Education | Your Journey

Back to School

In this article we look at what can be done to help prepare a child with complex medical needs to return to school after the holidays. Including, travel, food, equipment, and more!

Starting school, or going back after a break, can feel daunting for children and young people. Preparing children to return to school and start a new academic year takes planning and effort from parents. But for parents who have children with complex medical needs, the process of transitioning from summer to school can be more of a challenge.

In this article, we look at key topics to make the transition as smooth as possible.

Children in state schools in the UK tend to have a six-week break over the summer returning to school at the start of September. To find out when your child’s school starts, check your Local Authority website. To find out which Local Authority you are with, click here.

If your child is not already in school, it is worth noting that Children born from 1 April to 31 August, who are known as summer-born children, do not reach compulsory school age until the September after their fifth birthday, a year after they could first have started school. Click here for further information and advice to help you decide what would be best for your summer-born child.

Staggered Starts

Some primary schools offer a staggered start, which may include reduced hours for the first week and different year groups starting at different times of the day or on different days of the week. The intention of staggered starts is to make the intake process less daunting for children, but they can create challenges for parents who have work commitments or other caring responsibilities.  It is up to each school to decide if they implement a staggered start or not. Check with your child’s school in advance regarding their policy.

The School Admission Code is the statutory guidance that schools must follow when carrying out duties relating to school admissions and should ensure that school places are allocated and offered in an open and fair way. There is also guidance on how to appeal decisions made, which you can find here.

Clothing and Equipment

It can be more challenging to find appropriate school clothes and equipment for children with complex medical needs.

Click on the yellow boxes for links to online shops that sell adaptive clothing and equipment, including adaptive school wear. Remember, many sites offer a discount when you sign up for their newsletters.

Some Local Authorities provide non-repayable grants for uniform costs. Click here to see what financial help is available for school uniforms in England, Scotland, Wales, and Northern Ireland.

You may be able to find good quality second-hand or unworn clothing on local Facebook groups, particularly groups that are for the school your child attends.

Also, see our article on Grants for Families for links to grants that may be available to you and tips on how to apply.

Transport

If your child cannot walk to school because of a special educational need, disability, or mobility problem, they could be entitled to free school transport, even if your home is in close proximity to your child’s school.

An assessment must be made of the child’s individual needs, but Statutory guidance states:

‘Usual transport requirements (e.g., the statutory walking distances) should not be considered when assessing the transport needs of children eligible due to SEN and/or disability.’

This applies to all children with SEND or mobility difficulties, not just children with EHC plans or who attend special schools.

To ask for an assessment of your child’s travel needs, you should contact your Local Authority. To find out which Local Authority you are with, click here.

You should include as much information as you can with your application. It’s important to show that your child meets the eligibility criteria. Include information on:

  • Why your child is not able to walk to school, both physical reasons and any need for close supervision.
  • Give details of the actual journey on foot and how your child would be affected.
  • If you have professional evidence about your child’s walking ability or the difficulties they have in public places, include that too.

Things to note:

If your child is under 5 years old: Most children now start school in September after their fourth birthday. There is, however, no duty to provide transport until children reach compulsory school age, which is the term after they turn five.

Education Health Care Plan (EHCP): If your child has an EHCP, you do not need to be concerned if transport is not mentioned, as eligibility is covered under general education law.

Times of travel: The legal entitlement for transport is for the beginning and end of the normal school day only. You don’t have a right to special arrangements to enable your child to attend appointments or after-school clubs. If you do need flexible arrangements, it may be worth considering a personal travel budget or a mileage allowance.

Suitable travel: The Local Authority has a duty to provide suitable transport, which must be non-stressful. This is defined in case law as transport that enables a child ‘to reach school without undue stress, strain or difficulty … to travel in safety and in reasonable comfort’. Statutory guidance recommends maximum journey times of 45 minutes for primary-aged children and 75 minutes for secondary-aged children.

Food

Studies show that children who have a healthy diet are more likely to be able to retain information they have learnt at school, alongside improved mood, and behaviour.

Food served in all mainstream schools in England must meet school food standards so that children have healthy, balanced diets.

