Medical Needs Audit - Best Endeavours and Reasonable Adjustments

Leicester City SEND Support Services

The BERA Medical Needs Audit on the following pages, is to be completed on an annual basis by each school, detailing the support provision for each individual child or young person who has or is felt to have a Medical Need.

The BERA Medical Need Audit and the Best Endeavours and Reasonable Adjustments Framework provide details of what schools must do to meet SEND needs and comply with their legal responsibilities under the SEND Code of Practice 2014, the Children and Families Act 2014 and the Equality Act 2010.

Where a child or young person with a diagnosed or suspected SEND need has other diagnosed or suspected SEND needs an audit will be completed for each need with which the child or young person presents.

Schools must also submit a Whole School Audit covering whole school SEND practice and an All-Needs Audit covering action required to support all those with a SEND need, irrespective of type.

Schools will benefit from the accurate and detailed completion of these audits which provide a clear picture of where school is meeting needs and help identify areas where further work is needed to fully meet the BERA requirements.

The BERA Audit is therefore very much part of the ‘Assess, Plan, Do, Review’ cycle (graduated approach), that is an excellent way to plan SEND support in schools. It can also help identify progress, support staff allocations and training needs and support schools’ applications for Element 3 top-up funding. It has also already been used to support schools in successful OFSTED inspections.

No.	Requirement	Fulfilled	Evidence / Comment	Action
This is the requirement number	This is the audit item.	This is the check box to confirm the requirement has been fulfilled.	Give the name and source of any documents that show this requirement has been fulfilled. Enter any extra information here relating to the fulfilment of this requirement.	Define any actions that need to be taken to fulfil this requirement or to ensure it continues to be fulfilled.

Name:	Click or tap here to enter text.
School / Setting:	Click or tap here to enter text.
Auditor:	Click or tap here to enter text.
Date of Audit:	Click or tap to enter a date.

No.	Requirement	Fulfilled	Evidence / Comment	Action
A key member of school staff is identified as the single point of contact for the family and child / young person. This key point of contact consults with the family, child / young person, health care professionals and other key professionals, so that information is accurately and consistently recorded and shared with family, child / young person, and key professionals.	Click or tap here to enter text.	Click or tap here to enter text.
The family, child/young person, health care professionals, other key professionals are made aware who the key member of staff is and how to contact them, this included when the child / young person is accessing hospital school (within the city or beyond).	Click or tap here to enter text.	Click or tap here to enter text.
This requirement is pre-emptive and should be in place, ‘in case’ of such a situation. Should the child or young person require admittance to and teaching by the Hospital School, the single point of contact notifies the Hospital School either before admittance or in a timely manner, all the necessary information regarding the child / young person. This needs to include effective learning strategies, adjustments, required resources / devices and current attainment and targets.	Click or tap here to enter text.	Click or tap here to enter text.
The key member of staff remains the single point of contact when the child/young person is absent due to their medical needs. Weekly pastoral meetings are held with family and child/young person whilst they remain absent.	Click or tap here to enter text.	Click or tap here to enter text.
The child or young person’s medical support needs and the need for an Individual Health Care Plan has been considered at a meeting with family, child or young person, key members of school staff, relevant health care professionals and clinicians (where unable to attend written evidence is provided by Health). At this meeting, an initial plan of action (adjustments, provision, and differentiation for the child/young person) is agreed which may include an Individual Health Care Plan.	Click or tap here to enter text.	Click or tap here to enter text.
6	Individual Health Care Plan is agreed, and this is reviewed at least annually or when a child or young person’s condition changes, with family, child or young person, relevant health care professionals and clinicians and key members of the school staff. Any changes to the plan or discontinuation must be quickly shared with all staff supporting the child or young person.	Click or tap here to enter text.	Click or tap here to enter text.
7	All staff working with the child or young person are aware of their medical needs and familiar with relevant policies (e.g., personal care plans) and how they apply to the child or young person.	Click or tap here to enter text.	Click or tap here to enter text.
8	Policies and reward systems have been reviewed and differentiated / adjusted to prevent disadvantage or discrimination. All staff are aware of such adjustments, and these are consistently applied.	Click or tap here to enter text.	Click or tap here to enter text.
9	All key staff have had specific formal training on how to manage and support the child/young person’s medical need. This training is regularly updated / refreshed.	Click or tap here to enter text.	Click or tap here to enter text.
10	Medicines are safely and securely stored with a limited number of staff (whose names are displayed appropriately at the storage location and are known to all staff) having access. Medicines can be accessed when required without undue delay.	Click or tap here to enter text.	Click or tap here to enter text.
11	A safe private place is available and accessible for the use / administration of medicines.	Click or tap here to enter text.	Click or tap here to enter text.
12	Arrangements have been put in place to help the child or young person manage any medical procedures or needs (anxiety) within school or during the school day (i.e., out on trips).	Click or tap here to enter text.	Click or tap here to enter text.
13	The child is supported with their mental and emotional health and well-being whilst at school and when absent. This includes supporting with maintaining friendships and relationships at school.	Click or tap here to enter text.	Click or tap here to enter text.
14	The child / young person and their family have been referred to and supported by Healthy Together (0-19) School Nursing Service.	Click or tap here to enter text.	Click or tap here to enter text.
15	Procedures are in place to ensure schoolwork is planned, provided and feedback given on work completed (where appropriate), in a timely manner for the child or young person during a period of absence due to their medical needs. Where appropriate learning content and resources are provided via a virtual or remote learning environment.	Click or tap here to enter text.	Click or tap here to enter text.
16	Parent / Carer of the child or young person are supported to encourage engagement with schoolwork and learning whilst absent from school due to their medical needs.	Click or tap here to enter text.	Click or tap here to enter text.
17	To ensure full access to the curriculum, strategies and interventions are used to support the child or young person to catch up on learning and schoolwork missed whilst absent from school due to their medical needs.	Click or tap here to enter text.	Click or tap here to enter text.