Health and Safety Policy

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1 CUTHBERT S C OF E ACADEMY INFANTS AND PRE- SCHOOL POLICY 2018 Health and Safety Plicy Cntents 1. Aims Legislatin Rles and respnsibilities Site security Fire COSHH Equipment Lne wrking Wrking at height Manual handling Off-site visits Lettings Vilence at wrk Smking Infectin preventin and cntrl New and expectant mthers Occupatinal stress Accident reprting Training Mnitring Links with ther plicies Appendix 1. Fire safety checklist Appendix 2. Recmmended absence perid fr preventing the spread f infectin... 15

2 1. Aims Our Academy aims t: Prvide and maintain a safe and healthy envirnment Establish and maintain safe wrking prcedures amngst staff, pupils and all visitrs t the academy site Have rbust prcedures in place in case f emergencies Ensure that the premises and equipment are maintained safely, and are regularly inspected 2. Legislatin This plicy is based n advice frm the Department fr Educatin n health and safety in schls and the fllwing legislatin: The Health and Safety at Wrk etc. Act 1974, which sets ut the general duties emplyers have twards emplyees and duties relating t lettings The Management f Health and Safety at Wrk Regulatins 1992, which require emplyers t make an assessment f the risks t the health and safety f their emplyees The Management f Health and Safety at Wrk Regulatins 1999, which require emplyers t carry ut risk assessments, make arrangements t implement necessary measures, and arrange fr apprpriate infrmatin and training The Cntrl f Substances Hazardus t Health Regulatins 2002, which require emplyers t cntrl substances that are hazardus t health The Reprting f Injuries, Diseases and Dangerus Occurrences Regulatins (RIDDOR) 2013, which state that sme accidents must be reprted t the Health and Safety Executive and set ut the timeframe fr this and hw lng recrds f such accidents must be kept The Health and Safety (Display Screen Equipment) Regulatins 1992, which require emplyers t carry ut digital screen equipment assessments and states users entitlement t an eyesight test The Gas Safety (Installatin and Use) Regulatins 1998, which require wrk n gas fittings t be carried ut by smene n the Gas Safe Register The Regulatry Refrm (Fire Safety) Order 2005, which requires emplyers t take general fire precautins t ensure the safety f their staff The Wrk at Height Regulatins 2005, which requires emplyers t prtect their staff frm falls frm height The Academy fllws natinal guidance published by Public Health England when respnding t infectin cntrl issues. This plicy cmplies with ur funding agreement and articles f assciatin. 2

3 3. Rles and respnsibilities 3.1 The Gverning Bdy The Gverning Bdy has ultimate respnsibility fr health and safety matters in the academy, but will delegate day-t-day respnsibility t Head teacher. The gverning bdy has a duty t take reasnable steps t ensure that staff and pupils are nt expsed t risks t their health and safety. This applies t activities n r ff the academy premises. The gverning bdy, as the emplyer, als has a duty t: Assess the risks t staff and thers affected by academy activities in rder t identify and intrduce the health and safety measures necessary t manage thse risks Infrm emplyees abut risks and the measures in place t manage them Ensure that adequate health and safety training is prvided The gvernrs wh versee health and safety are Mrs Angharad Pursey and Ms Ann Lxtn. The Gverning Bdy have appinted Educating Safely LLP as "Cmpetent persn" fr the purpses f Regulatin 7 f the Management f Health and Safety at Wrk Regulatins Head teacher The head teacher is respnsible fr health and safety day-t-day. This invlves: Implementing the health and safety plicy Ensuring there is enugh staff t safely supervise pupils Ensuring that the academy building and premises are safe and regularly inspected Prviding adequate training fr academy staff Reprting t the gverning bard n health and safety matters Ensuring apprpriate evacuatin prcedures are in place and regular fire drills are held Ensuring that in their absence, health and safety respnsibilities are delegated t anther member f staff Ensuring all risk assessments are cmpleted and reviewed Mnitring cleaning cntracts, and ensuring cleaners are apprpriately trained and have access t persnal prtective equipment, where necessary In the Head teacher s absence, the Deputy Head teacher assumes the abve day-t-day health and safety respnsibilities. 3.3 Health and safety lead The nminated health and safety lead is the Head teacher 3.4 Staff Academy staff have a duty t take care f pupils in the same way that a prudent parent wuld d s. Staff will: Take reasnable care f their wn health and safety and that f thers wh may be affected by what they d at wrk 3

