Children with Allergies: School Safeguarding Debate
Full Debate: Read Full DebateChris Bloore
Main Page: Chris Bloore (Labour - Redditch)Department Debates - View all Chris Bloore's debates with the Department for Education
(1 day, 22 hours ago)
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I beg to move,
That this House has considered the matter of safeguarding children with allergies at school.
It is a pleasure to serve under your chairmanship, Ms Lewell. First, I would like to declare that I am an officer for the all-party parliamentary group on allergy. To be clear, I am not the first person to host a Westminster Hall debate or an Adjournment debate on the topic; Members who have been in this place for a much longer time than me, most notably the hon. Members for Strangford (Jim Shannon) and for Rutland and Stamford (Alicia Kearns) have long called for improvements to allergy safety in schools, and I pay tribute to them.
Many of us have experience of allergies: one in three people in the UK now live with allergic disease. In fact, this afternoon my speech will be tempered by the fact that my own allergies have taken control this morning, so I apologise for the slightly laboured delivery. I have my own personal experience, too; my son suffered a severe allergic reaction to an over-the-counter medication. The terrifying car journey to the hospital, watching his whole body turn blotchy red and not knowing what was wrong, is a fear that no parent should have to endure. The months that followed were filled with anxiety about what else he might be allergic to, and constant worry about receiving a call from nursery with bad news.
I have experienced this on a small scale, compared with many parents who live with the fear every day. I will not be commenting on individual cases, for legal reasons and because of ongoing legal proceedings, but I want to make clear that any child who has been lost in our schools because of an allergic reaction is one too many. Hospital admissions for allergic reactions have risen by over 160% in the past 20 years, and 50% of children are now affected by at least one allergic condition. Every year, approximately 43,000 new cases of child allergy require care. The number of children diagnosed with allergic rhinitis and eczema has tripled in 30 years, with 3.9 million currently affected. Studies show now that incidents of food allergies in England nearly doubled between 2008 and 2018, with a prevalence of 4% among pre-school children.
Children spend at least 20% of their waking hours in school, and food allergies affect around two children in every classroom. It should come as no surprise that 18% of food allergy reactions and 25% of first-time anaphylactic reactions occur in the school environment. Given the amount of time spent at school and the proportion of children affected, it is vital that children and their parents feel that school is a safe place and prepared to deal with allergic reactions, but sadly that is often not the case.
Parents want to know that their children can go to school safely, but they might equally have a reaction when they are not at school; 70% of parents of children with allergies report that they have experienced an absence because of an allergy. Does my hon. Friend agree that the vast number of difficulties faced by children with allergies and their parents merits the creation of a cross-departmental allergy tsar who could advise the Government on all the ways that allergies affect the sufferer?
My hon. Friend is a little ahead of the rest of my speech, but I completely agree, and I will give reasons for that. An allergy tsar who can cross Departments —Health, Education and others—could have a huge impact on how we deal with children with allergies.
I thank my hon. Friend for securing this debate. I do not usually speak much about my family in the Chamber, but it is interesting that my hon. Friend spoke about his personal experience with his son. I phoned my nephew yesterday—it was his first day at primary school and he had his taster day—to show him Big Ben, which was going off at the time. When I did, he had hugely swollen eyes; he had had an allergic reaction at school, which had also been happening at nursery. He has an egg allergy. The nursery updated parents daily to say what they were having for lunch—I do not know whether my hon. Friend has seen these apps—and my brother phoned me one day to tell me that he had been told that my nephew had had quiche. Although it is important that we make sure we have these provisions in school settings, does my hon. Friend agree that we should make sure they are also there in early years settings?
I completely agree. Those family apps are a daily part of my life, as I see what my son is eating. I still have a little jittery feeling every time I see what food is going to him and whether he will have a reaction.
Allergy provisions in schools are unfortunately inconsistent, leaving children vulnerable and families sometimes fearful. There is no comprehensive national framework to safeguard children with allergies effectively. Approximately 70% of UK schools do not have basic protections in place, which has led some families to resort to home education, denying their children the opportunity to learn alongside their peers. One in three schools has no allergy policy at all, and many that do simply say “no nuts”. Half of schools do not have spare adrenalin auto-injector pens on site, and over 60% do not provide training to staff on how to manage allergies.
