Barnsley Early Start and Family Services

What is a care plan?

A care plan is individual to a child’s needs. It may be basic or lengthy, dependent on the child’s requirements.

A care plan is important as it clarifies the level of support a child receives within the setting and highlights who's responsible for each task or procedure.

Examples of SEND that are likely to require a medical care plan

  • Gastrostomy / other tube / tracheotomy
  • Epilepsy
  • Allergies requiring the use of an EpiPen
  • Medical intervention invasive / supervise
  • Oxygen requirements
  • Symptomatic heart problems
  • Cystic Fibrosis
  • Complex asthma, requiring ward admissions
  • Type 1 diabetes
  • Risk of medical emergency identified by a consultant paediatrician

Key points

  • A care plan should be written, signed and dated by the lead healthcare professional.
  • All key professionals should have input into the care plan. The lead professional will coordinate this. The ideal way to do this is to complete the care plan as part of the early help assessment.
  • Any amendments to the care plan must be made by a healthcare professional. Changes will be signed by the professional and the parents or guardians.
  • The care plan should be kept in a place where it's accessible, but remains confidential.

It's important to remember that the child’s needs and the teams they're known to will depend on who's delivering the training or guidance to the setting where the child will be attending. It's the settings responsibility to contact the relevant professionals to review the care plan if the needs of the child changes. They must also contact the relevant professionals for a yearly review of the plan.

Any training undertaken by staff should be recorded on a record of training in administering medical and emergency procedures form.

Education, health and care needs assessment

In some cases the support provided through having an early help assessment in place may still not fully meet the needs of the child. At this point, if the setting is satisfied that its used its best endeavours to meet the child’s needs and that any reasonable adjustments required for the child have been made, it might want to consider requesting an education, health and care needs assessment.


Children in the Barnsley area who have a potentially life threatening allergy and who are prescribed an EpiPen will have an Individual Care Plan written for their needs.

Training must be put in place for staff members and volunteers or students in each educational and social setting. This is to make sure standards for medical insurance are met for children who are below school age, are attending part time nursery and child-minding placements, or who are accessing after school clubs or other private settings.

EpiPen training can be completed online free of charge. The training takes about 45 minutes. Complete anaphylaxis training on the AllergyWise website.

You can find additional videos of how to inject on the websites of the relevant pen being used:

The children’s community nursing team are available for advice for staff by calling (01226) 432519.

If a child that's already attending the setting is identified as needing extra support, specialist equipment or medication administered, training should be sought via the healthcare professionals involved with the child. The child’s attendance at the setting will have to temporarily postponed until the appropriate training has been undertaken.

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