Flour as a Sensory Tool/Resource in School.

 

I brought a concern regarding the above to Greenacre School on the 11th of December 2023, I officially highlighted it after being disregarded by e-mail on the 8th of April - it went through their 'complaints process' and I received a less than satisfactory response yesterday (19th April 2024). Below I have broken down their argument to my complaint (8th April 2023) with which I will be responding back to them directly. Still, in the best interests of all children, I would sincerely appreciate your cooperation in resolving this matter.

 

Yours faithfully,

 

Lucy Connor

 

 

Complaint 1: Flour/flour dust falls under COSHH regulations and should not be used as such under any circumstances ('as such' - *SENSORY TOOL/RESOURCE as e-mail 8th April addresses.

 

 

Point 1 from the Wellspring Academy Trust Director of Operations

● The complainant has provided in-depth information to support the concerns raised. All the information provided has been produced to support organisations that operate in a commercial environment. I would like to reassure the complainant that due to our catering function, which is managed in-house, we are aware of our duties under COSHH which includes the risks around flour.

 

From my e-mail dated 8th April

'During the annual review held on December 11th 2023, at Greenacre School, I raised a serious concern regarding the use of flour as a sensory tool/resource as soon as I was aware it was present in the setting and used as part of the curriculum. I explained to Laura Oxley (DSL), Karen Hodson (SENDCO), Emily Wilson (EHC Phase Manager) & Ruth Cone (Aaron's Class Teacher) in attendance that flour/flour dust falls under COSHH regulations and should not be used as such under any circumstances.'

'It stands to reason that if such strict regulations are mandated for adults in the workforce, it would be reasonable to assume one would expect even more stringent measures apply to children, and again even more so for those with special needs attending a specialised educational provision (who may/may not have additional vulnerabilities).'

 

Response from Lucy Connor

Firstly, thank you to the Director of Operations for acknowledging Flour/Flour Dust is under COSHH. That point has been up for debate.

My concern is around the preventable use of flour as a 'sensory tool/resource'; under COSHH this is against regulations as is preventable (it is not necessary, and an alternative, safer sensory tool/resource could be equally used in place of).

See 'The Control of Substances Hazardous to Health Regulations 2002', Section 7 - Prevention or control of exposure to substances hazardous to health

7.—(1) Every employer shall ensure that the exposure of his employees to substances hazardous to health is either prevented or, where this is not reasonably practicable, adequately controlled.

COSHH Regulations 2002 - Section 3

‘3.—(1) Where a duty is placed by these Regulations on an employer in respect of his employees, he shall, so far as is reasonably practicable, be under a like duty in respect of any other person, whether at work or not, who may be affected by the work carried out by the employer except that the duties of the employer—

(a)under regulation 11 (health surveillance) shall not extend to persons who are not his employees; and

(b)under regulations 10, 12(1) and (2) and 13 (which relate respectively to monitoring, information and training and dealing with accidents) shall not extend to persons who are not his employees, unless those persons are on the premises where the work is being carried out.

Section 3 of the Control of Substances Hazardous to Health Regulations 2002 relates specifically to the protection of persons other than employees. This means that COSHH obligations extend not only to employees but also to individuals who may be affected by work activities involving hazardous substances, such students in educational settings.

Under Section 3 of COSHH, employers have a legal duty to prevent or control the exposure of non-employees to hazardous substances arising from work activities.

 

Point 2 from the Wellspring Academy Trust Director of Operations

● There is no supporting guidance or information provided by the HSE regarding the use of flour in school cookery lessons and sensory activities as the levels of flour dust produced are well below the Workplace Exposure Limit (WEL) comprising a long-term exposure limit of 10mg/m3 (averaged over 8 hours) and a short-term exposure limit of 30mg/m3 (averaged over 15 minutes).

 

 

Response from Lucy Connor

'There is no supporting guidance or information'

As per COSHH 2002, Section 2

(e)

‘which, not being a substance falling within sub-paragraphs (a) to (d), because of its chemical or toxicological properties and the way it is used or is present at the workplace creates a risk to health;

“workplace” means any premises or part of premises used for or in connection with work, and includes:

a)

any place within the premises to which an employee has access while at work; and any room, lobby, corridor, staircase, road or other place used as a means of access to or egress from that place of work, or where facilities are provided for use in connection with that place of work, other than a public road.’

