Children with Allergies: School Safeguarding Debate
Full Debate: Read Full DebateBecky Gittins
Main Page: Becky Gittins (Labour - Clwyd East)Department Debates - View all Becky Gittins's debates with the Department for Education
(1 day, 19 hours ago)
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I was diagnosed with an anaphylactic peanut allergy at the age of seven. Much of the coverage around allergies centres on the devastating occasions when anaphylaxis and avoidable reactions result in tragic deaths. For most allergy sufferers, today’s debate feels much closer to our daily life and is therefore incredibly poignant. The impact of allergic diseases on the lives of children goes far beyond severe and occasional reactions; it impacts every part of their lives.
I begin by endorsing the comments of my hon. Friend the Member for Redditch (Chris Bloore); I endorse much of the additional provision he has asked for. In my experience, having a food allergy has meant feeling different and isolated from my peers at school. I was often not able to be involved with school experiences or even rewards for getting my times tables or spelling right, if they were food-based.
I also experienced a high degree of anxiety from my parents when other parents continually sent their children in with peanut butter sandwiches despite repeated warnings, the result of which was always that I, as a seven-year-old, needed to restrict myself further to keep myself safe. Having to take huge precautions when going on school and residential trips, which required me to challenge some cooking staff—adults—who were asking me to eat food that I knew to be unsafe. In a school setting, where good behaviour is often associated with deference towards teachers and other adults, that is very difficult for a child to navigate. On one occasion, a member of the catering staff at an outdoor pursuit residential centre called me a pain in the proverbial—her language was not so polite—for having allergies and refusing to eat unsafe food that was put in front of me. I was 10.
As I got older, I became more resentful of my allergies, always having to carry a messenger bag with adrenalin auto-injectors when out with friends, not being able to eat at the fast food places and restaurants where my friends held birthday parties or went at the weekend, and never being able to sit with them for school dinners in the canteen. One thing that is often not discussed is that I, like many with allergies, know there are things I will never do and places I will never go, as their cuisine is unsuitable for my allergies and there is a lack of medical access while travelling.
Like many allergy sufferers, I have suffered periods of anxiety when my allergies have either caused or become a vehicle for intensifying periods of poor mental health. The early physical symptoms of an anaphylactic reaction are remarkably similar to those of a panic attack: laboured breathing, potential loss of consciousness and what the medical profession call an impending sense of doom. For a child—indeed, throughout life—navigating the difference between anaphylaxis and anxiety can be incredibly difficult when their body is alerting them to threats: real threats that must not be ignored, in the case of allergy, or perceived threats, as often in cases of anxiety. That is an often under-appreciated part of what life is like for young people living with allergies. For allergy sufferers, a life of restriction, anxiety and fear is not just a one-off tragic story; it affects the everyday life of those children.
I would love to be able to say that in the 23 years since I was diagnosed with an anaphylactic allergy, the outlook for children with allergies has become much better. In fact, the biggest change in that time is that the number of people with allergies has more than doubled, while the support and infrastructure for allergy sufferers has remained much the same. The rates are such that one in 13 children now has a food allergy, which equates to two children in every classroom. That is the real importance of this debate. Data shows that 20% of food allergic reactions, and approximately 30% of first-time anaphylactic reactions, like the one we heard about from my hon. Friend the Member for Stafford (Leigh Ingham), occur at school. One in five food allergic reactions occurs outside the school building: on the playground, travelling to and from school, or on school field trips.
Hospital admissions due to food-induced anaphylaxis tripled between 1998 and 2018, with the largest increase seen in children under 15, reflecting a growing incidence of severe allergic reactions. Astonishingly, it is estimated that half a million school days are lost to allergic disease each year. That has a massive impact on the educational attainment of a growing number of young people in our schools. That makes it all the more worrying that 69% of schools do not have in place the recommended safeguards of allergy policy plans, medication or training; that, despite being permitted to carry AAIs since 2017, almost half of all schools do not hold their own life-saving allergy medication; that two in five teachers feel unprepared to respond to a child experiencing an allergic reaction; and that, according to NASUWT research, 67% of teachers have had no formal allergy awareness training.
Earlier this year, I was pleased to attend the launch of the Natasha Allergy Research Foundation’s allergy school module. Designed to address the lack of allergy training in schools, it is a comprehensive suite of free training resources designed to empower, include and protect children with food allergies. I have written to every school in my constituency about those fantastic resources. They have been available since January, and a module is coming later in the year for secondary school students.
I regularly speak to schools in my constituency about allergy school, and I have been heartened by the work that many schools are doing to keep allergic pupils safe. Recently, I was heartened when asked, in an interview with young reporters from the Bodnant Bugle at Bodnant community school, about my work with allergy in this place. I also heard how informed pupils and staff are working together with the aim of keeping pupils feeling safe and, crucially, included in their school community. That is a huge stride, but we must do more.
As a champion of the Natasha Allergy Research Foundation, and a proud member of the APPG on allergy, I am keen to support the progression of its allergy safety action plan. The following calls are most important. All nursery and school staff should be trained in allergy awareness, allergy management, and how to respond in a food allergy emergency, including the administration of medication. Lists and photos of children with food allergies should be available to all staff to ensure that they can be easily identified and their needs can be met throughout the school day. All schools and nurseries should have a specific allergy policy that includes an anaphylaxis plan. All schools and nurseries should have an individual healthcare plan for every child with a diagnosed allergy. Such plans should always include paediatric allergy action plans and an anaphylaxis risk assessment. All schools and nurseries should record and report all known instances of food allergic reactions and, crucially, near misses.
That record keeping should be included in the evaluation criteria for Ofsted inspections. All schools should have an allergy-aware anti-bullying policy. Schools should ensure that their behaviour and anti-bullying policies include awareness of food allergy-related bullying. There should be milk alternatives for free school milk provision; allergy-friendly provision in breakfast clubs, of which we are so proud; requirements on schools to publish their catering information and the allergy assessments done by school catering staff and agencies; and provision for children who cannot safely eat school dinners, in recognition of the fact that parents of food-allergic children spend an average of 14.4% extra on their weekly food shop.
Since I became an MP, I have met so many children who suffer through allergic disease and whose experiences of growing up with allergies are painfully similar to mine, although they are 20 years apart. I hope the work that we will discuss this afternoon ensures that allergic children have a much better, safer experience of school in the future.