Schools can refer children/young people to their local Community Paediatrician if they have a Buckinghamshire GP. (see attached forms). If their GP is from another county then they will see the local paediatrician there.
The Community Paediatricians assess and care for children with a wide range of needs and conditions, particularly children with developmental problems and complex needs. They have specific expertise in Neuro-disability, looked after children, child protection and school health and have specialist clinics for children with attention deficit hyperactivity disorder and autistic spectrum disorders although school-aged children will be seen via the CAMHS Single Point of Access. The Paediatric team care for children aged 0 to 16 (up to 19 when in a special school). The service accepts referrals from professionals involved with a child and young person.
Bucks CAMHS are specialist mental health services for children and young people provided by the NHS. Schools are actively encouraged to refer children and young people directly to CAMHS. For any advice and support with any concerns you have about a child’s mental health or well-being, call Buckinghamshire CAMHS Single Point of Access on 01865 901951 or email oxfordhealth.bucksCAMHSSPA@nhs.net
Medical Conditions in Schools
The first port of call for the schools should always be the school nurse. The School Nursing Services provides face to face training in the instance of a new diagnosis or for cases that are more complex for asthma, epilepsy, continence and epi-pen training. The School Nursing Service is no longer providing yearly updates for epi-pen, asthma and epilepsy training on a routine basis. They now recommend schools source this training via e-learning, available via recognised specialist leading charities.
The Paediatric Outreach Nurse with the Children's Community Team provides training into mainstream schools for children with complex medical needs - this would include catheterisation, enteral feeding (NG tube and gastrostomy), oxygen and tracheostomy care. The Specialist Nurses may provide training on other conditions e.g. cystic fibrosis, diabetes, stoma care. The children will usually already be known to the community team due to their medical needs so parents or the school just need to ring the CCN team on 01296 315142 or email Dawn Wright firstname.lastname@example.org or Frankie Westby email@example.com who is the team lead with what training or support they require.
The Paediatric Outreach Nurse with the Children's Community Team will go into school to provide face to face theory training and then support staff with the medical care until they are deemed competent to provide the care independently. At this stage they will sign the staff off as competent. They will carry out on-going support and updates as required and under RCN guidance. Training for gastrostomy care will be in conjunction with Abbotts if a feeding pump is required. Buccolam training (for epilepsy management) will just be a one off training. The nurse will be unable to sign competency forms for this training as it is not possible to watch a staff member carry out the procedure.
Individual healthcare plans
Individual healthcare plans (IHPs) can help to ensure that schools effectively support pupils with medical conditions. They provide clarity about what needs to be done, when and by whom. They will often be essential, such as in cases where conditions fluctuate or where there is a high risk that emergency intervention will be needed, and are likely to be helpful in the majority of other cases, especially where medical conditions are long-term and complex. Plans should be drawn up in partnership between the school, parents, and a relevant healthcare professional, e.g. school nurse, specialist or children’s community nurse or paediatrician, who can best advise on the particular needs of the child. Pupils should also be involved whenever appropriate. Where the child has a special educational need identified in an EHC plan, the individual healthcare plan should be linked to or become part of that plan.