It is clear within legislation, that regardless of WELs under COSHH employers have legal obligations beyond WELs in regard to substances hazardous to health.

'and the way it is used or is present at the workplace creates a risk to health'

(Interpretation verified also through the BOHS - The British Occupational Hygiene Society)

'There is no supporting guidance or information provided by the HSE regarding the use of flour in school cookery lessons and sensory activities as the levels of flour dust produced are well below the Workplace Exposure Limit (WEL)'

Has the Director of Operations consulted with the HSE? If not it is only on an assumption, from our findings whilst contacting the HSE and speaking to an officer.

'The HSE expects schools to use their own professional judgment and adhere to legislation/regulations.' as above - COSHH 2002, Section 7, COSHH 2002, Section 2 & COSHH 2002, Section 3.

Therefore, while specific guidance from the HSE website may not exist for every conceivable scenario, the overarching legal requirement to prevent or adequately control exposure to hazardous substances, including flour dust, remains applicable in COSHH Section 7, Section 2 & Section 3 - 'all workplaces'. In situations where exposure to flour dust can be prevented or reasonably minimised through the use of alternative resources, schools should take appropriate measures to ensure compliance with COSHH regulations and protect the health and safety of students and staff.

'Workplace Exposure Limit (WEL) comprising a long-term exposure limit of 10mg/m3 (averaged over 8 hours) and a short-term exposure limit of 30mg/m3 (averaged over 15 minutes).'

WEL is in place and is by reasonable deduction expected of careful, considerate use, understanding of the risks, and for conscientious employers/employees. It is fair to assume employees have an understanding that WEL is in place and of their employer's responsibilities by legal obligation.

A stark contrast to children (vulnerable with special needs) of which some have limited understanding (Section 3 – essentially others affected by an employer’s work).

Where children cover themselves 'head to toe' with flour or 'pour and cover themselves with it', they are inadvertently exposing themselves to higher concentrations of flour dust than what's typically encountered in a controlled workplace environment which the WEL is designed for (COSHH 2002, Section 2 - 'and the way it is used or is present at the workplace creates a risk to health').

This increased exposure could lead to respiratory irritation, allergic reactions, inhalation, and/or/ indigestion of large quantities of flour dust, risking discomfort or serious harm to the child/ and or children within the vicinity.

Under COSHH 2002, Section 10 - Monitoring Exposure at the Workplace;

Legal Obligation - 'levels of dust produced are well below the Workplace Exposure Limit (WEL)'

Is exposure being measured? 'a short-term exposure limit of 30mg/m3 (averaged over 15 minutes)'

with children (special educational needs/ extra vulnerabilities) covering themselves 'head-to-toe', 'pouring it over themselves' - '30mg/m3 (averaged over 15 minutes'

I reasonably feel this is achievable in these circumstances.

By WEL measurement or not, Greenacre School under WAT in the manner described to me of which my complaint was pertaining to are in breach of SECTION 7, SECTION 2 & SECTION 3 of COSHH 2002.

 

 

Point 3 from the Wellspring Academy Trust Director of Operations

● In line with Health and Safety legislation and as covered in our Health and Safety policy we assess risk and activities to ensure staff and pupils alike are kept safe from harm and reasonable measures are in place.

 

 

Response from Lucy Connor

I am confident that (special needs) children covering themselves 'head to toe' and 'pouring over themselves' does not qualify for acting 'so far as is reasonably practicable' and 'limiting exposure/risks' as in a risk assessment. The behaviour and (regular) usage described to me on the 11th December 2023 by reasonable deduction presented unregulated, not adequately controlled, and negligent through allowing avoidable and preventable risks of exposure; inhalation (especially those of which have compromised and/or developing respiratory tracts), ingestion, and unnecessary exposure to the skin (allergies).

*Ingestion - neither Karen Hodson nor Laura Oxley between 11th December 2023 & April 7th 2024 have provided reassurance of any nature regarding the use of flour within the curriculum.

'Raw' or otherwise.