4 C-perate with the academy n health and safety matters and this plicy Wrk in accrdance with training and instructins Infrm the Head teacher r Deputy Head teacher f any wrk situatin representing a serius and immediate danger s that remedial actin can be taken Mdel safe and hygienic practice fr pupils Understand emergency evacuatin prcedures and feel cnfident in implementing them 3.5 Pupils and parents Pupils and parents are respnsible fr fllwing the academy s health and safety advice, n-site and ffsite, and fr reprting any health and safety incidents t a member f staff. 3.6 Cntractrs Cntractrs will agree health and safety practices with the head teacher befre starting wrk. Befre wrk begins the cntractr will prvide evidence that they have cmpleted an adequate risk assessment f all their planned wrk. 4. Site security The Caretaker and Cleaner(s) are respnsible fr the security f the academy site in and ut f the academy sessin hurs. They are respnsible fr visual inspectins f the site, and fr the intruder and fire alarm systems. The Caretaker & Schl Cleaner are key hlders and will respnd t an emergency. 5. Fire Emergency exits, assembly pints and assembly pint instructins are clearly identified by safety signs and ntices. Fire risk assessment f the premises will be reviewed regularly. Emergency evacuatins are practised at least nce a term. The fire alarm is a lud cntinuus bell Fire alarm testing will take place nce a week and fire extinguishers inspectins will take place mnthly. These are dne by the Caretaker and findings recrded. Recrds are held in the schl ffice. New staff will be trained in fire safety and all staff and pupils will be made aware f any new fire risks. In the event f a fire: The alarm will be raised immediately by whever discvers the fire and emergency services cntacted by the Office Manager Evacuatin prcedures will als begin immediately Fire extinguishers may be used by staff nly, and nly then if staff are trained in hw t perate them and are cnfident they can use them withut putting themselves r thers at risk Staff and pupils will cngregate at the assembly pints. These are in the main playgrund. Class teachers will take a register f pupils, which will then be checked against the attendance register f that day The Head teacher will take a register f all staff 4

5 Staff and pupils will remain utside the building until the emergency services say it is safe t reenter The academy will have special arrangements in place fr the evacuatin f peple with mbility needs and fire risk assessments will als pay particular attentin t thse with disabilities. Parents/carers will be cntacted via the Academy s nline cmmunicatin system Parentmail if pupils need t be cllected. A fire safety checklist can be fund in appendix COSHH Academy s are required t cntrl hazardus substances, which can take many frms, including: Chemicals Prducts cntaining chemicals Fumes Dusts Vapurs Mists Gases and asphyxiating gases Germs that cause diseases, such as leptspirsis r leginnaires disease Cntrl f substances hazardus t health (COSHH) risk assessments are crdinated by the Schl Office Administratr fr the Academy. The COSHH risk assessments are cmpleted by: the Schl Office Administratr fr schl ffice and class items the Pre-Schl Administratr the Caretaker fr cleaning and caretaking items. These are circulated t all emplyees wh wrk with hazardus substances. Staff will als be prvided with prtective equipment, where necessary. Our staff use and stre hazardus prducts in accrdance with instructins n the prduct label. All hazardus prducts are kept in their riginal cntainers, with clear labelling and prduct infrmatin. Hazardus substances will be stred in lcked cupbards. Any hazardus prducts are dispsed f in accrdance with specific dispsal prcedures. Emergency prcedures, including prcedures fr dealing with spillages, are displayed near where hazardus prducts are stred and in areas where they are rutinely used. 6.1 Gas safety Installatin, maintenance and repair f gas appliances and fittings will be carried ut by a cmpetent Gas Safe registered engineer Gas pipewrk, appliances and flues are regularly maintained 5

