##### Insurance requirements for children with allergies and disabilities

- § If necessary, our insurance will include children with any disability or allergy, but certain procedures must be strictly adhered to as set out below. For children suffering life threatening conditions, or requiring invasive treatments; written confirmation from our insurance provider must be obtained to extend the insurance.
- § At all times we ensure that the administration of medication is compliant with the Safeguarding and Welfare Requirements of the Early Years Foundation Stage.
- § Oral medication:
- - inhalers are now regarded as ‘oral medication’ by insurers and so documents do not need to be - inhalers are now regarded as ‘oral medication’ by insurers and so documents do not need to be forwarded to our insurance provider. Oral medications must be prescribed by a GP or have manufacturer’s instructions clearly written on them.

We must be provided with clear written instructions on how to administer such medication.

- - adhere to all risk assessment procedures for the correct storage and administration of the medication. - adhere to all risk assessment procedures for the correct storage and administration of the medication.
- - must have the parents or guardians prior written consent. This consent must be kept on file. It is not - must have the parents or guardians prior written consent. This consent must be kept on file. It is not necessary to forward copy documents to our insurance provider.
- § Life-saving medication and invasive treatments:

These include adrenaline injections (Epipens) for anaphylactic shock reactions (caused by allergies to nuts, eggs etc) or invasive treatments such as rectal administration of Diazepam (for epilepsy).

- - We must have:
- • letter/care plan from the child's GP/consultant stating the child's condition and what medication if any • letter/care plan from the child's GP/consultant stating the child's condition and what medication if any is to be administered.
- • consent from the parent or guardian allowing our staff to administer medication; and • consent from the parent or guardian allowing our staff to administer medication; and
- • of training in the administration of such medication by the child's GP, a district nurse, children’s • of training in the administration of such medication by the child's GP, a district nurse, children’s nurse specialist or a community paediatric nurse. - PROVIDE
- - Written confirmation that we hold this information will first be sent to [the Early Years Alliance Insurance team for appraisal (Written confirmation that the insurance has been extended will be issued by return.
- § Treatments, such as inhalers or Epipens are immediately accessible in an emergency.
- § Key person for special needs children requiring assistance with tubes to help them with everyday living e.g. breathing apparatus, to take nourishment, colostomy bags etc.:
- - Prior written consent must be obtained from the child's parent or guardian to give treatment and/or medication prescribed by the child's GP.
- - The key person must have the relevant medical training/experience, which may include receiving appropriate instructions from parents or guardians.
- - Copies of all letters relating to these children must first be sent to [the Early Years Alliance Insurance team for appraisal]. Written confirmation that the insurance has been extended will be issued by return.
- § If we are unsure about any aspect, we contact [the Early Years Alliance Insurance team on 020 7697 2585 or email insurance@eyalliance.org.uk or insert details of your insurance provider].

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