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PUBLIC SECTOR
POLICY SCHEDULE

PUBLIC & PRODUCTS LIABILITY SECTION ENDORSEMENT

PL46(A) – HEALTH CARE EXTENSION

APPENDIX 1 – ACCEPTABLE TREATMENTS

The following Health Care procedures are agreed by the Company subject to provisions (a) (b) and (c) above

• Bathing (subject to routine visits to service users by senior officer to check for abuse)
• Blood pressure monitoring by automated machine only following training and referral of variation
from specified limits to Health Care Professional
• Blood sample taking by glucometer or fingerprick only used in accordance with the manfacturers’
guidelines
• Body fluid balance monitoring subject to referral of variation from specified limits to Health Care
Professional
• Breathing monitoring
• Buccal midazolam administered orally
• Catheters limited to changing of bags and cleaning of tube excluding insertion
• Colostomy/stoma care limited to changing of bags and cleaning
• Denture cleansing
• Dressing care (external) application and replacement
• Ear/nose drop application
• Gastronomy tube peg feeding or bolus feed via a gastronomy tube or pump and cleaning and peg
feeding with medication prescribed by a medical professional and undertaken in consultation with a
pharmacist but excluding insertion/reinsertion of tube
• Hearing aid checking fitting (excluding measuring) and replacement
• Inhalers and nebulisers limited to the provision of assistance to user in application or fitting of mask
• Injections limited to the administration of pre-packaged doses (intramuscular or subcutaneous only)
required on a regular basis or in a pre-planned emergency
• Medipens (Epipens and Anapens) for anaphylactic shock with a pre-assembled pre-dosed epipen
epinaphrene or adrenaline/epinephrine
• Oral hygiene for individuals unable to swallow
• Nasal suction limited to the clearing of the nose via a fitted stent but excluding insertion of stent
• Naso-gastric tube feeding/bolus feeding and cleaning of tube
• Occupational therapy support through the provision of progress assessment for goals set by
professional physiotherapist and self-care assessments for capability of service users to live
independently in their own homes
• Oral medication administered as prescribed by a Health Care Professional subject to the Named
Insured’s medication policy and obtaining parental consent forms for pupils at day schools
• Oxygen administration limited to the provision of assistance to user in fitting of mask
• Postural drainage exercise
• Pressure bandage application to assist with positioning of digits
• Pulse rate monitoring by finger pressure on wrist only and referral of variation from specified limits to
Health Care Professional
• Rectal midazolam or rectal diazepam administration for repeated epileptic seizures or emergency in
a pre-packaged dose and subject to two members of staff being present
• Splints braces corsets application
• Swabs limited to the cleansing of skin or inside of mouth/nose and taking of samples from external
wounds for analysis
• Temperature taking via ear only subject to referral of variation from specified limits to Health Care
Professional
• Toenail cutting unless service user has diabetes or vascular disease

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