Allergy Awareness in Schools

Rachael Maskell Excerpts

Wednesday 14th March 2018 Westminster Hall

[Jo Swinson]

Absolutely. As I can attest, having an allergy is a condition that can be managed and need not prevent someone from having a full life and taking part in school and all the educational opportunities, but that relies on a wider awareness of allergy. Indeed, living with allergy as an adult is the same.

That is why awareness and education are so important—even more so because the prevalence of allergies in our society is growing. It is now estimated that about 2% of children have a nut allergy; of course there are many other allergens as well, so if we include other foods the percentage is higher. Last year in England there were more than 1,900 food-related hospital admissions for anaphylaxis. The anaphylaxis hospital admission rate increased sevenfold between 1992 and 2012. The UK is not alone in that, as there are other countries where the prevalence of allergies is growing, but we need to recognise it as a serious health issue. Indeed, it can be fatal. Data over the same period from 1992 to 2012 showed 124 fatalities were likely to be due to food-based anaphylaxis, 48 of which were school-aged children. For one in six of those school-aged children who died, the reactions occurred in school or another educational environment. The role of schools in this is crucial.

[Rachael Maskell (York Central) (Lab/Co-op)]

The hon. Lady is making an excellent speech. Since the Human Medicines (Amendment) Regulations 2017, adrenalin auto-injectors can be held by schools, but it is crucial that the education goes to teaching staff, who are reluctant to use them as well. Will she comment on that?

[Jo Swinson]

I certainly will. I praise the change to the regulations, which is a positive thing. It would be great if schools had some help with the cost of the injectors, because they go out of date; they typically last from a year to 18 months before they have to be replaced, and they can cost from £30 to £100 each, but the change is very helpful.

The hon. Lady is right about the training element. I was scared about using my own EpiPen. I carried it for years before I used it, and I used to go to hospital if something happened because I was petrified about what would happen if I used it. The first time I used it, I was on a parliamentary trip looking at human rights issues in Chechnya, and it was not safe to go to hospital because we had to go everywhere under armed guard. I was in a situation where I had to use the EpiPen, and I was really scared. Nicole, a wonderful woman from the human rights group who was with me, held my hand. We read the instructions and we did it together.

It started to work really quickly, and the relief and the experience of doing it have made me say to other people with EpiPens, “If you’re experiencing your reaction, use it. Then go to hospital, absolutely, but use that EpiPen, because it starts to work right away and delay can be fatal.” I know the experience I had is probably shared by others, but it is not the best medical advice. The more we can train and encourage people that it is a positive thing to do and will bring relief to someone who is having that kind of reaction is important.

--- Later in debate ---

[The Parliamentary Under-Secretary of State for Education (Nadhim Zahawi)]

I congratulate the hon. Member for East Dunbartonshire (Jo Swinson) on securing this debate. I would like to thank everyone present for their contributions to this valuable discussion.

I have twins who are now 21, one of whom is asthmatic. The hon. Lady talked eloquently and passionately about her own experience, and having an anaphylactic fit is similar to an asthma attack. We also have a five-year-old. In her school, the teachers clearly do things properly. Last week at breakfast, she was planning to have her best friend over for a play date and she said, “Daddy, my friend’s got a dairy allergy, so we have to make sure we’ve got the right food at home.” That brought home to me how complex it is, thinking about what food to give a five-year-old, to avoid what sadly happened to Karan in Ealing.

The hon. Lady spoke passionately about how the media handle this stuff. Yes, Sony has apologised, but I have looked at some of the comments linked to those media stories with people saying, “What’s the big deal? This is just a cartoon—a CGI movie. Get a life!” Actually, it is about life. Sometimes we have to step back for a second and not be so selfish as to think that everybody without an allergy has the right to everything, while people with allergies should be excluded.

The hon. Lady spoke about transport. British Airways no longer provides nuts on its flights, which I think is the right thing to do. I do not have a nut allergy—I love eating nuts—but I am in no way concerned that it has taken them off the menu. Think about the number of flights, children and holidays—that is a better way of doing things, and it provides lots of other nutritious and good food.