6 All rms with gas appliances are checked t ensure: 6.2 Leginella 6.3 Asbests adequate ventilatin kept clear f cmbustibles fire guards are in place and secure where required A water risk assessment has been cmpleted n 9 th August 2017 by Eplus Glbal Limited. Eplus Glbal, Educating Safely LLP and the caretaker are respnsible fr ensuring that the identified peratinal cntrls are cnducted and recrded in the academy s water lg bk This risk assessment will be reviewed when significant changes have ccurred t the water system and/r building ftprint The risks frm leginella are mitigated by the fllwing range f measures which may include water temperature checks, water tank inspectins, disinfectin f shwers, etc. The academy has an asbests register lcated in the Schl Office. This is shared with staff and cntractrs s that they are aware f knwn lcatins f asbests n the academy site. This will allw steps t be taken t ensure safe wrking prcedures and t reprt t the Head teacher if they suspect they have disturbed it Arrangements are in place t ensure that cntractrs are made aware f any asbests n the premises and that it is nt disturbed by their wrk Cntractrs will be advised that if they discver material which they suspect culd be asbests, they will stp wrk immediately until the area is declared safe The academy als has an asbests management plan lcated in the frnt f the asbests register in the schl Office 7. Equipment All equipment and machinery is maintained in accrdance with the manufacturer s instructins. In additin, maintenance schedules utline when extra checks shuld take place When new equipment is purchased, it is checked t ensure that it meets apprpriate educatinal standards All equipment is stred in the apprpriate strage cntainers and areas. All cntainers are labelled with the crrect hazard sign and cntents Clear f cmbustibles, if applicable 7.1 Electrical equipment All staff are respnsible fr ensuring that they use and handle electrical equipment sensibly and safely Any pupil r vlunteer wh handles electrical appliances des s under the supervisin f the member f staff wh s directs them All staff are respnsible fr inspecting the cnditin f all electrical equipment befre use. If staff have any cncerns t the safety f the equipment, staff must cease t use the item immediately 6

7 Any ptential hazards identified must be taken ut f use and must be reprted t the ffice staff immediately t arrange fr a repair r replacement and the head teacher, if apprpriate Permanently installed electrical equipment is cnnected thrugh a dedicated islatr switch and adequately earthed All islatrs switches are clearly marked t identify their area and/r equipment Where necessary a prtable appliance test (PAT) will be carried ut by a cmpetent persn Electrical apparatus and cnnectins will nt be tuched by wet hands and will nly be used in dry cnditins Maintenance, repair, installatin and discnnectin wrk assciated with permanently installed r prtable electrical equipment is nly carried ut by a cmpetent persn 7.2 PE equipment Pupils are taught hw t carry ut and set up PE equipment safely and efficiently. Staff check that equipment is set up safely befre use Any cncerns abut the cnditin f the schl hall flr r ther apparatus will be reprted t the caretaker immediately. 7.3 Display screen equipment Staff wh use cmputers daily as a significant part f their nrmal wrk cmplete a display screen equipment (DSE) self-assessment. Significant is taken t be cntinuus spells f an hur r mre at a time. Equipment may be required t be purchased. Staff identified as DSE users are entitled t an eyesight test fr DSE use upn request, and at regular intervals thereafter, by a qualified ptician (and crrective glasses prvided if required specifically fr DSE use) 8. Lne wrking Lne wrking may include: Late wrking Hme r site visits Weekend wrking Site manager duties Site cleaning duties Wrking in a single ccupancy ffice Ptentially dangerus activities, such as thse where there is a risk f falling frm height, will nt be undertaken when wrking alne. If there are any dubts abut the task t be perfrmed then the task will be pstpned until ther staff members are available. If lne wrking is t be undertaken, a clleague, friend r family member will be infrmed abut where the member f staff is and when they are likely t return. The lne wrker will ensure that they are medically fit t wrk alne. 7

