Reasonable adjustment for health impairment and disability ...

Flow Chart 1 – Health impairment & Disability 2 assessment and support process for admission to pre-qualifying Health and Social Careprofessions (not including Foundation Degrees)TimelinestartApplicants identify themselves as having a disability on their UCAS form, the application is processed and ifthe applicant accepts our offer based on the academic requirements for the programme they are sent theOccupational Health (OH) 2 and DBS/CRB forms.All candidates (who have accepted an offer as firm) are required to submit an Occupational Health clearancequestionnaire to an independent external body or assessor and to attend an Occupational Health assessmentwhere required (decision made by Occupational Health 3 ).See footnotes 4 and 5OH 3 write to the Admissions Lead and identify candidates possibly needing support.Programme Admissions Lead arranges a meeting with the appropriate programme professional staff.Where required, further advice may be sought from the University’s Student Disability Service.YesIs further assessment/advice required? 6NoPhysical? Learning Difficulty/ Mental health/ Other? Document outcome in student s file 7Skills assessment to determine reasonable adjustments required 8.Skill assessment also to be undertaken with reasonable adjustments in place.Both assessments may take place at the same time.Assessment decision - OH to inform Head of Practice Education/ PEU andProgramme Admissions Lead, in writing.Assessment to determine reasonableadjustments required 9.Assessment decision - OH to inform Head ofPractice Education/ PEU and ProgrammeAdmissions Lead, in writing.Notes overleaf:

YesIs reasonable adjustment required?NoProgramme Admissions Lead documentoutcome in student’s file, admissionprocess resumes.Reasonable adjustments requiredComplex reasonable adjustments requiredAdmissionsdeadline.Friday week -1Programme Admissions Lead informs appropriatepersonnel in University Admissions, ProgrammeTeams and Placement Learning Unit of thedecision.OH 3 ,Programme Lead, practice representative andUniversity’s Student Disability Services consult todiscuss issues 11. .YesAlternative solutions found?NoPEU 10 arrange toensure student issupported uponarrival.Programme Admissions Lead sends copy of notification letterand assessment form to PEU administrative staff, who updatesPEMS (Practice Education Management System).PEU file copy, which will be used to inform placementallocations and notify placement areas of reasonableadjustments requiredStudent is notified of clearance via normalprocesses, and where appropriate is contactedby University Student Disability Service to beoffered support.April 2012 rebranded PEU updated NLJ Mar 2013Programme Lead informs Programme AdmissionsLead, in writing, that the candidate has not met theprofessional admission requirements.Student is notified by the University (admissions) via UCASthat they have not met clearance.If student has provisionally commenced the programme thenthe Programme Lead informs the student in writing that theyare unable to meet the practice requirements and thereforemust be discontinued from the programme.An opportunity to discuss this decision with the ProgrammeLead is provided.

Notes for Flow Chart 1 –.2 For Social Work students a self declaration is completed in place of Occupational Health.3 Decision made by Programme Team for Social Work students.4 Occupational Health 2 & CRB Assessment is the same as for any new member of staff in practice (e.g. in a local NHS Trust / social services).Students informed of the need to disclose all factors which may have an impact on their safety or the safety of others in their practice educationssettings.5 At point of offer, candidates who have indicated a disability are also contacted by the University regarding disability support available from theUniversity.6 Programme professional staff confirm with Senior Tutor, in writing.7 PEU admin updates PEMS and sends copies of relevant assessment documentation to students file in AMO8 Undertaken by Occupational Health 3 , Programme/ Placement Lead, Head of Professional Practice Skills (or nominee) and a practicerepresentative.9 Undertaken by Occupational Health 3 , Programme/ Placement Lead, and a practice representative.10 Within the outcome of the assessment to determine reasonable adjustments it is necessary to identify who will be responsible for coordinatingthe arrangements for student support in placement. It would be reasonable within NHS placements for this to be the LEL and within PVI sectorplacements for this to be via the Placement Lead.11 In the case of temporary/ acute health conditions, or the student being less than 18 years old; to ensure that reasonable adjustments are onlyapplied where required it is necessary to set a review date and identify a named person responsible for coordinating the review on the notificationletter and assessment form.All changes to conditions which impact on the reasonable adjustments must be notified to the PEU administrator who updates PEMS(Practice Education Management System), the PEU administrator notifies the current placement and all other relevant parties (e.g. LinkLecturer, Occupational Health, Programme Lead) of the change in the student’s circumstances.April 2012 rebranded PEU updated NLJ Mar 2013