The impact on attendance is significant. Research by the Natasha Allergy Research Foundation found that 70% of parents reported that their allergic child had missed school because of their allergy. Reasons include illness and medical appointments and, crucially, anxiety about safety and bullying. Two thirds of parents believe allergies negatively affect their children’s educational attainment. Allergies should never be a barrier to education and success. The mental health impact is equally serious. Data show that 83% of people with food allergies say it significantly impacts their wellbeing. Many children face bullying and teasing related to their allergies, causing feelings of isolation, fear and anxiety. Around 32% of children surveyed have been bullied due to food allergies at least once.
Some school practices worsen the isolation. I have heard of children being made to sit alone at lunch or missing out on treats given to other children on special occasions. Many parents restrict their children’s activities because of safety concerns, and some consider removing their children from mainstream education altogether. Allergy UK’s research shows that 61% of children with food allergies avoid social situations to reduce risk.
The lack of understanding can have tragic consequences. Eighty per cent of parents believe that their child’s allergies are not taken seriously at school, and such indifference can lead to delays in treatment and, heartbreakingly, to children not returning home from school.
Members from all parties have referenced the inconsistent and dangerous approach to allergy safety in schools. A brief look at Hansard reveals statements made by Ministers from all parties over the last 15 years about how an inconsistent approach to allergies causes dangers in our schools. To agree with the hon. Member for Rutland and Stamford, who is not here today, the root cause of these issues is a lack of clarity in the Department for Education’s guidance, and a lack of accountability mechanisms to ensure that existing guidance is followed properly.
We must also remember that allergies are simply not a dietary issue. They are a medical issue requiring proper medical protocols and support. Yes, schools should lead on allergy policies, but freedom of information requests and research done by the Benedict Blythe Foundation show that not enough of them are doing so. We cannot blame schools for those failures. They must be provided with the right leadership, resources and support to implement consistent allergy safety measures. Teachers and staff want to protect children, but cannot do so without proper training and guidance.
Fifty per cent of parents believe that staff and teachers should have more training on allergies. This training should include allergy awareness management and emergency response training, including administration of adrenalin auto-injectors. It must be consistent, evidence-based and delivered in collaboration with medical professionals. Schools are under-resourced and need proper funding. A recent NASUWT survey found that 67% of school staff had not received allergy awareness training because of funding issues.
Alongside training, every school should have a specific allergy policy that includes an anaphylaxis plan. This ensures everyone knows their role in allergy safety, and families can be assured that a safe environment has been created. Safeguarding guidance should be strengthened to specifically reference children with allergies. Each child with a diagnosed allergy should have an individual healthcare plan developed with parents, schools and healthcare professionals, providing clear guidance on risk management and emergency procedures. All schools should record and report allergic reactions and near misses. A centralised database would allow better tracking of trends, identification of risks and improvements in policy.
Every school should be funded to hold in-date spare adrenalin auto-injectors, with staff trained in their use. Those devices should be as commonplace and accessible as defibrillators are now. Half of our schools do not have spare medication, and timely use of AAIs can mean the difference between life and death. We must also challenge stigma and raise awareness across our schools. Providing dairy-free alternatives to free milk for under-fives, ensuring free school meals and breakfast clubs are allergy inclusive, and including allergy in anti-bullying policies will foster compassionate, inclusive environments.
The Minister who will reply to this debate is the Under-Secretary of State for Education, my hon. Friend the Member for Portsmouth South (Stephen Morgan), but a cross-Government approach is essential. Charities have long called for an allergies tsar to co-ordinate efforts across Departments such as Education and Health. The role would champion collaboration, advocate for evidence-based changes and help embed effective policies on the ground. Access to prompt diagnosis and treatment is critical. Allergy UK proposes placing allergy nurses and dietitians in GP surgeries, reducing waiting times from months to weeks and supporting schools in creating healthcare plans.
Before I finish, I have several specific questions for the Minister. The debate has made clear the urgent need for stronger, more consistent protections for children with allergies in our schools. I respect the challenges our schools face, but the safety and wellbeing of our children must come first. I therefore ask the Minister to consider making allergy training, fully funded and supported by the DFE, mandatory for all school staff. That training must be comprehensive, evidence-based and regularly updated.