These standards should make sure that school lunches always include:

  • One or more portions of fruit and vegetables every day
  • One or more portions of starchy food, such as bread or pasta every day
  • A portion of food containing milk or dairy every day
  • A portion of meat or poultry on 3 or more days each week
  • Oily fish once or more every 3 weeks

Foods high in fat, salt and sugar, as well as low-quality reformed or reconstituted foods, are severely restricted.

Free school meals

Your child may be able to get free school meals depending on where they live and your situation. Click on each of the yellow boxes to see the rules for each area.

Children in Reception, Year 1 and Year 2

  • All children in Reception, Year 1 and Year 2 receive free school meals regardless of family circumstances.
  • This is called the Universal Infant Free School Meals (UIFSM) programme.
  • You do not need to apply. Children receive these free school meals automatically.

Children in Year 3 onwards

  • From Year 3 onwards, eligibility is based on whether your family receives certain benefits, including anyone receiving Universal Credit.
  • Click here to find out more about whether your child is eligible.
  • London operates under a different scheme for children in primary school. If your child is in Reception to Year 6 and lives in London click the yellow box below.

How to apply

You can apply in the following ways:

  1. Online: Visit your local council’s website and search for “free school meals”. Most councils have an online application form.
  2. Through school: Many schools will help you apply. Speak to the school office, they handle these requests regularly and confidentially.
  3. By phone: You can call your local council’s education department directly.

If your child is eligible for free school meals, they’ll also qualify for the Holiday Activity and Food Programme. Food vouchers may also be available through the Household Support Fund. Find out more by contacting your local council.

  • All children in state-funded primary schools (Reception to Year 6) in London receive free school meals for the current academic year, regardless of household income or benefit status.
  • This is a separate mayoral scheme that applies across all London boroughs.
  • This is automatic. You do not need to apply.

If you receive a qualifying benefit

If you receive one of the qualifying benefits, you are strongly encouraged to apply for Free School Meals. There are significant additional benefits that families receive when registered for a Free School Meal, which includes:

  • Access to free activities, and a healthy meal offer through the Holiday Activities and Food (HAF) programme, during the school holidays
  • Schools can receive extra funding from the Government (pupil premium) which will be used towards your child’s education. This additional money is used to ensure that children achieve academically and have full access to educational and cultural activities

Children in Primary 1 to Primary 5

  • All children from Primary 1 to Primary 5 receive free school meals, regardless of household income or benefit status.
  • This is automatic. You do not need to apply

Children in P6 to P7

Children in secondary schools

Children in special schools

  • Children who go to a special school run by their local council or are Scottish Government funded can get free school lunches during term-time.
  • Your child’s age and your financial circumstances do not matter.
  • Contact your local council or your child’s school, if they’re attending a special school and not getting free school lunches.

Children in Reception to Year 6

  • All children in state-funded primary schools (Reception to Year 6) in Wales receive free school meals, regardless of household income or benefit status.
  • If you receive a qualifying benefit, you should still apply for free school meals as there may be other advantages for your child.

Children in secondary school

If you receive certain qualifying benefits, your child may be entitled to free school meals. Click here to see the eligibility criteria.

If you do not have recourse to public funds your child may still be eligible for free school meals. Ask their school or Local Authority whether they’re eligible.

It is important to note that even if your child is unable to attend school due to their needs but they are registered with the school and eligible for benefits-related free school meals, you could be able to receive good quality lunch parcels at home or food vouchers issued from your school. Please contact your school to discuss this.

Getting free school meals during term time means you also qualify for free extra help during the school holidays. How this works and what you get depends on where you live in the UK, but it can include free meals, free activities, and even money to help with your childcare costs. Check with your Local Authority to find out what is available in your area.

You can also read our article on Food Shopping and Deliveries for information on ways online shopping may help you, how to make shopping in-store easier, how to access food banks, and more.

