Child with headphones school nursingEach primary and secondary school has a named school nurse who is supported by their team to promote health and emotional wellbeing in schools and in the community by:

  • Being available to address, in confidence, any concerns about a child or young person’s health
  • Providing health advice to help children and young people to make positive health choices
  • Developing school health plans with each school to focus practice on need.
  • Assessing children starting primary school after their care is transferred from the health visitor
  • Assessing the health of year 6 pupils before they transfer to high school
  • Offering young people an opportunity to discuss health issues confidentially at school based or community based drop ins
  • Supporting young people who have particular medical needs and providing training for education staff to help manage these needs
  • Developing care plans to support pupils with medical needs including allergy
  • Delivering classroom-based health education
  • Delivering immunisation programmes in primary and secondary schools and the community
  • Delivering immunisation programmes in school and the community
  • Working with and referring to other professionals
  • Working with other agencies to safeguard and protect young people
  • Delivering the national child measurement programme
  • Providing health information, advice and support.


Confidentiality and consent

Young people are encouraged to talk with their parents/carers about health issues that are troubling them.

Although school nurses offer a confidential service to young people, there are times when the school nurse may need to share information. Depending on their age and level of understanding, young people may be able to give their own consent to talk with a health professional.


Child with laptop school nursingWho can access the service?

School aged children and young people and their parents/carers, teachers, health visitors, GPs, social workers, other community health professionals, hospitals and support services.


How can people access the service?

The service is offered to school-aged children and young people and operates an open referral system.

Referrals include self-referrals and referrals made by parents/carers, schools, health professionals, social care and children’s services.

Your child or young person’s school will be able to provide you with your school nurse’s name, clinic base and telephone number or see our contact details page.


The Nasal Flu Vaccine

Flu can be a very unpleasant illness in children. Annual immunisation provides important protection to individual children and also reduces the spread of flu to their families and the wider community.

To be effective, vaccinations need to be given between October and December as this is before flu tends to circulate.

The flu virus can change year on year and therefore vaccines are made each year to provide protection against the flu viruses that are predicted to circulate, and which is why the vaccine needs to be given on an annual basis.

The vaccine is currently being offered to reception and year 1, 2, 3 and 4 children within primary schools.


Vaccinations at secondary schoolStudent school nursing

Bolton’s immunisation team offer vaccinations to all young people of primary and secondary age.


All girls aged 12-13 are are offered HPV (human papilloma virus) vaccination that protects against some cervical cancers. The vaccination is routinely offered in secondary schools and consists of two injections.

The first injection will be given and the second injection will be given 6 – 24 months later.

The school nurse will send you a letter, a consent form for you to sign and a leaflet for your information. This will explain more about the programme and tell you where to return the signed consent form.

HPV vaccination patient information leaflet (links to external website)


Assemblies are routinely held in every secondary school prior to the HPV vaccinations starting; please take the opportunity to view the presentation below:

The HPV Vaccine [2mb] PDF



Meningitis ACWY

Cases of meningitis and septicaemia (blood poisoning) caused by Meningitis W bacteria are rising, older teenagers and university students are at high risk of infection because many of them mix with new people some of whom may be carrying the meningococcal bacteria.

Cases of meningitis and septicaemia due to an aggressive strain of the bacteria have been increasing since 2009 with a steep rise in 2015.

Year 11 Meningitis ACWY programme

Pupils in Year 11 will be offered the meningitis ACWY vaccine. Pupils who have had their meningitis C immunisation will be offered meningitis ACWY as it will protect them from the other strains of bacteria.

When it is time for the above vaccination programme to start the school nurse will send you a letter, a consent form for you to sign and a leaflet for your information. This will explain more about the programme and tell you where to return the signed consent form.

Please follow the links to the patient information leaflets below for more information or visit






Patient information leaflets for the diphtheria, tetanus and polio and the meningitis ACWY vaccines can be accessed via the links below:


Related websites

CATCH is a free health app for parents and carers of children aged 0-5. The app empowers you with the information necessary to decide when your child needs medical treatment or when self-care is more appropriate.

Change4Life – healthy eating and managing weight problems

ERIC – information about wetting and soiling

NHS Choices – immunisation information – asthma information

Young Minds – information about behaviour and mental health

Talk to Frank – advice about about drugs

Worth Talking About – sexual health advice