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  BGfL Home - Children's Services - Inclusion Services - CRISP - CRISP Framework - 12 Management of Care
Thread 12 Band 6
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MANAGEMENT OF PERSONAL, HEALTH AND MEDICAL CARE
Provision  
Curriculum Curriculum opportunities to be flexible to respond to frequent urgent medical needs which are managed exclusively by adults.
Staffing Staff skilled and specifically trained in management of complex and critical health and personal care needs on a daily basis. Appropriate risk assessments are undertaken.
Resources Highly specialised individual healthcare resources, which are immediately available to address frequently occurring emergency requirements. An individual care plan is developed in partnership with parents/ carers and health care professionals.
Environment
and Facilities
Environment and facilities to take account of emergency medical procedures which occur frequently.
Examples
Assessment  
Complex and critical health and personal care needs are managed by essential medical monitoring, support and intervention.
Examples

 

Example  Thread 12 - Band 6
Early Years Provision Criteria
The high staff/child ratios enable individual educational programmes to be pursued while ensuring monitoring of complex medical needs. There are emergency procedures in place with clear guidelines for staff to act upon. The nursery is equipped with a wide range of facilities and all staff are trained in the education of children with medical care needs.

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Example  Thread 12 - Band 6
Early Years Assessment Criteria
Liam (4:0) spent a large part of the first year of life in hospital. He is on oxygen ventilation. He has a heart condition and is gastrostomy-fed. This all requires a lot of attached equipment and close supervision.

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Example  Thread 12 - Band 6
Key Stage 1  Provision Criteria
Staff are highly skilled and experienced in managing complex health care needs. They monitor constantly any changes in medical and physical conditions of students in order to respond quickly. They are also well aware of and take advantage of optimal learning times for students during the course of the day.

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Example  Thread 12 - Band 6
Key Stage 1 Assessment Criteria
Daniel (YR) has cerebral palsy with poor head and trunk control. He has a dislocated hip and kyphoscoliosis (spinal curvature). He has no independent mobility or self help skills yet. He is prone to respiratory infections, convulsions, urinary infections and temperature instability. These limit the continuity of his educational programme.

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Example  Thread 12 - Band 6
Key Stage 2  Provision Criteria
Close co-operation between nursing , teaching and classroom support staff has produced written guidance on managing critical medical conditions. This is particularised for individuals. Medication is recorded and observation of children’s responses to drug regimes is undertaken.

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Example  Thread 12 - Band 6
Key Stage 2 Assessment Criteria
Eleanor (Y5) has cryptogenic generalised epilepsy, (causing generalised seizures for which no cause has been found). They remain uncontrolled and while most occur at night she also has daytime attacks. She is often drowsy during the day and unable to concentrate. Her seizures require medication administered by trained staff and sometimes oxygen if she has breathing difficulties.

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Example  Thread 12 - Band 6
Key Stage 3  Provision Criteria
Teachers are skilled at finding new ways of presenting areas of learning that have been covered by students before but now are no longer competent in these previously acquired skills because of neurological degeneration.

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Example  Thread 12 - Band 6
Key Stage 3 Assessment Criteria
Marie (Y8) has Niemann-Pick disease which is resulting in deterioration in vision and hearing and neurological degeneration. She has developed epilepsy for which medication is making her very tired.

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Example  Thread 12 - Band 6
Key Stage 4  Provision Criteria
Equipment for the administration of oxygen is stored within immediate reach from the teaching area. An alarm/paging system allows teaching staff to summon emergency nursing care.

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Example  Thread 12 - Band 6
Key Stage 4 Assessment Criteria
Stuart (Y11) has Marfan’s syndrome which has caused visual impairment and physical disability, but also a life threatening congenital heart condition which requires very careful monitoring and drug administration.

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