Admissions & Transitions

Children and young people who are inpatients at one of the four hospital centres will attend the education provision within the hospital. The four centres include the Darwin Centre, the Phoenix Centre, the Croft Children and Families’ Centre, and Addenbrooke’s Hospital.

Pilgrim Pathways School is responsible for the provision, arrangement or monitoring of appropriate education for pupils with medical and mental health difficulties. Appropriate education provision, including the number of hours per week, will depend on the nature of the mental health or medical condition, the impact of the condition, and the educational needs of the individual pupil.

Any decisions will be made in consultation with the medical and wider professional team, as part of the multi-disciplinary model.

Attendance

The expectation is that once admitted to one of the above units, pupils will attend all timetabled sessions. However, there may be occasions when a pupil is too unwell, attending a medical treatment or have a therapy session, and therefore cannot attend the prescribed timetable. Should this be the case the Pilgrim teaching staff take a flexible approach to ensuring the young person does not miss out on their education.

Every effort will be made to encourage medical staff to acknowledge the importance of school attendance and to, where possible, arrange for medical procedures or appointments to be scheduled outside school hours.

Pupils who wish to receive education but are unable to leave the ward will be offered bedside tuition, where staffing levels permit.

The Darwin Centre & The Phoenix Centre

Young people who attend either of these centres will usually have a referral from their local Child and Adolescents Mental Health service (CAMHs). Referrals are taken for young people aged from 13-18 who are suffering from mental health problems that cannot be managed by CAMH community services. Referrals must be agreed by the consultant at the hospital of which the child is due to be admitted.

  • All young people who are in-patients will be entitled to educational support from day 1 according to the medical advice from the consultant psychiatrists. Some children are unable to access education from the first day of admission. In this case the teacher in charge will introduce themselves and approach the child at regular intervals to encourage attendance. In liaison with the medical team school attendance will be planned and a gradual introduction to school may be introduced.
  • The Teacher in Charge will upload the pupil details to the school registration system, Arbor.
  • The Teacher in Charge will, in liaison with mainstream schools, arrange teaching support for young people to maintain educational progress. The Teacher in Charge will also ensure each pupil has an Individual Learning Plan (ILP).
  • For young people who are not in education, employment or training, personalised learning programmes will be provided to include functional skills, preparation for work skills and careers support.
  • In-patient education staff will liaise with mainstream schools or colleges to ensure they are providing appropriate work and links are maintained.
  • Young people who attend a mainstream school or college will be dual registered at Pilgrim Pathways School.
  • For young people with no linked mainstream will be single registered until such time a named provider is identified.

The Croft Centre

Children who attend the Croft will usually have a referral from the local CAMH service. Referrals are taken for children from 4 -12 years of age who have severe mental health problems, those that require an assessment due to complex presentations and those requiring specialist treatments. Children are usually admitted with a parent/carer and sometimes with other family members depending on family circumstances and clinical need.

  • All children who are in-patients will be entitled to educational support from day 1, according to the medical advice from the consultant psychiatrist. Some children are unable to access education from the first day of admission. In this case the teacher in charge will introduce themselves and approach the child and family at regular intervals to encourage attendance. In liaison with the medical team school attendance will be planned and a gradual introduction to school may be introduced.
  • The Teacher in Charge will upload the pupil details to the school registration system, Arbor.
  • The Teacher in Charge will, in liaison with mainstream schools and other professionals involved with the child, arrange teaching support to maintain educational progress. The Teacher in Charge will also ensure each pupil has an Individual Learning Plan (ILP).
  • Children who attend a mainstream school will be dual registered at the Pilgrim PRU.
  • For children with no linked mainstream will be single registered until such time a named provider is identified.

Addenbrooke’s Hospital

Children who attend the Addenbrooke’s Hospital School will be an inpatient on one of the 7 children’s wards (Including Teenage Cancer Trust) on the main site. Referrals to the service are made through the NHS system EPIC by the nursing team. The teachers at Addenbrooke’s will make a professional judgement on a daily basis about which pupils they teach and for how long pupils will receive education. They will liaise with ward staff on a daily basis and will take pupils’ medical needs into account.

  • Children and young people in hospital can access educational activities from day 3 of admission, where staffing levels and capacity allows. This with the exception of frequent returnees, where admission is planned and advanced notice is given.
  • The team at Addenbrooke’s will register a pupil if they are likely to receive educational input after the third day of admission on to one of the children’s wards or the teenage cancer ward. The team then upload this information to the NHS system, Epic, and the school registration system, Arbor.
  • All children and young people who are taught in hospital will have a discharge letter sent to their own school, so that the school is made aware that the pupil is now well enough to return to school or will require support with a re-integration programme, and how many days of education they have received.