Hi Louise - not sure what you mean?  Please can you elaborate?  I assume you mean a plan regarding what to do if a child falls?  If so,  I would suggest that school staff risk assess the environment; clear corridors and classrooms of clutter, etc and have a chair ready if the child is able to get themselves up again using that.  I would also advise liaising with the child's OT and physio and ensuring that staff have their moving and handling training up to date.

Hi Louise and Jo - essentially it is a risk assessment. If you "google" falls risk assessment in children, there is guidance on the NICE website. Every time I've been in hospital I've been risk assessed as I use crutches to mobilise, footwear and slippers being key factors in lots of falls ( that tension between something which is easier to put on is also likely to be ill-fitting and cause a hazard).  As you say Jo, making staff and others aware of clutter and trip hazards is important, highlighting changes of levels and working with Physio on strategies which help the child get from floor back up, if safe to do so.

Thank you both Jane and Jo, I really appreciate your advice around this.

We recommend Manual Handling Risk Assessments, but were struggling with those children who are not transferred but are prone to 'wobble' or falling.  I have come up with a template which I am going to use with a child and hopefully this will be sufficient.  I have included your advise around environment so thank you very much 🙂

To add to Jane's good advice: look for hot-spots, e.g. where it's crowded or light levels or surfaces change, and "hot times", when falls are more likely to occur. I recommend to schools that they record all falls (or all falls for a sample week if there are lots), as there are usually more than any individual member of staff is aware of and there may be patterns that can highlight the need for changes, e,g, to improve lighting or to add a grab-bar in certain places, like cloakrooms.