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Shape new guidance for pupils with medical needs

Date Published: 09/03/2026
Shape new guidance for pupils with medical needs

 

The Department for Education has released its updated draft guidance:  Improving Support for Children and Young People with Medical Conditions and Allergy.

This marks a significant moment for all families and professionals supporting pupils with medical needs, including our PANS and PANDAS UK community.

We are pleased to share that PANS and PANDAS are now explicitly listed within the draft guidance on page 64. This recognition reflects years of progress and the commitment of families, educators and clinicians who have helped raise awareness of these conditions. While the process is still ongoing, this draft represents a meaningful step forward in ensuring that children and young people with PANS and PANDAS are more clearly understood and supported within education settings 

Why does this draft matter?

For many in our community, navigating medical needs support in education has been challenging. Families often describe experiences such as: 

  • Symptoms being misunderstood as behavioural rather than medical
  • Varied or outdated interpretations of PANS and PANDAS
  • Hesitation around accepting private diagnoses
  • Questioning the validity of diagnosis
  • Significant differences between Local Authorities’ approaches
  • Uneven access to reasonable adjustments, Individual Healthcare Plans and medical support
  • A lack of clarity about how fluctuating conditions should be accommodated

These ongoing issues mean that national guidance plays a crucial role. Clearer recognition of PANS and PANDAS has the potential to improve consistency across schools and strengthen support for pupils with these complex medical needs.  

What does it say about PANS and PANDAS?

Within the draft document, the guidance for pupils affected by PANS and PANDAS currently suggests:

“Flexible, low-demand approaches such as reduced cognitive load, rest breaks, alternatives to handwriting, quiet spaces and paced expectations may be required to support access to education. For some children and young people, periods of part-time attendance or home-based learning may be needed. Where the level of support required amounts to special educational provision, it may be appropriate to request an Education, Health and Care (EHC) needs assessment.”

– Taken from page 64

Absolutely! Just like the recently-released government SEND proposals, your voice matters and this is your chance to make a difference. This draft is not yet final, and the consultation period is a key opportunity for our community to help shape the final version. Our friends at Special Needs Jungle have produced this helpful overview of the guidance, what is means and how you could respond.

The consultation runs until Friday 1st May. 


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Glossary

  • ADHD
    Attention Deficit Hyperactivity Disorder
  • AE
    Auto-immune Encephalitis
  • ARFID
    Avoidant Restrictive Food Intake Disorder
  • ASD
    Autism Spectrum Disorder
  • CAMHS
    Child and Adolescent Mental Health Service
  • CBT
    Cognitive Behavioural Therapy
  • Dysgraphia
    difficulty writing by hand
  • EHCP
    Education, Health and Care Plan
  • Emotional Lability
    Rapid, and dramatic changes in mood (for example uncontrollable laughter to crying)
  • Enuresis
    wetting
  • GAS
    Group A Streptococcal infection
  • NHSE
    NHS England
  • NICE
    National Institute for Health and Care Excellence
  • OCD
    Obsessive Compulsive Disorder
  • PP
    PANS PANDAS
  • PPUK
    PANS PANDAS UK
  • PPN
    PANS Physicians Network
  • PPSG
    PANS PANDAS Steering Group
  • SENCo
    Special Educational Needs Coordinator
  • SIGN
    Scottish Intercollegiate Guidelines Network to the glossary
  • Tic
    Sudden repetitive movement (motor tic) or sound (vocal tic) which is difficult or impossible to control