Concerns raised12
Failure to transmit allergy action plans to schools
Lack of standardisation of allergy action plans across hospitals and schools
Omission of second adrenaline auto-injector guidance from the emergency call algorithm
Failure to ensure that school medication is in date
Lack of awareness that a second adrenaline auto-injector should be administered after deterioration or non-improvement
Delays in time-critical asthma and allergy review appointments
Lack of school pupil understanding of allergies and the consequences of allergen exposure
Failure to check or audit school allergy care plans and medication boxes
Lack of awareness that adrenaline should be administered immediately for respiratory compromise after allergen exposure
Insufficient availability of two adrenaline auto-injectors at all times
Failure to communicate emergency adrenaline instructions effectively in school staff training
Absence of emergency adrenaline instructions on EpiPen packaging
No linked response statementsNo action or position from this recipient is clearly linked to the concerns in this report.