8 9. Wrking at height We will ensure that wrk is prperly planned, supervised and carried ut by cmpetent peple with the skills, knwledge and experience t d the wrk. In additin: The Caretaker retains ladders fr wrking at height. Detailed inspectins are carried ut by the Caretaker and recrded Pupils are prhibited frm using ladders Staff will wear apprpriate ftwear and clthing when using ladders Cntractrs are expected t prvide their wn ladders fr wrking at height Befre using a ladder, staff are expected t cnduct a visual inspectin t ensure its safety Access t high levels, such as rfs, is nly permitted by trained persns 10. Manual handling Individuals are respnsible t determine whether they are fit t lift r mve equipment and furniture. If an individual feels that t lift an item culd result in injury r exacerbate an existing cnditin, they must ask fr assistance. Where applicable, the academy will ensure that prper mechanical aids and lifting equipment are available in the academy, and that staff are trained in hw t use them safely. Staff and pupils must use the fllwing basic manual handling prcedure: Plan the lift and assess the lad. If it is awkward r heavy, use a mechanical aid, such as a trlley, r ask anther persn t help Take the mre direct rute that is clear frm bstructin and is as flat as pssible Ensure the area where yu plan t fflad the lad is clear When lifting, bend yur knees and keep yur back straight, feet apart and angled ut. Ensure the lad is held clse t the bdy and firmly. Lift smthly and slwly and avid twisting, stretching and reaching where practicable 11. Off-site visits When taking pupils ff the academy premises, we will ensure that: Risk assessments will be cmpleted where ff-site visits and activities require them. These shuld be recrded n EECLive. All ff-site visits are apprpriately staffed Staff must take : A dedicated mbile phne as a cntact pint and fr making cntact eg in an emergency, return delays, etc A prtable first aid kit 8

9 infrmatin abut the specific medical needs f pupils alng with the parents cntact details there will always be at least ne first aider with a current paediatric first aid certificate n schl trips and visits and pre-schl staff are all hld a paediatric first aid certificate, as required by the statutry framewrk fr the Early Years Fundatin Stage 12. Lettings This plicy applies t lettings. Thse wh hire any aspect f the academy site r any facilities will be made aware f the cntent f the academy s health and safety plicy, and will have respnsibility fr cmplying with it. 13. Vilence at wrk We believe that staff shuld nt be in any danger at wrk, and will nt tlerate vilent r threatening behaviur twards ur staff. All staff will reprt any incidents f aggressin r vilence (r near misses) directed t themselves t their line manager/head teacher immediately. This applies t vilence frm pupils, visitrs r ther staff. 14. Smking Smking is nt permitted anywhere n the academy premises. 15. Infectin preventin and cntrl We fllw natinal guidance published by Public Health England (PHE) when respnding t infectin cntrl issues. We will encurage staff and pupils t fllw this gd hygiene practice, utlined belw, where applicable Handwashing Wash hands with liquid sap and warm water, and dry with paper twels Always wash hands after using the tilet, befre eating r handling fd, and after handling animals Cver all cuts and abrasins with waterprf dressings 15.2 Cughing and sneezing Cver muth and nse with a tissue Wash hands after using r dispsing f tissues Spitting is discuraged 5.3 Persnal prtective equipment Wear dispsable nn-pwdered vinyl r latex-free CE-marked glves and dispsable plastic aprns where there is a risk f splashing r cntaminatin with bld/bdy fluids (fr example, nappy r pad changing) Wear gggles if there is a risk f splashing t the face Use the crrect persnal prtective equipment when handling cleaning chemicals 9