Managing Anxiety

Going back to school after time off can be anxiety-inducing, for both the child and parent carer.  Below are top tips to help reduce anxiety about returning to school:

  • Talk to your child about what to expect – have regular conversations throughout the holidays about returning to school. Try and make the conversations light-hearted and concentrate on the things they like about school. If anything is going to be different when they return talk about this in advance i.e., if they are going to be in a different classroom or have a different teacher. You may want to use social stories or flashcards to assist with communication. You could ask your school for pictures of new staff or classrooms to use in your conversations or social stories.
  • Meet up with school friends – if possible, arranging play dates or days out with other students over the holidays may help your child be less anxious when they return, as they will recognise other students they had fun with during the holidays.
  • Visit the school – some schools have times children and parents can attend ahead of the first day back. This can help familiarise or reacquaint your child with the school environment before term begins.
  • Talk with the SENCO – The more teachers and staff know about your child, the better; arrange a meeting so you can explain their needs and what the school can do to make things easier.
  • Practice morning routines – you may want to start a similar routine a week or more prior to the return to school to reduce the amount of change on the first day back at school.
  • Practice putting on a uniform – this can be particularly helpful for children with sensory issues.
  • Involve your child in decision-making – if you let your child make some decisions about returning to school it can give them a greater sense of control. This could be choosing their lunchbox and stationery in the weeks prior to return.
  • Reduce your own anxiety – reducing your own anxiety will also help your child feel less anxious. WellChild has a variety of articles on the Information Hub to help with parent carer wellbeing. You can also join our community, the WellChild Family Tree to connect with others who ‘get it’ for mutual support, advice, and friendship.
  • The BBC Parents Toolkit may also help you communicate with your child about topics relating to going back to school. It consists of bite-size videos you can watch together, which can be viewed here.

Special Education Provision and Plans

Special educational provision is anything that “educates or trains” your child outside of typical teaching. For example, getting individual support, or seeing a speech and language therapist.

All schools have a Special Educational Needs Coordinator (SENCO) who works with teachers, parents, and health professionals to meet a child’s special educational needs (SEN) or special educational needs and disability (SEND).

If your child’s needs are not met by the SEND provision you can apply to the Local Authority for an Education, Health, and Care Plan (EHCP) needs assessment.

An EHCP is a way of getting your child specific support at school. Legally, Local Authorities must provide support in a child’s EHCP.

You can ask for an EHCP assessment from your Local Authority. It is helpful if the school participates in the process, but not essential. To find out more about the EHCP process, click here.

If you already have an EHCP plan, check when it was last reviewed. EHCPs should be reviewed annually and when there is a change in circumstances.

Under the Children & Families Act (2014) it is a legal requirement that all Local Authorities have a Local Offer website, which details support available for SEND needs. You can read our article on Local Offers and find links to your Local Authority in our article here.

The IPSEA and SOSSEN both support parents to secure the right to special educational provisions for children and young people with SEND.

The SEND guide for parents and carers can be found here. The Department for Education has also listed additional resources to support pupils with medical conditions. You can find links to these resources in the yellow box below.

The devolved nations call their SEND support by different names:

In Wales, the system of support for children with SEND is called ‘Additional Learning Needs’ (ALN). You can find out more here.

In Scotland, the system of support for children with SEND is called ‘Additional Support for Learning’ (ASL). You can find out more here.

In Northern Ireland, the system of support for children with SEND is managed by the Special Educational Needs Advice Centre (SENAC). You can find out more here.

The below has been taken from the Department of Education’s Statutory Guidance on supporting pupils with medical conditions.

You can view the full document here.

1. Departmental guidance and advice

2. Associated resources and organisations – wider government

3. Associated resources and organisations – external

  • Medicines for Children provides information about various medicines prescribed to children. It is run by the Royal College of Paediatrics and Child Health (RCPCH), the Neonatal and Paediatric Pharmacists Group (NPPG) and WellChild
  • Medical conditions at school partnership – includes an example school policy, a form for a healthcare plan, other forms for record keeping, and information on specific health conditions
  • The Council for Disabled Children (2014) has published 2 practical handbooks to help Local Authorities, schools, early years settings and health providers develop policies and procedures to ensure that children with complex health and behavioural needs can access education, healthcare and childcare.
  • Mencap provides support to people with learning disabilities, their families and carers
  • Contact provides support to the families of disabled children whatever their condition or disability

4. Associated resources and organisations – medical conditions

The information in this article was correct at the time of publishing but may be subject to change.

If you have any comments, ideas, or suggestions about this article please contact us at [email protected]

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Kathy Gibson, Digital Information Officer

[email protected]

First published: July 2023

Last reviewed: August 2026

Review due: August 2027