Working together, working with you

School Nurses - What We Do

The School Health Nursing service provides different services depending on a child or young person’s needs, the community and universal service is for every school aged child and young person.

Community Service

School Health Nurse (SHN’s) have an important public health leadership role in the school and wider community. For example designing services to reach children and young people wherever they are, providing services in community environments and working with young people and school staff to promote health and wellbeing within the school setting.

Universal Service

National Child Measurement programme (NCMP)

  • Reception School year

The School Health Nursing Team will offer your child a vision screen, hearing screen and growth monitoring (height and weight measuring).This screening is usually undertaken in small groups with their classmates without parents being present.

It will be necessary to remove only the children’s shoes and possibly bulky/heavy outer clothing to ensure accuracy of measurement.

You will receive your child’s results on the day of measurement; they will be sent home in a sealed envelope with your child.

You can use the height, weight and measurement date to check whether your child is within a healthy weight range for their age and height, by using the Healthy Weight tool at www.nhs.uk/tools/pages/healthyweightcalculator or by contacting your School Health Nurse. If the healthy weight tool indicates your child is not in a healthy weight range you may wish to contact your School Health Nurse or GP for further advice and support.

  • Year 6

The NHS needs to understand how children are growing across the country so when your child is in year 6, their class will take part by being weighed and measured.

It will be necessary to remove only the children’s shoes and possibly bulky/heavy outer clothing to ensure accuracy of measurement.

Please see the national child measurement programme factsheet for parents for more information.

Confidential Drop in Clinic In Secondary Schools

All secondary schools in CCHP have a weekly school health nurse drop in service. Here a range of issues can be discussed such as relationships, bullying, HPV, friendship issues, staying safe, divorce, exercise, puberty, sleep, anger, contraceptive advice, smoking, healthy weight and eating.

All of these drop ins have achieved or are working towards achieving Young People Friendly accreditation.

‘We believe that the concerted application of the Quality criteria for young people friendly health services will contribute to improving the quality and coverage of health services provided to adolescents in England, and to the reduction of inequities in access to health services’ (DH 2011)

Immunisation Programme in School

The school health nursing service delivers the national HPV immunisation programme. The vaccine is offered to all girls entering year 8. The national HPV Programme leaflet answers questions about the HPV vaccine and cervical cancer.

Training, advice and support to Education staff

School Health Nurses work to support children, young people and their families with additional health needs in the school setting. This may be in the form of provision of Health Care Plans, staff/parent training and ongoing advice as required.

Universal Plus Service

SHN’s are a key part of ensuring children, young people and families get extra help and support when they need it. They will offer “early help” through providing care and or by referral or signposting to other services. Early help can prevent problems developing or worsening.

This may include:

  • Individual support child /young person with a School Health Nurse    

For children and young people with a variety of health needs including:

  • Physical and emotional support
  • Health advice and support
  • Sexual health advice
  • Smoking cessation advice

Up to a maximum four sessions of support are offered.

  • Enuresis Clinics (for children and young people aged 7 and above who have problems with night time bedwetting(nocturnal enuresis))

The service is accessed via an open referral system from health professionals, carers and parents. All school age children (over the age of 7 years) with nocturnal enuresis will be offered advice and support. When the referral is received an information leaflet will be sent to the child prior to clinic appointment.

The assessment process will be explained at the first visit, to the child /young person and their parent/ carer.

The assessment will be completed by the School Nurse in partnership with child /young person and their parent/ carer and treatment options explained.

Universal Partnership Plus Service 

SHN’s will be part of teams providing ongoing additional services for  children, young people and families requiring longer term support for a range of special needs or those with a disability, those with mental health or substance misuse   problems and risk taking behaviours. The School health nursing service also forms part of the multi agency services for children, young people and families where there are child protection or safeguarding.

The needs of children and young people with complex health needs in special and mainstream schools are supported by School Health Nurses with additional skills and expertise; as well as day to day support from school based support workers. The services that the School Health Nurses provide include:

  • Individual health assessment for those children who have health needs that affect their ability to access education.
  • Care plan agreed with the child, their family and the school.
  • Reviewed yearly unless condition changes.
  • Work with individual children, their parents, key workers, the school and members of the multi-disciplinary team to ensure that the health needs of children with special needs are assessed and plans put in place to meet them.
  • Partnership clinics with Dr’s facilitating a joint professional health assessment utilising a team around the child approach.
  • Supporting eye clinicsin school settings

Health education support and advice to education staff ensure that the health needs are met to allow them to access education, this may include:

  • Support and teaching of education staff to enable administration of medication by the educational staff.
  • Support the transitions process to adult health care with other appropriate health professionals.