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Special School Nursing

boy in wheelchair at special school

Special School Nurses undertake a range of activities aimed at improving and maintaining the health of children and young people – often with complex health needs – to attend school, maximising opportunities, enabling each child or young person to reach their full potential 

Introduction

The Special School Nursing team is a citywide service providing nursing care and support across 29 special schools.  The team comprises of a mix of Registered Children’s Nurses, Learning Disability Nurses, Complex Care Enteral Feeding Assistants and a School Nurse Assistant, whose roles and responsibilities are overseen by 3 Team Leaders, a Clinical Lead, Service Manager and Head of service.

Each special school has a dedicated team of registered nurses and support staff responsible for the health and wellbeing of children during the school day. Some special schools will have a dedicated team based within the school 5 days per week term time. There are also 3 registered nurses available during school holidays.

Who do we work with?

We work during the school day with any child or young person (age 2 to 19 years of age) on roll in any of the 29 special schools.

The service operates between 8.30- 16:30 mainly during term time with a limited service during school holidays. 

What do we do?

We undertake an assessment and develop a care plan for every new starter in special school. We reassess and evaluate care plans as required, dependent on individual pupil needs and circumstances. 

Nurses based in special school will in addition to carrying out direct nursing care also supervise safe clinical procedures which are carried out by junior nursing staff, complex care enteral feeders and teaching assistants, who have undertaken competency based training.

The special school nursing team will provide advice support and signposting to other services for a wide range of disabilities and healthcare needs. 

Regular Clinics are held in school with:

  • Consultant Paediatricians
  • Consultant Psychiatrists
  • Learning Disability Professionals
  • Paediatric Dieticians

Special School Nurses will work closely with social workers from the Disabled Children’s Social Care Team to support access to respite care and community resources for sport, play and leisure. Where there may be concerns around the safety and wellbeing of a child, for whatever reason, Special School Nurses will work in collaboration with the BCHC Safeguarding team and relevant Social Care team to support children and their families in overcoming difficulties.

We work in collaboration with teachers, teaching assistants, lunchtime supervisors and transport guides to ensure that each individual pupils needs are met.

We support this through:

•Undertaking an assessment and writing a care-plan for each new pupil starting in a special school which is updated as needs change whilst the pupil is attending a special school.

• Providing Clinical treatments during the day whilst pupils are in school, 

• Identification of possible problems with vision, hearing or dental health and making referral to appropriate service.

• Monitor a child young person’s growth & development and raising concerns if noted.

• Support   immunisation programmes within the school setting. 

• Identifying children who are at risk of failing to reach their full potential either through ill health affecting attendance or from the pressures families experience in caring for a child or young person with learning disabilities or difficulties; and providing appropriate support, advice or signposting to other services. 

• Work with teachers, Speech & Language therapists, Physiotherapists, Occupational Therapists, Paediatricians, Psychiatrists, Dieticians, Hospital consultants, Nurse Specialists, General Practitioners (GP) and other agencies to provide on-going care & support for children and their families  

• Provide training, information and guidance    to education colleagues, enabling them to    provide   safe & effective care to pupils with additional health care needs.

• Contribute to the Education, Health and Care plan (EHC) ensuring pupils health needs are appropriately met and managed whilst in school.

• Where children and young people are in Care the special school nurses will complete annual health assessments.

• Offer health education, support and advice to individual pupils during confidential drop-in sessions, as part of taught sessions with teaching staff or at the specific request of parents/carers. 

The Special school nursing team aim to provide health care for the children and young people in special schools that is personalised, with minimal disruption to the school timetable.

Special School Nursing Holiday Service  

There are 3 Registered nurses available during the school holidays to provide   support and advice to pupils and families referred to the holiday service by their named school nurse.   Referrals to the holiday service are accepted from the Special School Nursing Team, Social workers, GP’s, Community nursing services and Paediatricians by either written referral or telephone contact.

Contact Us

Please click here to see the contact details for your child's school nurse team.

Please click here to see the contact details for the Special School Nurse team leads, and school holiday cover.

Click here to download the Special School Nurse Intervention Request Form.

This form will need to be completed by school / parents / other agencies if they wish for any planned intervention by the special school nurse team.