10 15.4 Cleaning f the envirnment Clean the envirnment frequently and thrughly Clean the envirnment, including tys and equipment, frequently and thrughly 15.5 Cleaning f bld and bdy fluid spillages During the academy day this will be carried ut by the teaching and pre-schl assistants and the schl cleaner(s) if after academy sessins and may assist, if n site, during academy sessins 15.6 Laundry Clean up all spillages f bld, faeces, saliva, vmit, nasal and eye discharges immediately and wear persnal prtective equipment When spillages ccur, clean using a prduct that cmbines bth a detergent and a disinfectant and use as per manufacturer s instructins. Ensure it is effective against bacteria and viruses and suitable fr use n the affected surface Never use mps fr cleaning up bld and bdy fluid spillages use dispsable paper twels and discard clinical waste as described belw Wash laundry in a separate dedicated facility Wash siled linen separately and at the httest wash the fabric will tlerate Wear persnal prtective clthing when handling siled linen Bag children s siled clthing t be sent hme, never rinse by hand 15.7 Clinical waste 15.8 Animals Always segregate dmestic and clinical waste, in accrdance with lcal plicy Used nappies/pads, glves, aprns and siled dressings are stred in crrect clinical waste bags in ft-perated bins Remve clinical waste with a registered waste cntractr Remve all clinical waste bags when they are tw-thirds full and stre in a dedicated, secure area while awaiting cllectin Wash hands befre and after handling any animals Keep animals living quarters clean and away frm fd areas Dispse f animal waste regularly, and keep litter bxes away frm pupils Supervise pupils when playing with animals Seek veterinary advice n animal welfare and animal health issues, and the suitability f the animal as a pet 15.9 Pupils vulnerable t infectin Sme medical cnditins make pupils vulnerable t infectins that wuld rarely be serius in mst children. The academy will nrmally have been made aware f such vulnerable children. These children are particularly vulnerable t chickenpx, measles r slapped cheek disease (parvvirus B19) and, if expsed t either f these, the parent/carer will be infrmed prmptly and further medical advice sught. Advise these children t have additinal immunisatins, fr example fr pneumcccal and influenza. 10

11 15.10 Exclusin perids fr infectius diseases The academy will fllw recmmended exclusin perids utlined by Public Health England, summarised in appendix 3.In the event f an epidemic/pandemic, we will fllw advice frm Public Health England abut the apprpriate curse f actin. 16. New and expectant mthers Risk assessments will be carried ut by the head teacher r line manager and kept in their staff persnnel recrd file whenever any emplyee ntifies the academy that they are pregnant. Apprpriate measures will be put in place t cntrl risks identified. Sme specific risks are summarised belw: Chickenpx can affect the pregnancy if a wman has nt already had the infectin. Expectant mthers shuld reprt expsure t antenatal carer and GP at any stage f expsure. Shingles is caused by the same virus as chickenpx, s anyne wh has nt had chickenpx is ptentially vulnerable t the infectin if they have clse cntact with a case f shingles If a pregnant wman cmes int cntact with measles r German measles (rubella), she shuld infrm her antenatal carer and GP immediately t ensure investigatin Slapped cheek disease (parvvirus B19) can ccasinally affect an unbrn child. If expsed early in pregnancy (befre 20 weeks), the pregnant wman shuld infrm her antenatal care and GP as this must be investigated prmptly 17. Occupatinal stress We are cmmitted t prmting high levels f health and wellbeing and recgnise the imprtance f identifying and reducing wrkplace stressrs thrugh risk assessment. Systems are in place within the academy fr respnding t individual cncerns and mnitring staff wrklads. That times f meetings be negtiated and are aimed at limiting the length f time and frequency with which staff we recmmend. That length f meetings is agreed and where pssible adhered t. That cnsideratin is always given t time scale t enable a reasnable amunt f time t be given fr cmpletin f tasks befre a deadline. That deadline can be negtiated in extenuating circumstances. 18. Accident reprting 18.1 Accident recrds A pupil accident recrd will be cmpleted as sn as pssible after the accident ccurs by the member f staff r first aider wh deals with it As much detail as pssible will be supplied when reprting an accident Recrds held will be retained by the schl fr a minimum f 3 years, in accrdance with regulatin 25 f the Scial Security (Claims and Payments) Regulatins 1979, and then securely dispsed f 11

