Allergy Guidance for Schools

Shailesh Vara Excerpts

Tuesday 21st May 2024 Commons Chamber

[Alicia Kearns]

The hon. Gentleman is entirely right. The problem is that because the guidance is currently not mandatory, schools have completely different responses. At my nephew’s school, for example, there is a picture of every child with a severe allergy on the teachers’ board, so that every day when the teachers go in they know which children to be more alert to, and in an emergency they know exactly what to do because there is a commentary under each picture. That is the kind of response that we need, but yes, we will need more. We saw the Government act strongly and quickly in response to the need to install atrial defibrillators in schools, and I ask them to take the same approach in this regard. The number of children who have died of allergies in our schools is far higher than the number who have died of any sort of heart incident, so I really think that it is time for action.

[Shailesh Vara (North West Cambridgeshire) (Con)]

I congratulate my hon. Friend and constituency neighbour on securing this important debate, and on the fact that although Adjournment debates are normally lonely affairs, others are present for this one. Does she agree that the cost the Government would incur in helping schools to provide, for example, adrenaline pens is, in the overall scheme of things, very small indeed, and should not be a barrier to supplying schools with a little bit of extra cash to procure a few adrenaline pens which may save lives?

[Alicia Kearns]

My right hon. Friend is right, and I pay tribute to him for raising this issue during Prime Minister's questions only last week on behalf of Benedict and his family. Other countries have taken action, and we have the opportunity to do the same.

The Benedict Blythe Foundation has worked tirelessly under Helen’s leadership to investigate the issues facing pupils with allergies, and—most importantly—to make policy recommendations to solve them. That work culminated earlier this year with the publication of the REACT report, and I want to summarise its findings; it is the first time that the House will have heard them. The authors investigated 2,198 schools across England, 10% of the total, and found, concerningly, that a third of them had no clear policy on allergies—not that they had a reduced or non-mandatory policy, but that they had no policy at all. Many schools did not record allergy incidents accurately, and, most worryingly, half of them did not have lifesaving medicine on site. Only two years ago, a young child died at school because another child had thrown a piece of cheese at his face. His reaction was so extreme that he died that day. If he had had access to lifesaving medicine, that child would still be with us.

Extensive research has made it clear that allergy provision in schools is a lottery. Some schools go above and beyond to create an allergy-safe environment, but the lack of an allergy policy in others is absolutely wrong. I ask Members to imagine being the parent of a child with an allergy. How would they feel about sending their loved one to school not knowing whether he or she would be safe? Too many parents are not confident about sending their child to school, which unfortunately means that we are seeing too many children with allergies miss days of school. That is a priority for us to tackle. Following the pandemic, we know just how damaging it is not to have our children in school.

I am afraid that the root cause of these issues is a lack of clarity in the Department for Education guidance, and a lack of accountability mechanisms to ensure that existing guidance is followed. In the previous debate on this matter, which was organised by the hon. Member for Strangford (Jim Shannon), we discussed the need for that to be part of Ofsted inspections, because it should be part of the mechanisms. The medical conditions statutory guidance currently given to schools does not mention allergies specifically, and there is evidence that some schools consider allergies to be a dietary issue, rather than a medical consideration. That is just not good enough and, frankly, it is dangerous. Some 70% of schools do not have the recommended allergy safeguards in place, which demonstrates that having well-meaning guidance is just not sufficient. I therefore ask the Minister to consider issuing new, bespoke guidance to all schools on how to be allergy safe. That would not be onerous; it would simply require an email to go out to every single school in the country.

Drawing on extensive research and expert opinion, the REACT report has produced a set of safeguards that would ensure that our education system is safe for all pupils. First, it argues that every allergic reaction should be recorded and reported. I am not surprised that the Department for Education may well under-recognise the importance of this issue, because that is not taking place. It would allow schools with a high number of pupils with allergies to get more support, and it would give decision makers the information they need to make informed decisions and ensure the intelligent distribution of resources.

Secondly, all schools should have a specific allergy policy, including an anaphylaxis plan. Allergies are potentially life-threatening and are so common that they should have their own bespoke policy, separate from those for other medical conditions.

Thirdly, every school should have an individual healthcare plan for every child with an allergy, and it should be reviewed with a doctor. Seemingly mild allergies can quickly morph into severe reactions, and attempts at distinguishing between children on the basis of allergy severity are misled and potentially damaging. Just because a child is assessed as having a low allergy risk does not mean that they will not have a severe reaction one day. Mandating individual healthcare plans for every child with an allergy would create a safe environment.

Fourthly, funding should be given for every school to train its staff in how to administer adrenalin auto-injectors in an emergency. Each school should also keep a spare inhaler and antihistamine as part of a bespoke, allergy first-aid kit.

Fifthly, all school staff should receive basic training in allergy awareness management and emergency response, which is also about a duty of care for them. If I were a teacher, I would not want to operate in that environment if I did not know how to respond should a child in my care have a severe allergic reaction. It is vital that we give teachers the tools they need, and that we ensure that best practice is learned from schools with comprehensive allergy plans.

Finally, accountability mechanisms should be established to monitor and support schools as they implement their allergy plans. Sadly, as we have seen, there is already a gulf between what the Government recommend on allergies and what schools are actually implementing. As we introduce better and clearer guidance, we must ensure that it is followed across the country.