We should require every school to hold spare adrenalin and AAI pens, with clear protocols for their proper storage, maintenance and use. Those lifesaving devices must, as I have mentioned, be as accessible as defibrillators. Working closely with our colleagues at the Department for Health and Social Care, every child diagnosed with an allergy should have an individual healthcare plan, developed collaboratively with parents, schools and healthcare professionals and embedded within safeguarding policies. We should strengthen reporting requirements so that all allergic reactions and near misses in school are recorded centrally, enabling data-driven improvements in policy. We should support the appointment of an allergy tsar and make sure that organisations such as Ofsted consider a school’s approach to allergies in their inspections.
These policies, set out by various organisations, would provide a real road map to not only meet but exceed international standards for allergy safety in schools. Following these recommendations will help us to create a safer and more consistent environment in which every child with allergies is truly protected and supported. Laws that exist but are not properly implemented are not fit for purpose.
Next week, I will introduce the Schools (Allergy Safety) Bill to legislate for the mandatory training of school staff, allergy policies and spare medication at schools. It is time we took allergies seriously and enabled schools to create safe environments for children to learn and flourish. I hope that, after countless debates in this place and in the House of Commons, we can finally put this issue to bed and put our children’s safety first.
Whenever I meet the Minister, I have a bad habit of simply asking for things. I appreciate that yet again I am in this place asking for something, but such is the job.
I thank all those who contributed to the debate, as well as someone else who is in the room but did not contribute because she is a Member of the other place: Baroness Kennedy. I thank her for all her work on the subject in both her professional and her political life. More than many, she has raised the importance of the issue and the discourse around it. I thank her for what she does, day to day.
I thank my hon. Friend the Member for Clwyd East (Becky Gittins) for her remarks, which were informed both by her role on the APPG and by her personal experience. I feel slightly fraudulent, because I think I secured this debate just ahead of her. Her contribution was a lived story about what it is like to suffer from these allergies and the impact that they can have on the way a person grows up—but certainly not on her attainment, because she is in this place, doing an incredible job. I also thank my hon. Friend the Member for Nuneaton (Jodie Gosling). I was astounded to hear the stories about the challenges that she has faced, simply being in this place, in keeping herself safe, let alone the stories that she has told about her son.
I always listen intently to my hon. Friend the Member for Bexleyheath and Crayford (Daniel Francis). He was absolutely right to make those points about the quality of life for our children in our schools. I also thank my hon. Friend the Member for North West Leicestershire (Amanda Hack), who is no longer in her place. She was absolutely right to highlight the fact that parents have lost support from county councils.
I thank the Liberal Democrat spokesperson, the hon. Member for St Neots and Mid Cambridgeshire (Ian Sollom), for his contribution. He was absolutely right to raise the damning statistics that have been found in many pieces of research in the last 18 months. I thank the spokesperson for His Majesty’s loyal Opposition, the hon. Member for Harborough, Oadby and Wigston (Neil O’Brien). He noted what has improved in the past two to three years, and the work that has been done in this place, but he also addressed Owen’s law and the challenges that we still face in moving forward on the issue. Of course, I also thank the organisations that we have all mentioned.
I would like to return to the Minister’s comments. The statistics on the number of children who are developing allergies and are having incidents in schools are going only one way. Laws are fit for purpose only if they are delivered appropriately, and only if the people who serve under them are accountable for their actions. It is clear both from this debate and from the information in the public domain that the laws we have in place right now are not meeting the safety needs of our children.
The Minister’s response echoed many responses that have been given before in this place. I welcome the Government’s contribution on breakfast clubs and school nursery places, but the canary in the coalmine is right in front of us. There are things happening in our schools that should not be happening. There are articles in the national newspapers about what has happened when things have gone wrong.
The complexity of the issue should not be a vice. We cannot let it defeat us in this place; we should be able to rise to the occasion and change things. We should not have to wait for things to go wrong again before we act. I am afraid that this will not be the last time that I raise the issue. I plan to raise it not just next week, but throughout my short time in this place, I am sure. We can do more, and we can do better. This is not just about the life chances of our children; sometimes it is their very life itself.
Question put and agreed to.
Resolved,
That this House has considered the matter of safeguarding children with allergies at school.