Under the Children and Families Act 2014 and the Equality Act 2010, schools must provide the same opportunities for children with epilepsy as with any other child and have structures in place to support them with managing their condition during education. This extends to schools trips. The following article looks at some key considerations for taking epileptic students on school outings.
Firstly, utilise existing documentation, such as the pupil’s individual healthcare plan (IHP) if they have one, to inform your trip planning. An IHP makes it clear what specific support the child needs, when it should be provided and who is responsible. Also seek advice from other healthcare professionals involved in the care of the pupil, who will be able to provide specialised advice around the proposed trip.
Secondly, conduct a risk assessment. Consider:
- Medication and the nature of the illness: What type of epilepsy does the pupil suffer from? Do the fits occur regularly and are they short or prolonged? Does the pupil take medication if so when and what? Are there any side effects to the medication? Does the pupil wear a form of monitor or cranial protection? What happens before, during and after a seizure? Are there any social or emotional difficulties that accompany the illness or other illnesses or medical conditions? This will dictate the level of care required also the nature of response.
- Location: Where a fit takes place is vital. Consider transitions and surfaces, at times it may be safer for the pupil to use an alternative such a lift over stairs. Is the site prepared for the student? Do they know the child will be attendance? Communicate fully with the provider or site about your adjustments and theirs.
- Supervision: Accompanying staff will need to know what to do in the event of a fit and the procedure in an emergency. They must be fully briefed, know the early signs, what to do when a fit is taking place and what to do after. There must be a dedicated first aider (or more depending on student ratio) available to administer specific first aid. Does the pupil have a teaching assistant with them at all times who will need to be in attendance?
- Triggers: Epilepsy is unique in all sufferers with triggers as diverse as dim lighting to crowded spaces. Consider the events of the day, are there any moments when a known trigger is prominent? Arrange alternatives for the child, for example they may have to sit out of the planetarium display but could visit another area of the museum. Sufferers often know the signs which signal the onset of a fit, for example a headache or an aura. Staff should be attentive to this.
The pupil has an important role to play in their own welfare. Discuss with them the safety measures in place, do they have any suggestions? The pupil will know their own condition best and can identify areas of concern they may have. Communicate fully with the parents or carers. It is important that everyone is tutored about epilepsy, but this must be balanced with a respectful handling of the pupil’s condition around their wishes. For example they may want only a few of their close friends to know, who can then form another line of attention and care.
No student should suffer disappointments as a result of a disability or medical condition. Careful planning, thorough research and clear communication can ensure that epileptic pupils enjoy the same outings and experiences as their peers.HandsamSchoolTripsAdvisor can help you compose a risk assessment with our risk assessment guidance. See also our trip planning system to ensure you cover all considerations during trip preparation.