 

 

Point 4 from the Wellspring Academy Trust Director of Operations

● Flour features on the Trust COSHH assessments, which are adopted by all schools within the Trust- it is noted that dust levels are below the exposure limit, it highlights as well as other raw products that hygiene / regular hand washing should be observed during and after handling and were young people identified at risk of eating 'raw' products when handling these they should be cooked beforehand.

 

 

Response from Lucy Connor

The manner of which 'Karen Hodson (SENDCO) responded in a light-hearted and gleeful manner, recounting the example of one boy who attended Greenacre who used to play with it regularly, covering himself from 'head-to-toe' and emphasised how much of an 'enjoyable experience it was for him.' in RESPONSE to me raising the concern suggests there are NO KNOWLEDGE/NOR RISK ASSESSMENTS IN PLACE FOR FLOUR USED IN THIS CAPACITY OR IN ANY CAPACITY FOR THAT MATTER (though hereby recognised under COSHH 2002 by the Director of Operations).

'In an attempt to emphasise the seriousness of the issue, I proceeded to retrieve the relevant information on my phone via 'Google' and placed the mobile on the table, gesturing for her to read.'

If there were risk assessments and recognition for flour under COSHH Mrs Hodson would have offered reassurance that such was in place, notably as a member of the Senior Leadership Team.

Mrs. Hodson nor Mrs. Oxley offered reassurance (and behaviour was reasonably interpreted as 'clueless'); it is reasonable to assume there are not many hazardous substances children play with, surely with the procedures and compliance the DoO implies with 'hygiene/regular washing hands' after handling flour and ‘young people identified at risk of eating 'raw' products when handling these they should be cooked beforehand’? Mrs. Hodson or Mrs Oxley should reasonably have had that knowledge to dispense?

Of course, also as part of 'head-to-toe' and 'pouring over themselves' we are at risk of those children ingesting potentially 'raw' products, correct? If the Senior Leadership Team are interpreted as 'clueless' and with Karen Hodson's determination

'no further action was taken on the basis of - 'as pertaining solely to factories/workplace environments rather than schools.'

then how can this information be with those handling the curriculum on a day-to-day that the flour must be cooked?

(And just to correct, COSHH 2002 is as above for ‘all workplaces’.)

How did 'my complaint' have to make its way all the way up to the Director of Operations for 'reassurance' and to educate me on what is in place? I would reasonably expect this information ‘on the ground’.

From my e-mail dated 8th April

'Nevertheless, as above, I have been advised investigations have concluded and no further action was taken on the basis of - 'as pertaining solely to factories/workplace environments rather than schools.'

Disregard for the application to schools in its ENTIRETY.

 

 

Point 5 from the Wellspring Academy Trust Director of Operations

● In line with health and safety legislation and guidance we are not expected to eliminate all risks but do everything 'reasonably practicable' to protect people from harm. This means balancing the level of risk against the measures needed to control the real risk.

 

 

Response from Lucy Connor

School is expected (not even by 'erring on the side of caution' but by minimum legal requirement) to adhere to COSHH regulations (Section 7, Section 2 & Section 3).

See 'The Control of Substances Hazardous to Health Regulations 2002', Section 7 - Prevention or control of exposure to substances hazardous to health

7.—(1) Every employer shall ensure that the exposure of his employees to substances hazardous to health is either prevented or, where this is not reasonably practicable, adequately controlled.

There is no justifiable or reasonable argument for the risks associated why flour has to be used as a sensory tool/resource in setting.

  

Point 6 from Wellspring Academy Trust the Director of Operations

● Flour is a common product used in sensory activities across a range of educational, early years, and health care settings. The NHS publishes a number of documents on activities involving the use of flour and other food products for use by parents, schools, and other organisations.

  

  

Response from Lucy Connor

Hearsay: I speak to many 'health care settings', care homes, nurseries, and educational facilities as part of my day-to-day remit with 'care supplies' and often ask the question.

All I've encountered is knowledge of their legal obligations to flour/flour dust & other potentially hazardous dust under COSHH 2002.

Many stipulate the use of 'dustless chalks' as 'traditional chalk dust' can present similar risks in terms of inhalation (falls under Sections 2 & 3).

'This dust may contain allergens or irritants, causing respiratory issues or exacerbating conditions like asthma. Dustless chalk significantly reduces airborne particles, creating a healthier environment.'

