Health, allergies and conditions

There is no separate health record. The Health Care Plan is the young person's health record: allergies, medical conditions, registered professionals, and the statutory assessment dates all live inside it, and are edited there.

That matters in two directions. Everything that reads health — the safety banner on the profile, the due list, the subject access export — reads that one plan. And if a young person has no Health Care Plan, nothing about their health is recorded anywhere in ARC.

The safety banner

On the young person's Overview, a rose-bordered card headed Important health information shows Allergies and Medical conditions. It appears only when something is recorded in one of those fields, and View health care plan takes you to the plan they come from.

If there is no plan, an amber card appears instead: No health care plan, saying "This child has no health care plan, so no allergies, medical conditions or health assessment dates are recorded for them", with Create health care plan.

If the only health care plan is a draft, the card reads Health care plan is still a draft instead. It says that until the plan is made active, its allergies, medical conditions and assessment dates are not shown there or used anywhere else in ARC, and offers Open draft health care plan. A new plan is active by default; a draft exists only if someone chose Save Draft or set the status to draft. An archived plan is not used either.

Read the no-plan and draft cards as an absence of information, not as an absence of risk.

What the plan holds

The Health Care Plan has its own structured form, in numbered sections:

• Child Information — name and date of birth are pulled from the young person's record; NHS number is entered here
• 1. Health Overview — GP name, practice and contact, dentist, optician, hospital consultant, CAMHS and other mental health services, registrations, other professionals involved
• Statutory Health Assessments — the IHA and RHA dates below
• 2. Medical History — current medical conditions, previous medical history, surgical history
• 3. Allergies — recorded allergies, medication, food, environmental, other, signs of an allergic reaction, emergency treatment required
• 4. Medication through to 17. Review and Monitoring — medication, physical health, emotional and mental health, sleep, nutrition, physical activity, personal hygiene, sexual health, risk assessment, health promotion, the young person's health goals, and their voice

Current Medical Conditions is a tick-list with a free-text "other"; the banner folds both together.

Medication

The plan's 4. Medication section is part of the health record. Giving medication is recorded elsewhere: Medication under Care, health & education on the young person's record holds their prescriptions and every dose given, refused or missed, and the monthly MAR chart. See A young person's medication record and MAR chart.

The statutory assessments

Four dates are held: Initial Health Assessment due, Initial Health Assessment completed, Review Health Assessment last completed, Review Health Assessment next due.

Their status is worked out from the dates, never stored, so it cannot drift from the evidence:

While an assessment is due or overdue it appears on the due/overdue surface as Initial Health Assessment (IHA) or Review Health Assessment (RHA), owned by the manager.

Editing health

You edit health by editing the Health Care Plan, which means the manager or deputy does it — the same authoring tier as any other plan. There is no health-only edit route.

Saving a live plan (one that is not a draft or archived) writes a new version and asks the rest of the home to confirm they have read it; the author is confirmed automatically. Correcting an allergy on an active health care plan is therefore a change the whole home is told about, which is the intended behaviour for safety-critical information. Saving a draft asks nobody to read anything.