Graduated Response Tool – Complex Medical Needs

Explains how schools and settings can support children who have serious health conditions, using the Graduated Response Tool.

Part of
Somerset’s Graduated Response Tool: Step by step

Click "navigate this page" to see the page contents, as well as a full list of the Somerset’s Graduated Response Tool step by step pages.

Navigate this page

Part of
Somerset’s Graduated Response Tool: Step by step

The purpose of this pathway is to ensure every child and young person in a Somerset school receives the support they are entitled to

1Statutory Special Educational Needs (SEN) information

  1. Statutory Special educational needs and disabilities (SEND) information

    5Expectations for Whole School Inclusion

    1. Expectations for Whole School Inclusion

      7Inclusion for each Broad Area of Need

      Information about the four areas of need set out in the Code of Practice

      1. Inclusion for each Broad Area of Need

        12Graduated Response Tool – Complex Medical Needs

        1. Graduated Response Tool – Complex Medical Needs

          13Supporting tools, documents and signposting

          1. Supporting tools, documents and signposting

            Supporting children and young people with Medical Needs

            The Children and Families Act 2014 and the Equalities Act 2010, place legal duties on schools to support children and young people with medical conditions. This support might be specified in a healthcare plan which is written by the school with the help of the children and young people’s parent carers and relevant medical professionals. It will clearly outline how their medical needs will be supported while they are attending the setting and an escalation plan for any deterioration in their health condition.

            If medical procedures such as monitoring medical readings or providing health treatments are required while the child or young person is within the setting, then relevant healthcare professionals will provide training to identified staff within the setting to ensure that the child or young person’s needs can be safely met.

            The document Supporting pupils at school with medical conditions outlines national guidance on meeting medical needs within school.

            Medical Needs and Disability

            Some children and young people with medical conditions may be considered disabled. A child or young person with a medical condition that is physical or mental and that has a ‘long term and substantial adverse effect on their ability to carry out day to day activities’ may be defined as disabled by the Equality Act 2010. This means they may also be covered under the SEND Code of Practice legislation and should be supported in school through the graduated response with an Education, Health and Care Plan only being needed for those with the highest level of need.

            Medical Needs without SEND

            A child or young person may have an isolated medical need and not necessarily have special educational needs or a disability, however they may need enhanced support to ensure they are safe and kept as healthy as possible within the setting. This will usually be provided by the setting making reasonable adjustments which may involve enhanced staffing.

            Funding for support

            If a child or young person has an isolated health condition for which a very high level of support is needed to carry out medical monitoring and medical interventions, then the setting could apply for some medical needs funding. This does not cover SEND needs which arise as a result of a medical condition. For example, physical needs including personal care needs and accessing the school environment. Please email somicb.dcosomerset@nhs.net  with details of the child or young person’s needs and the support being provided and the Designated Clinical Officer team will respond and inform you of next steps.

            information

            Schools must follow this graduated response to support children and young people with specific health needs, making reasonable adjustments in line with their statutory duty. In some cases, the school or a medical professional – in consultation with a parent or carer – may feel it necessary to request alternative education provision. See our page on Supporting children and young people who cannot go to school for more information.

            Last updated: December 23, 2025

            Next review due: June 23, 2026

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