NHS 'publishes a number of documents' v. legal obligations

NHS 'publishes a number of documents' v. The Control of Substances Hazardous to Health Regulations 2002, Section 7, Section 2 & Section 3.

Reasonably picture a court scenario, if an employee/student suffered harm due to exposure - inhalation, ingestion, or through an allergic reaction could Wellspring Academy Trust reasonably believe they could use 'NHS publishes a number of documents' as a credible defence, especially after I have raised this matter? Where the use of flour is not even necessary as a sensory tool/resource as per my original complaint? Where does it promote in these 'documents' that covering themselves 'head-to-toe' and 'pouring it over themselves' is recommended?

Does the 'NHS documents' address 'as well as other raw products that hygiene / regular hand washing should be observed during and after handling', 'WEL', or associated risks which the Director of Operations has already established? This presents exactly why these 'documentsCANNOT be relied upon for Health & Safety guidance.

Legal obligation and professional judgment by what are reasonably expected, HSE officer,

'The HSE expects schools to use their own professional judgment and adhere to legislation/regulations.' as above.

 

Ignorance is not a defence.

 

My statement and concerns of April 8th, 2024 still stand and still remain unremedied;-

 

'The lack of professional judgment, ability to safeguard, ability to risk assess, to follow own policies and negligent behaviour are extremely concerning and infuriating of an 'outstanding' provision to say the least.'

Flour Investigation and Outcome Between Parent and Wellspring Academy Trust

After months of pressing the point that flour is a dangerous substance and falls under COSHH regulations, the correspondence shown below illustrates Wellspring/Greenacre's current stance. Additionally, it includes a reply to a query to HSE to confirm our interpretation of the law regarding exposure.

Please bear in mind that Greenacre's initial conclusion, after a brief online check, was that any legislation regarding exposure to flour only applied to adults in a working environment and did NOT apply to children (some with complex medical issues) playing with flour in a classroom setting. It was stated in front of council employees, present via a video link, that one boy had covered himself from head to toe, enjoying himself immensely.

Key questions arise from this situation:

Was this particular class session over an hour?

How often are children allowed this kind of exposure?

How long has this practice been going on?

Have any children developed respiratory problems or dermatitis?

Nevertheless, exposure to flour should be PREVENTED, not merely limited, in cases where exposure is unnecessary, as indicated by the HSE reply.

 

Please see below:

HSE Reply Received 04/06/2024

 
Dear ** ******,


Thank you for contacting the Health and Safety Executive (HSE) regarding your concern relating to flour being used as a sensory resource at your children's school, and the requirements of the Control of Substances Hazardous to Health (COSHH) legislation.

Flour dust is one of the main causes of occupational asthma and can cause dermatitis. Regulation 7 of COSHH places duties on employers to protect employees, and others, from exposure to substances hazardous to health.

Employers must carry out a risk assessment to identify the health risks from hazardous substances in the workplace. For asthmagens such as flour dust, exposure should be prevented, or where this is not possible, measures should be put in place to adequately control and manage the risk of exposure to as low a level as is reasonably practicable. This is regardless of any workplace exposure limit that may have been set.

General guidance on the legal duties under COSHH and how to carry out a risk assessment is available on the HSE website How to carry out a COSHH risk assessment - HSE [1]

There is further guidance on the health and safety responsibilities and duties for schools available from Department for Education (DfE_) Health and safety: responsibilities and duties for schools - GOV.UK
(www.gov.uk) [2] __

If you remain concerned that the school is not complying with their legal duties to effectively manage the risks from flour dust, you should report this concern to the school in the first instance. If you are unsatisfied with the response from the school, you may wish to contact DfE for further guidance on this matter Contact the Department for Education (DfE) - GOV.UK (www.gov.uk) [3] or you may want to consider raising a concern with HSE. Details on how to do this can be found at Tell us about a health and safety issue - Contact HSE [4].

I hope you find this information helpful.

1st: Official Wellspring/Greenacre correspondence:

 

Our Reaction to the Findings of Their Self-Imposed Formal Complaint:

Naturally, we were dissatisfied with the investigating officer's findings and proceeded to try to educate this organisation on the real dangers flour poses to humans, particularly children whose respiratory tracts are still developing, not to mention those with complex special needs. Greenacre/Wellspring then sent the complaint to appeal, which was heard by a panel of their own internal representatives, and we received their verdict by post. Please see their verdict below.

