Parents and teachers of children with anaphylaxis will be relieved to know that the Department of Health has taken the decision to allow schools to keep spare adrenaline auto-injectors (AAIs).

The new legislation comes into effect from 1 October and allows staff to administer emergency AAIs to any child who has been assessed as being at risk of anaphylaxis.

Donna Ashton, SkillBase First Aid’s Trainer Network Manager says, “I am delighted at the news that schools can now hold a spare AAI. We know from the many schools we work with across the country that emergency treatment for anaphylaxis is concerning for all in the sector. We know how popular the decision was taken on spare inhalers for Asthma was a few years back, and I know that schools will welcome this news too”

A working group, made up of representatives from the Anaphylaxis Campaign, Allergy UK, the British Society for Allergy & Clinical Immunology (BSACI), the British Paediatric Allergy Immunity and Infection Group (BPAIIG), and the Royal College of Paediatrics and Child Health (RCPCH), has campaigned over the last two years for the Government to amend the Human Medicines Act to allow schools to buy AAIs from a pharmaceutical supplier, without prescription, for use in emergencies. The working group and their respective organisations have welcomed the new legislation which allows school staff to administer an emergency AAI to any child who has been assessed as being at risk of anaphylaxis.

Their campaign gained a huge groundswell of support from parents and teachers: over 1600 parents/carers and 800 teachers completed a survey in 2015 to assess backing for the campaign: over 99% of parents and 96% of teachers supported the proposal. The survey formed a crucial part of the evidence presented to the Department of Health. A public consultation conducted by the Department of Health this year also found overwhelming support for a change in the law to allow schools to hold spare AAIs, without a prescription, for use in emergencies.

A joint statement from the five organisations says:

“The rise in food allergy among young people is posing a significant risk for schools who can be faced with a life-threatening situation requiring urgent action. One in five fatal food-allergic reactions in children happens at school. Schools can now purchase the first-line treatment for anaphylaxis, without a prescription. While not compulsory, we hope many schools will take advantage of this change as part of their duty of care to those children who are at risk of anaphylaxis. This is likely to increase awareness and highlight the need for staff to be trained to recognise and treat anaphylaxis in school. The working group is now developing a website which will provide online resources to support school staff.

For a parent of a child at risk from anaphylaxis, this will provide valuable reassurance that their child can receive prompt emergency treatment while on school premises.

We are delighted that our campaign has delivered the result we hoped for.”

Richard Craddock

Richard is the Managing Director at SkillBase First Aid


Tracey Moody · September 11, 2017 at 4:08 pm

I am very pleased to receive this information and look forward to being able to purchase a couple of spare auto injectors for our First Aid supplies.

    Richard Craddock · April 6, 2018 at 1:51 pm

    Hi Tracey – Thanks for your lovely feedback! Great to hear 🙂

Rita · March 13, 2018 at 1:46 pm

Good afternoon – I understand that all Epi-pens are different and adapted to each individual student – how will one pen suit all children or could we do more damage by using a spare one?

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