12 Schl pupils: minr accidents are recrded in the class "bump bk and if apprpriate ensure these are reprted t the head teacher significant/serius accidents are recrded in the schl bump bk kept in the kitchen and staff sign and date t cnfirm the parent/carer has been infrmed. The head teacher must als be infrmed immediately. The head teacher will review fr any additinal health and safety actin t be taken and the accident t be recrded n EEC, if apprpriate, by the head teacher r the class teacher if requested by the head teacher as sn as pssible Pre-Schl Pupils: All accidents are recrded n the pre-schl accident frm and the parent/carer is infrmed when the child is cllected. Significant/serius accidents the pre-schl manager r deputy manager, in the absence f the manager, must infrm the head teacher immediately. The head teacher will review fr any additinal health and safety actin t be taken and request the accident t be recrded n EEC asap by the pre-schl manager, if apprpriate Accident frms are kept in the pupil s educatinal recrd file Staff and visitrs: minr accidents are recrded n the accident lg frm lcated in the schl ffice. The schl ffice staff will ensure the head teacher reviews the lg significant/serius accidents are recrded n the serius accident/injury frm lcated in the schl ffice. The head teacher must be infrmed. The head teacher will review and recrd n EEC, if apprpriate 18.2 Reprting t the Health and Safety Executive The head teacher will keep a recrd f any accident which results in a reprtable injury, disease, r dangerus ccurrence as defined in the RIDDOR 2013 legislatin (regulatins 4, 5, 6 and 7) and these are recrded n EEC. The Head teacher will reprt these t the Health and Safety Executive as sn as is reasnably practicable and in any event within 10 days f the incident. Reprtable injuries, diseases r dangerus ccurrences include: Death Specified injuries. These are: Fractures, ther than t fingers, thumbs and tes Amputatins Any injury likely t lead t permanent lss f sight r reductin in sight Any crush injury t the head r trs causing damage t the brain r internal rgans Serius burns (including scalding) Any scalping requiring hspital treatment Any lss f cnsciusness caused by head injury r asphyxia Any ther injury arising frm wrking in an enclsed space which leads t hypthermia r heat-induced illness, r requires resuscitatin r admittance t hspital fr mre than 24 hurs 12

13 Injuries where an emplyee is away frm wrk r unable t perfrm their nrmal wrk duties fr mre than 7 cnsecutive days Where an accident leads t smene being taken t hspital Where smething happens that des nt result in an injury, but culd have dne Near-miss events that d nt result in an injury, but culd have dne. Examples f near-miss events relevant t academy s include, but are nt limited t: The cllapse r failure f lad-bearing parts f lifts and lifting equipment The accidental release f a bilgical agent likely t cause severe human illness The accidental release r escape f any substance that may cause a serius injury r damage t health An electrical shrt circuit r verlad causing a fire r explsin Infrmatin n hw t make a RIDDOR reprt is available here: Hw t make a RIDDOR reprt, HSE Ntifying parents The class teacher will infrm parents f any accident r injury sustained by a pupil, and any first aid treatment given, n the same day, r as sn as reasnably practicable Reprting t Ofsted and child prtectin agencies The Head teacher will ntify Ofsted f any serius accident, illness r injury t, r death f, a pupil while in the academy s care. This will happen as sn as is reasnably practicable, and n later than 14 days after the incident. The Head teacher will als ntify Smerset Safeguarding Bard f any serius accident r injury t, r the death f, a pupil while in the academy s care. 19. Training Apprpriate staff are prvided with health and safety training t carry ut their rle. 20. Mnitring This plicy will be reviewed by the head teacher and gverning bdy every 3 years, r earlier if new statutry guidelines are issued. At every review, the plicy will be apprved by the Gverning bdy. 21. Links with ther plicies This health and safety plicy links t the fllwing plicies: First aid Risk assessment Supprting pupils with medical cnditins Accessibility plan 13

14 CUTHBERT S C OF E ACADEMY INFANTS AND PRE- SCHOOL POLICY 2018 Appendix 1. Fire safety checklist Issue t check Yes/N Are fire regulatins prminently displayed? Yes Is fire-fighting equipment, including fire blankets, in place? Yes Des fire-fighting equipment give details fr the type f fire it shuld be used fr? Yes Are fire exits clearly labelled? Yes Are fire drs fitted with self-clsing mechanisms? Yes Are flammable materials stred away frm pen flames? Yes D all staff and pupils understand what t d in the event f a fire? yes Can yu easily hear the fire alarm frm all areas? Yes

