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#1 Posted : 19 August 2002 15:26:00(UTC)
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Posted By Zoe Barnett Can anyone please help with guidance on how to ensure the safety of people with epilepsy when they are using a public swimming pool? We've had a couple of instances lately when people have had seizures in the water. I've contacted Epilepsy Action (the British Epilepsy Association as was) but would be very grateful for any "real life" ideas or thoughts. Many thanks.
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#2 Posted : 20 August 2002 08:46:00(UTC)
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Posted By Robert K Lewis Zoe I remember encountering this when I was at school in excess of 35 years ago. We were a "posh" Grammar school with our own pool. The Swimming instructor acted as Lifeguard and was specifically informed of the problem. As I also remember he was an excellent Breastroke swimmer and when we were in baths he also wore a bright red swim hat to clearly identify him. Try spotting one person in black trunks among 20 others. Interestingly I looked at the record books recently for this school and his record for 100m breastroke and mine for 100m backstroke still stand 36 years on. One place where standards have not improved!!! I suggest a similar approach may well suit but whatever you do don't discourage the person, she/he will have enough of that from elsewhere. Bob
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#3 Posted : 20 August 2002 10:09:00(UTC)
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Posted By Ken Taylor Back in my local authority days we had a fatality in one of our pools where a special needs young person with epilepsy had a fit and choked on vomitted food (not having observed the published warning about eating and swimming). CPR proved unsuccessful and we had to engage the RLSS to prove to the HSE and the coroner that our procedures were correct. Accompanyment, supervision and recognition seem to be the accepted controls (see http://www.seattlechildr...ater-safety-seizures.htm , etc) - but with notification a matter for the individual or their carer. Needless to say, prohibition or other unreasonable discrimination would not be acceptable in the normal course of events.
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#4 Posted : 20 August 2002 10:58:00(UTC)
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Posted By Robert K Lewis Isn't it wonderful how we got it right in the old days before the multifarious bodies told us how it should be done. If I were to ride this harder I would get on to my hobby horse about the risk assessment that used to be done on school trips but which now seem to be ignored. At Sailing camp there were always rescue boats on the water and lifejackets worn by all. Now we can river walk flooded torrents in jeans, anoraks and trainers with no other protection. Where did we lose sight of things, it seems that we need a constantly greater thrill to keep the "youngsters" interest.
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#5 Posted : 20 August 2002 13:53:00(UTC)
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Posted By Ken Taylor Are we beginning to sound old Robert? I hope they are not holding school trips without risk assessments. The DfES have recently published new guidance to supplement their ealier inadequate booklet on this subject and risk assessment is very much the order of the day.
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#6 Posted : 20 August 2002 14:11:00(UTC)
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Posted By Zoe Barnett Gentlemen, I'm sure neither of you is getting old! And thank you for your ideas regarding epileptic swimmers. We're very keen that they continue to swim, we just need to work out ways of giving them maximum protection should they have a seizure whilst they are with us. To pick up your other points, I'd say that schools are very aware of the need to manage visits - in fact trips are often the only school activity to have had a formal assessment. The main problem I find is getting teachers to realise that hazards are not confined to the activity holiday. In the past I've had -let's call them discussions - with teachers who thought I was being officious when I queried the wisdom of walking a class of 7 year olds three miles each way to a park, down a road with no footpath, or who refuse to assess a trip to Alton Towers because it's "not dangerous". But then perception of risk is a whole new thread...
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#7 Posted : 20 August 2002 14:30:00(UTC)
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Posted By Ken Taylor I've found it best to set up a system for school trips in our schools with standard forms for completion at various stages and for specific types of activity (for approval, parental authority, risk assessment, monitoring, etc) rather than relying upon teachers to pick up blank risk assessment forms and complete them.
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#8 Posted : 20 August 2002 14:40:00(UTC)
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Posted By Zoe Barnett We paid for schools to get a computerised H&S package, that includes a risk assessment module; I ran umpteen workshops for schools on the whys and wherefores of RAs, and used these sessions to draw up generic assessments for various issues - including trips - but the fundamental message is still the same. Teachers (and any other profession for that matter) have to realise that H&S isn't something that happens to other people, we all have to take an active, informed role in managing it for ourselves. Incidentally, you might be interested in the National Interpreting Service. It's a phone line to which LEAs or other bodies can subscribe, and you get instant phone access to interpreters of 50 or so languages. It's been very useful on school visits abroad when a student's needed medical help, or groups of youngsters have got separated from the main party and needed to ask directions. (Hope the moderator doesn't mind me putting that bit in.) If you would like details let me know and I'll be happy to pass them on.