Our verdict on their verdict:

Needless to say, we are far from satisfied with the outcome (which was expected) and will now be taking further steps with the relevant authorities to safeguard all students under the Wellspring umbrella. We will update this section as soon as possible.

Just a little food for thought to those who are trying to self-preserve at the expense of the children's well-being:

 

I thought I would run a question via ChatGPT regarding children's exposure to flour dust and the answer was very clear.

 

Can children be susceptible to occupational asthma with very little exposure to flour? 

 

ChatGPT

Children can indeed be susceptible to occupational asthma, even with minimal exposure to flour. Flour dust is a known allergen and can trigger asthma symptoms. Here's a more detailed explanation:

Susceptibility of Children to Occupational Asthma from Flour Exposure

Developing Respiratory Systems: Children's respiratory systems are still developing, making them more vulnerable to airborne irritants and allergens compared to adults.

Allergic Reactions: Flour contains proteins that can act as allergens. Even short-term exposure to these proteins can trigger allergic reactions in sensitive individuals, including children.

Pre-existing Conditions: Children with pre-existing respiratory conditions, such as asthma or allergies, are at higher risk of experiencing severe reactions to flour dust.

Immune System Response: Children's immune systems may overreact to certain substances, leading to heightened allergic responses and the development of asthma symptoms.

Cumulative Exposure: While a single exposure might not trigger asthma, repeated or prolonged exposure, even in small amounts, can lead to sensitisation and the development of occupational asthma over time.

Preventive Measures:

Avoidance: The most effective way to prevent flour-induced asthma is to avoid exposure. This is particularly important for children with known respiratory issues.

Proper Ventilation: Ensure that areas where flour is used are well-ventilated to minimise inhalation of flour dust.

Protective Equipment: Use of masks and other protective equipment can help reduce the inhalation of flour particles.

Regular Monitoring: Monitor children for any signs of respiratory distress or allergic reactions when they are exposed to flour.

In summary, children can develop occupational asthma from very little exposure to flour, especially if they have underlying respiratory conditions or allergies. Taking appropriate preventive measures is crucial to safeguard their health.

 

Prognosis of Occupational Asthma in Children Due to Flour Exposure:

 

Early Detection and Management:

Positive Outcomes: If occupational asthma is detected early and exposure to flour is minimised or eliminated, many children can experience significant improvement in their symptoms. Proper management and avoidance of triggers can lead to a good prognosis.

Chronic Symptoms: Without early detection and proper management, children may continue to experience symptoms, leading to chronic asthma.

 

The severity of Symptoms:

Mild Cases: Children with mild asthma symptoms may only require the occasional use of inhalers and have minimal impact on their daily activities.

Severe Cases: Children with more severe symptoms may need long-term medication and may experience limitations in their activities.

Duration and Extent of Exposure:

Short-term Exposure: Children with brief exposure who subsequently avoid further contact with flour may recover completely or have only mild, manageable symptoms.

Long-term Exposure: Prolonged or repeated exposure to flour can lead to persistent asthma symptoms, making management more challenging and potentially affecting the child’s quality of life.

Underlying Health Conditions:

Pre-existing Asthma or Allergies: Children with pre-existing conditions may have a more complicated prognosis, requiring more intensive management to control symptoms.

Overall Health: Generally healthy children may have a better prognosis compared to those with other health issues.

Long-term Management and Follow-up:

Regular Medical Check-ups: Ongoing monitoring by healthcare professionals is essential to manage asthma effectively and adjust treatment plans as needed.

Avoidance of Triggers: Identifying and avoiding other potential asthma triggers can improve long-term outcomes.

Education and Support: Educating the child and their carers about asthma management, including the proper use of inhalers and medications, can enhance the prognosis.

 

Conclusion:

While the prognosis for children with occupational asthma due to flour exposure can be favourable with early detection and proper management, ongoing exposure and lack of treatment can lead to chronic symptoms and impact the child's quality of life. Reducing or eliminating exposure to flour and other triggers, along with regular medical care, are key factors in achieving a positive outcome.