Flow Chart 2a – Health impairment & Disability 2 assessment and support process for post admission to pre-qualifying Health and SocialCare professions (not including Foundation Degrees)Day 1Issues identifiedIssuesby Occupational2, 10HealthChange in healthstatus sinceFitness to Practisecard issued 2, 7identified by Student ORMember of academic programme team OR2, 10, 12Practice Assessor, PEU staffIssues identified byUniversity’s StudentDisability Services?YesOccupational Health issue?Referral made to OH for assessment 3Medically fit for practice? 4NoIs support required fromthe Student DisabilityServices?Student DisabilityServices notify FieldChair/ Programme Lead& PEU 8YesNoYesFlow chart 2bNoStudent withdrawn fromplacement to seek additionalsupport to identify reasonableadjustment and skills assessmentas required 8Student withdrawn from practiceFitness to Practise card withdrawn 6, 7Is any action required for reasonable adjustment in practice?Day 10Notes overleaf:Documentoutcome instudent’s file 5YesFlow chart 2bNoDocumentoutcome instudent’s file 5April 2012 rebranded PEU updated NLJ Mar 2013

Flow Chart 2b – Health impairment & Disability 2 assessment and support process for post admission to pre-qualifying Health and SocialCare professions (not including Foundation Degrees)Day 10No conditions/ adjustments requiredFlow chart 2aConditions/ adjustments requiredIs the student safe to remain in Practice?YESNON.B. A copy of the risk assessment &support plan should be kept in theStudent’s Practice AssessmentDocumentComplete risk assessment - Studentwith Placement representative and linklecturer, (with representative fromuniversity student disability servicewhere indicated).Prepare and agree reasonable supportplan as stipulated by risk assessment 11 .Involve Placement representative, withstudent and Link Lecturer, (withuniversity’s student disability servicewhere indicated).Student meets Standards ofConduct requirements.Student withdrawn from practiceFitness to Practise card withdrawn 6, 7Assessment coordinator 9Copies of support plan sent to: PracticeAssessor, Student (for placing in PAD),PEU, Link Lecturer and LEL/PPF.Day 21NB: The student’s competence is to be assessed withreasonable adjustments in place.Notes overleaf.April 2012 rebranded PEU updated NLJ Mar 2013

1. Notes for Flow Chart 2 (a, b)2 e.g. Student has a change in health since the issue of the Authority to Practise card, which will impact on their Health and Safety in practice(Immediate withdrawal from practice and commence OH re-assessment).3 Students needing referral to Occupational Health are referred using the OH referral form (OBU staff- https://shscint.brookes.ac.uk/documents/login.php).4 Occupational Health to inform Programme Lead, PEU and Student in writing of the outcome of the OH assessment.5 PEU admin updates PEMS and sends copies of relevant assessment documentation to students file in AMO6 Refer to Programme Lead for decisions relating to programme options or rescheduling of placement once reasonable adjustment can bedetermined.7 Refer to Standards of conduct handbook (Appendix 5: Process for notification of withdrawal of Fitness to Practise (student)) and guidance notesfor discontinuation of placement - http://shsc.brookes.ac.uk/PEU8 Where a ‘student memo’ is generated by the University, it is the students’ responsibility to share this information with their Practice Assessor. PEUalso inform Practice Area via placement letter.9 Academic Adviser OR Person named as coordinator on the PLC 10_14 ‘Skills Assessment to Determine Reasonable Adjustment(s) Required inPractice’ form.10 Person identifying issue to inform Placement Learning Unit health-care-placements@brookes.ac.uk AND Academic Advisor.11 Where the issue is identified after the student has already commenced their practice education/ placement learning experience there needs to benegotiation as to how the adjustments are made, it may also be necessary to reschedule the placement (refer to the guidance notes fordiscontinuation of placement).12 Person identifying issue to discuss with student.All changes to conditions which impact on the reasonable adjustments must be notified to the PEU administrator who updates PEMS(Practice Education Management System), the PEU administrator notifies the current placement and all other relevant parties (e.g. LinkLecturer, Occupational Health, Programme Lead) of the change in the student’s circumstances.April 2012 rebranded PEU updated NLJ Mar 2013