Adopting those policies would ensure that children with allergies can go to school safe in the knowledge that they will not be exposed to danger. There is no way to eradicate all risks when it comes to allergies, but we can make schools as allergy-safe as possible. Every parent needs to know that their child’s condition is not being ignored, dismissed, misunderstood or played down, and teachers also deserve that surety.

As my right hon. Friend the Member for North West Cambridgeshire (Shailesh Vara) pointed out, our international partners have shown that change is achievable. Sabrina’s law requires Canadian schools to provide allergy and adrenaline auto-injector training for all teachers and staff. Minnesotan law mandates that all allergic students have access to emergency medicine and an individual healthcare plan. The Allison Rose Suhy Act incentivises schools in Ohio to train both staff and students on allergy awareness. Elijah’s law ensures that daycare employees in New York are trained to recognise anaphylaxis and to administer adrenaline. Finally, Amarria’s law requires public schools in Virginia to stock adrenaline auto-injectors. There is no reason why children in the UK should face greater risks at school than their peers abroad. These allergy provisions have been common practice across the US, Australia and Canada for decades, and we now need to adopt them here.

The policies set out by the Benedict Blythe Foundation in the REACT report show how we can not just match international standards, but surpass them and make the UK the safest place in the world for pupils with allergies to attend school. This is a condition on the rise. More and more children have allergies, and we need to take action. I therefore ask the Government to commit to producing Benedict’s law, and to meet me to discuss how it can be implemented. We are not looking at significant costs or wanting to put more duties on teachers. We want to make sure that teachers feel that they are in a safe workplace where they can take the action needed to do what they care about most: protecting and supporting their children and young people to become strong adults with bright futures ahead of them.

In memory of Benedict Blythe and in honour of his mother Helen’s tireless advocacy, we should ensure that no pupil with an allergy and their family ever again have to choose between feeling safe and medical safety and taking up education. No parent should live in fear that their child will not come home from school one day as a result of a condition that can be prevented. There is no reason for any child to die in our schools of an allergy. We just need simple allergy policies, adrenaline auto-injectors and to take action. We can save lives by taking action now. I thank the Minister in advance for his consideration, and I look forward to hearing his response.

[The Minister for Schools (Damian Hinds)]

I thank my hon. Friend the Member for Rutland and Melton (Alicia Kearns) for bringing this debate to the Floor of the House. I greatly value the opportunity to hear her insights today and elsewhere on this important topic. I must first take a moment, as she did, in memory of Benedict Blythe, who died at his school in December 2021 aged just five years. I was saddened immensely to hear of that unimaginable tragedy, and I know that Members from all parts of the House join in offering our sincerest condolences to his family, to other families who have lost children in such circumstances and to those who have suffered what must be terrifying near misses. No parent should have to go through that.

Colleagues will appreciate that it would not be right or proper for me to comment on the details of Benedict’s individual case while we are awaiting the outcomes of the coroner’s inquest. I can confirm that last year officials from the Department for Education met Benedict’s mother, Helen Blythe, to hear about the important work she has led through the Benedict Blythe Foundation to raise awareness of how best to protect children with allergies. I echo the words that my hon. Friend used of Helen Blythe, speaking of her fortitude and strength. I commend Helen for those efforts and her commitment, and I commend parliamentarians who have supported this work—not only my hon. Friend, but my right hon. Friend the Member for North West Cambridgeshire (Shailesh Vara) and the hon. Member for Strangford (Jim Shannon).

When parents send their children to school, it is only right and natural that they expect them to be kept safe. For parents of children with allergies, there is that additional level of concern. Allergies can be complex conditions and can range enormously in severity. Although today we have been speaking mostly about food allergies, not all allergens are foods, which makes the issue more complicated again. Allergies themselves are therefore a highly individual and varied condition that require individualised responses. That is why the Government have put into place a number of pieces of legislation, as well as guidance to schools and parents covering a range of areas and circumstances. I have heard the calls to strengthen the law around allergies and references to voluntary approaches and voluntary guidance. I stress that section 100 of the Children and Families Act 2014 places a legal duty on schools to make arrangements for supporting pupils at their school with medical conditions, and that includes allergies.

[Shailesh Vara]

I know the Minister is diligent, conscientious and caring in all that he does, and the tone he is adopting clearly shows that. While he is absolutely right that there is legislation and guidance for schools as to how to deal with this issue, I and others would say that it is too general in nature, and it leaves much discretion with the schools as to what precisely they do in the event of a child having an allergic reaction. I urge him to reflect and to consider tightening the laws, so that they become mandatory. That should be in a limited way, but nevertheless we need some mandatory rules for schools, rather than them being left as general and vague as they are at present.

[Damian Hinds]

I am grateful to my right hon. Friend, and I acknowledge the gravity of what he says. Of course, we are talking about conditions that can be very varied, and the responses that are called for can be quite different. Schools know their pupils almost best; they, working with parents, who absolutely know their children best, are in the best place to enact that. I want to be clear that the guidance that accompanies what I have just been outlining is statutory guidance supporting pupils with medical conditions. It is not voluntary, and governing bodies must have regard to it when carrying out their duties.