Health care plans

Information

Health and Care Plan Guidance

When to put a Health Care Plan in place for children with complex health needs.

Purpose of a Health and Care Plan (HCP)

A Health and Care Plan is a personalised document developed to ensure the safe and inclusive participation of children with complex medical needs in early years settings. It outlines how staff can safely support a child’s health needs, respond to emergencies, and work in partnership with families and health professionals.

When is a Health and Care Plan needed?

An HCP should be put in place when a child has a long-term or complex medical condition that may require:

emergency treatment (e.g. anaphylaxis, seizures)
regular medication during setting hours (e.g. inhalers, insulin)
monitoring of symptoms or vital signs (e.g. diabetes, epilepsy)
specific feeding, toileting, or personal care routines (e.g. PEG feeding)
support with medical equipment (e.g. oxygen, suction machines)

A diagnosed medical condition where:

there is a risk of emergency intervention being required
the child needs close monitoring or adaptations to routines
there are clear health-related needs that impact access to education and care

Best practice tips

review plans regularly – at least annually, or sooner if the child’s condition changes
train all relevant staff in administering medication, emergency responses, and care protocols
store medication securely and accessibly
ensure all safeguarding and data protection procedures are followed
work collaboratively with parents to build trust and ensure the child’s well being

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