In the short time that I have been in post as Minister for Children and Families, I have been truly inspired by the commitment shown, at all levels in the school sector, to children from a wide range of backgrounds and with a wide range of needs. I have visited early years providers and local authorities and seen the exemplary work that many of them are undertaking to support some of our most vulnerable children and members of society. Colleagues mentioned the inspection regime. Under its inspection framework, Ofsted requires inspectors to pay particular attention to children with allergies and to gather evidence about pupil welfare and how well needs are met by individual schools, and it will evaluate the experience of particular individuals and groups, including those with medical needs.

[Rachael Maskell]

At the moment it is completely voluntary for schools to hold an EpiPen. Will the Minister look into ensuring that all schools have such devices?

[Nadhim Zahawi]

Currently, governing boards have an obligation to put forward a clear strategy for what a school is doing for children with allergies. My understanding is that they have to have two EpiPens, not one—one and a spare—but I will hold a roundtable to look at what more we can do to ensure that happens in every school.[Official Report, 18 April 2018, Vol. 639, c. 1MC.]

Our vision is that every child, no matter what their background or ability, should play an active part in their school community. The hon. Member for East Dunbartonshire mentioned that just because a child happens to have an allergy, they should not feel excluded from a trip, visit or any other activity at school. We want all children to reach their full potential and to receive the right support to succeed in their education and as they move into adult life. We recognise the importance of supporting pupils with medical conditions at school, and I share her concerns about instances of poor practice that have the potential to place pupils at risk.

With regards to statutory duty, in the Children and Families Act 2014 we introduced a duty on governing boards of schools in England to make arrangements to support pupils with medical conditions. That is a clear signal to schools that supporting pupils with medical conditions is important. I hope that through the roundtable we can see how to improve that further.

The guidance is based on existing best practice and sets clear expectations on schools. It covers a range of areas, including the preparation and implementation of school policies for supporting pupils with medical conditions and the use of individual care plans. It also covers staff training, medicines administration, consulting with parents and collaborative working with healthcare professionals.

The Government understand that food allergies can be complex and worrying for parents. That is why we have set out minimum standards for school food through legislation, with the latest school food standards having come into force in January 2015. We expect headteachers, school governors and their caterers to make effective decisions about their school food policies that take into account the needs of all their pupils.

I want to address an issue that has not come up in the debate but is equally important. Schools have a legal requirement to offer free school meals to all pupils in reception, year 1 or year 2 whose parents want them, and we expect them to make every effort to ensure that pupils with allergies are able to benefit from that entitlement. In all but exceptional circumstances, schools and their caterers are expected to take into account factors such as the type of diet required by the child with allergies, the number of children in a similar position and the cost of making suitable foods.

Like many colleagues, I was shocked and horrified to hear about Karan, who sadly passed away. The case is under investigation, so it is difficult for me to say too much about it. However, it is important to remember that this case could have been bullying. The hon. Lady was right to condemn the messaging to young people that it is okay to tease other children over their allergies and that it is a bit of harmless fun. That is completely wrong.

In conclusion, I am grateful to the hon. Lady for highlighting this issue this afternoon. We have much to be proud of in how we have moved forward to address the medical conditions of pupils in schools, but I recognise that there may be much more that we can do. I have arranged a roundtable with the Health Conditions in Schools Alliance to discuss in detail the issues that it feels still need to be addressed, to ensure that every young person has the best opportunity to reach their full potential. I am open-minded about what will hopefully be put in front of me. I will take my learning from this debate to that roundtable and ensure that we consider the issue of allergies in the round, alongside those of other medical conditions in schools. I feel incredibly privileged to have been placed in this role. I am aware that the system often seems to be stacked against those who need more help, and I want to make sure that all vulnerable children have the support to achieve in school and to progress successfully into adulthood.

Question put and agreed to.