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#9 Posted : 21 August 2002 08:59:00(UTC)
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Posted By Ken Taylor Thanks for the reminder of the interpreting service (http://www.nisuk.co.uk). How much do they charge for annual membership these days? I appreciate your frustration about teachers and other professionals. Basically all our lot have to do by way of 'extra work' for school trips is pick up the right form at the right time, decide if anything needs to be added and then sign it - but I even get complaints about that! Other risk assessments are generally achieved by the Bursars issuing forms annually to Heads of Departments and giving a date for their return. Each school then has to provide an annual return to the central governing body. It's often seen as 'more unnecessary paperwork' - so I try to make the point that if things go wrong they will be judged with reference to the paperwork as well as their actual performance.
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#10 Posted : 21 August 2002 11:37:00(UTC)
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Posted By Robert K Lewis We three seem to be the only one's with anything to say here. My comments really only reflect Zoe's frustration with teaching staff. It used to be an accepted part of the profession to assess the risks of activities which with increasing specialisation has now been devolved to others. It reminds me of the tale of Everybody, Somebody, Anybody and Nobody. In the end Nobody did the job that Anybody could have done, which Somebody promised to do and which was Everybody's responsibility. I find construction as frustrating and it is part of our continuing lot to endure the hours of anguish and headbanging. In the mean time lets get them swimming Bob
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#11 Posted : 21 August 2002 11:51:00(UTC)
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Posted By Ashley Williams I'll be honest here and point out that I worked for an organisation that held events for school children to attend and not one school ever provided a risk assessment of their attending or even asked us for the one we produced from our point of view. In fact I even questioned the LA over it and they coulnt provide any guidance or even clarify a pupil staff ratio figure. I think its down to those of us with school kids to actually apply pressure to the LA and schools to prove they are doing risk assessments rather than wait for it to go wrong. The Unions are up in arms over the extra pressure it will place on the poor teachers who have to write the risk assessments. For gods sake we all know its only common sense thats needed in the risk assessment, as already pointed out the example of river flooding and fast flow rate, hmmmm do i place little kids in it? Common sense would say No. The idot who got it wrong should have been prosecuted for the offence not the LA. Ashley A Concerned Parent
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#12 Posted : 21 August 2002 11:57:00(UTC)
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Posted By Ian Stone In our organisation we have real difficulty with lecturers not wanting to complete any forms for offsite visits, its all extra paperwork and why should they bother. we keep pointing out to them if something goes wrong the paperwork will be examined, lets cover opurselves and set up systems so it reduces the risk. We are starting to provide generic risk assessments for some activities to help these poor lecturers with their time, also started a working party to work on these ideas and others, give it back t them to solve the issues.
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#13 Posted : 21 August 2002 14:09:00(UTC)
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Posted By Jerry Sanderson To be fair to the unions as mentioned in Ashley's response not all of them are up in arms about the new guidance and some are actually very much in favour of it as it affords more protection to their members. I would agree with the frustrations of many as expressed in this thread about the reluctance of staff to carry out risk assessments.The fact that many see this as a new additional burden is also very frustrating as it means that despite all the work we have done since 1993 many still have not been carrying out risk assessments. We have also started to produce more generic risk assessments for visits my only concern with this is that it to some degree removes the ownership of them from the people leading and supervising the visits. On the positive side however the new guidance has galvanised thinking within our LEA and the health and safety team now have a much more active role in approving(or disallowing) visits.It has also become quite clear that once staff get involved in the process and understand the reasoning for it they are more than happy to produce assessments and that they in fact have some very good tried and tested control measures. Also on a final note many of the private providers used by schools on trips have good risk assessments in place and have been more than willing to forward them to us.
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#14 Posted : 21 August 2002 18:42:00(UTC)
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Posted By Elizabeth Hallows Zoe, if you want specific pratical information, you might try contacting the David Lewis Centre in Alderley Edge, Cheshire, which is a specialist centre for people with epilepsy. They've been helpful to me in the past about specific questions. I spoke to the physios there.
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#15 Posted : 22 August 2002 14:58:00(UTC)
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Posted By Nicky Ashley, You are not the only concerned parent, a school I know left a nursey child on the bus and blamed parents, children etc, anyone but the school, and finally 7 months later a report deemed it to be mainly the Governors fault. What has happened to common sense? Teachers should be in full charge. With lack of ownership of any responsibility and to some extent common sense things like water sports, mountaineering, etc. should always be left to the qualified providers, not teachers. Nicky
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#16 Posted : 27 August 2002 08:47:00(UTC)
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Posted By Ken Taylor Where the school uses an external organisation for risk activities they will mainly need to ensure that they obtain satisfactory information from competent providers - but will still need to address the risks under their control (sending the right pupils and supervision, getting them there and back safely, accommodation, etc. However, there are occasions when schools engage the mountaineering, water sports, etc instructors themselves and this is where it becomes even more important to ensure that all the significant risks are properly addressed.
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