15 CUTHBERT S C OF E ACADEMY INFANTS AND PRE- SCHOOL POLICY 2018 Appendix 2. Recmmended absence perid fr preventing the spread f infectin This list f recmmended absence perids fr preventing the spread f infectin is taken frm nn-statutry guidance fr schls and ther childcare settings frm Public Health England (PHE). Rashes and skin infectins Infectin r cmplaint Recmmended perid t be kept away frm schl r pre-schl Cmments Athlete s ft Nne Athlete s ft is nt a serius cnditin. Treatment is recmmended. Chickenpx Until all vesicles have crusted ver Sme medical cnditins make children vulnerable t infectins that wuld rarely be serius in mst children, these include thse being treated fr leukaemia r ther cancers. These children are particularly vulnerable t chickenpx. Chickenpx can als affect pregnancy if a wman has nt already had the infectin. Cld sres (herpes simplex) Nne Avid kissing and cntact with the sres. Cld sres are generally mild and self-limiting. German measles (rubella)* Fur days frm nset f rash (as per Green Bk ) Preventable by immunisatin (MMR x2 dses). If a pregnant wman cmes int cntact with German measles she shuld infrm her GP and antenatal carer immediately t ensure investigatin.

16 Hand, ft and muth Nne Impetig Until lesins are crusted and healed, r 48 hurs after starting antibitic treatment Antibitic treatment speeds healing and reduces the infectius perid. Measles* Fur days frm nset f rash Preventable by immunisatin (MMR x2 dses). Sme medical cnditins make children vulnerable t infectins that wuld rarely be serius in mst children, these include thse being treated fr leukaemia r ther cancers. These children are particularly vulnerable t measles. Measles during pregnancy can result in early delivery r even lss f the baby. If a pregnant wman is expsed she shuld immediately infrm whever is giving antenatal care t ensure investigatin. Mlluscum cntagisum Nne A self-limiting cnditin. Ringwrm Exclusin nt usually required Treatment is required. Rsela (infantum) Nne Scabies Child can return after first treatment Husehld and clse cntacts require treatment. Scarlet fever* Child can return 24 hurs after starting apprpriate antibitic treatment Antibitic treatment is recmmended fr the affected child. 16

17 Slapped cheek syndrme/fifth disease (parvvirus B19) Nne (nce rash has develped) Sme medical cnditins make children vulnerable t infectins that wuld rarely be serius in mst children, these include thse being treated fr leukaemia r ther cancers. These children are particularly vulnerable t parvvirus B19. Slapped cheek disease (parvvirus B19) can ccasinally affect an unbrn child. If expsed early in pregnancy (befre 20 weeks), infrm whever is giving antenatal care as this must be investigated prmptly. Shingles Exclude nly if rash is weeping and cannt be cvered Can cause chickenpx in thse wh are nt immune, i.e. have nt had chickenpx. It is spread by very clse cntact and tuch. If further infrmatin is required, cntact yur lcal PHE centre. Sme medical cnditins make children vulnerable t infectins that wuld rarely be serius in mst children, these include thse being treated fr leukaemia r ther cancers. These children are particularly vulnerable t shingles. Shingles can als affect pregnancy if a wman has nt already had chickenpx. Warts and verrucae Nne Verrucae shuld be cvered in swimming pls, gymnasiums and changing rms. Diarrhea and vmiting illness Infectin r cmplaint Recmmended perid t be kept away frm schl r pre-schl Cmments Diarrhea and/r vmiting 48 hurs frm last episde f diarrhea r vmiting 17

