.
- Jigsaw provides information, advice and guidance to help support bereaved children and young people and those facing death of a loved one.
- Child Bereavement UK offers support, guidance and information to families when a child or young person is facing bereavement. Call 08000 28840.
- Winston Wish is a charity that supports children and young people after the death of a family member. Winston's Wish offers freephone support, email service and drop in advice. Call 08088 02002.
Bereavement by suicide
A Surrey and Borders Partnership booklet on Finding Your Way is a directory of suicide bereavement services.
Surrey Suicide bereavement support service is a service for families affected by Suicide.