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First Aid Provision in Schools

When deciding on the numbers of first-aid personnel required, schools should consider the likely risks to pupils, visitors and employees to produce a suitable and sufficient risk assessment. They should consider if there are any parts of the school where different levels of risk can be identified. In addition there may be different levels of risk at specific times of the day. County and controlled schools should also pay regard to their LEA's policy and advice.

As part of the new Early Years Foundation Stage (EYFS) there is a requirement for early year's settings who care for 0 to 5 year olds to have a first aider who has completed a specific course in paediatric first aid (from September 2008). For more information on this please see our Q & A guide using the following link: Paediatric first aid advice for schools

As a general guide, the table below, compiled using information from the Health & Safety Executive's advice for workplaces, gives an indication of the number of first-aid personnel required.

Whilst children are in the classroom, schools will generally fall into the “lower” risk category. At other times, for example lessons in practical departments such as science, technology, home economics, physical education and break times, the risk is more likely to be assessed as “medium”.

 

 Risk Category  
Number of Pupils, Staff and Visitors
 
Suggested Minimum Number of
First Aid Personnel
  
Lower Risk
 		Fewer than 50

At Least 1 Appointed Person at all times

50 to 100 At Least 1 First Aider at all times
More than 100 At Least 1 additional First Aider for every 100 employed
Medium Risk
 		Fewer than 20 At least 1 Appointed Person at all times
20 to 100 At least 1 First Aider at all times
More than 100 At least 1 Additional First Aider for every 100 employed (or part thereof)

The numbers given in the table are suggested as a minimum requirement . When considering how many first-aid personnel their school requires, the school should also consider the following:

Early year's settings
Please see our guide: Paediatric first aid advice for schools

Leave and absences
Cover should remain adequate even when first aid personnel are absent on such occasions as annual leave, training days and sickness.

Off-site activities (e.g. school trips)
If first aid personnel accompany pupils off-site, there should be adequate first-aid provision both in the school and on the trip.

Different areas and levels of risk
Practical departments, such as science, technology, home economics and physical education are of a higher risk and should be assessed as such.

Out of hour's activities
Adequate provision is needed at all times including before and after school clubs, residential visits and sports activities etc.

Lunch and breaks times
As first-aid personnel should be able to get to a casualty quickly, it is good practice to encourage lunchtime supervisors to have first-aid training.

Provision for any students or trainees working on site
Trainees and Students on work placements have the same status as regular staff for the purposes of health and safety legislation.

Large Schools
Schools need to consider additional first aid provision if there is more than one building. They should also consider how many first-aid personnel are needed to provide adequate cover on each floor of a split-level site.

Specific hazards or risks
Hazardous substances, dangerous tools, machinery and other hazards should be assessed. Temporary hazards, such as building or maintenance work, should also be considered and suitable short-term measures put in place.

Specific needs
Staff or pupils with any special health needs or disabilities should be considered.

Accident statistics
Accident statistics are a useful tool in risk assessment. Look at the most common injuries, times, locations and activities to indicate where additional first aid provision may be required.

Location and access to the school
It is good practice to inform the local emergency services in writing, of the school's location, giving Ordnance Survey grid references and any particular circumstances that may affect access to the school (especially if the school is remote from emergency services). If the school has more than one entrance, emergency services should be given clear instructions on where or to whom they should report.

 

This advice has been compiled using information from the leaflet “Guidance on First Aid for Schools”, produced by the Department for Education and Employment and additional information supplied by the Health and Safety Executive.

 
   
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