18 E. cli O157 VTEC Typhid* [and paratyphid*] (enteric fever) Shigella (dysentery) Shuld be excluded fr 48 hurs frm the last episde f diarrhea. Further exclusin may be required fr sme children until they are n lnger excreting Further exclusin is required fr children aged 5 years r yunger and thse wh have difficulty in adhering t hygiene practices. Children in these categries shuld be excluded until there is evidence f micrbilgical clearance. This guidance may als apply t sme cntacts wh may als require micrbilgical clearance. Please cnsult yur lcal PHE centre fr further advice Cryptspridisis Exclude fr 48 hurs frm the last episde f diarrhea Exclusin frm swimming is advisable fr tw weeks after the diarrhea has settled Respiratry infectins Infectin r cmplaint Recmmended perid t be kept away frm schl r pre-schl Cmments Flu (influenza) Until recvered Sme medical cnditins make children vulnerable t infectins that wuld rarely be serius in mst children, these include thse being treated fr leukaemia r ther cancers. It may be advisable fr these children t have additinal immunisatins, fr example pneumcccal and influenza. Tuberculsis* Always cnsult yur lcal PHE centre Sme medical cnditins make children vulnerable t infectins that wuld rarely be serius in mst children, these include thse being treated fr leukaemia r ther cancers. It may be advisable fr these children t have additinal immunisatins, fr example pneumcccal and influenza. 18

19 Whping cugh* Five days frm starting antibitic treatment, r 21 days frm nset f illness if n antibitic treatment Preventable by vaccinatin. After treatment, nn-infectius cughing may cntinue fr many weeks. Yur lcal PHE centre will rganise any cntact tracing necessary. Other infectins Infectin r cmplaint Recmmended perid t be kept away frm schl r pre-schl Cmments Cnjunctivitis Nne If an utbreak/cluster ccurs, cnsult yur lcal PHE centre. Diphtheria* Exclusin is essential. Always cnsult with yur lcal HPT Family cntacts must be excluded until cleared t return by yur lcal PHE centre. Preventable by vaccinatin. Yur lcal PHE centre will rganise any cntact tracing necessary. Glandular fever Nne Head lice Nne Treatment is recmmended nly in cases where live lice have been seen. Hepatitis A* Exclude until seven days after nset f jaundice (r seven days after symptm nset if n jaundice) In an utbreak f hepatitis A, yur lcal PHE centre will advise n cntrl measures. 19

20 Hepatitis B*, C*, HIV/AIDS Nne Hepatitis B and C and HIV are bldbrne viruses that are nt infectius thrugh casual cntact. All spillages f bld shuld be cleaned up immediately (always wear PPE). When spillages ccur, clean using a prduct that cmbines bth a detergent and a disinfectant. Use as per manufacturer s instructins and ensure it is effective against bacteria and viruses and suitable fr use n the affected surface. Never use mps fr cleaning up bld and bdy fluid spillages use dispsable paper twels and discard clinical waste as described belw. A spillage kit shuld be available fr bld spills. Meningcccal meningitis*/ septicaemia* Until recvered Meningitis C is preventable by vaccinatin There is n reasn t exclude siblings r ther clse cntacts f a case. In case f an utbreak, it may be necessary t prvide antibitics with r withut meningcccal vaccinatin t clse academy cntacts. Yur lcal PHE centre will advise n any actin is needed. Meningitis* due t ther bacteria Until recvered Hib and pneumcccal meningitis are preventable by vaccinatin. There is n reasn t exclude siblings r ther clse cntacts f a case. Yur lcal PHE centre will give advice n any actin needed. Meningitis viral* Nne Milder illness. There is n reasn t exclude siblings and ther clse cntacts f a case. Cntact tracing is nt required. MRSA Nne Gd hygiene, in particular handwashing and envirnmental cleaning, are imprtant t minimise any danger f spread. If further infrmatin is required, cntact yur lcal PHE centre. 20

21 Mumps* Exclude child fr five days after nset f swelling Preventable by vaccinatin Threadwrms Nne Treatment is recmmended fr the child and husehld cntacts. Tnsillitis Nne There are many causes, but mst cases are due t viruses and d nt need an antibitic. * dentes a ntifiable disease. It is a statutry requirement that dctrs reprt a ntifiable disease t the prper fficer f the lcal authrity (usually a cnsultant in cmmunicable disease cntrl). In additin, rganisatins may be required via lcally agreed arrangements t infrm their lcal PHE centre. Regulating bdies (fr example, Ofsted/Cmmissin fr Scial Care Inspectin (CSCI)) may wish t be infrmed. 21

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