{ "document_id": 12888, "page": 1, "width_pt": 595.32, "height_pt": 841.92, "rotation": 0, "pipeline_version": "paddleocr-vl-1.6+paul-48", "engine": "paddleocr_vl", "source_run_id": 12999, "item_count": 12, "counts_by_type": { "link": 5, "text": 7 }, "build_ms": 1, "items": [ { "id": "p1.1", "order": 1, "type": "text", "bbox": { "l": 69.346, "t": 769.68, "r": 495.0202, "b": 741.84 }, "text": "Communication following an Inquest in August 2024 of child death in February 2023 from an anaphylactic reaction." }, { "id": "p1.2", "order": 2, "type": "text", "bbox": { "l": 69.346, "t": 728.4, "r": 522.6147, "b": 673.92 }, "text": "Following the tragic and untimely death of 13-year-old Hannah Jacobs in February 2023 due to an anaphylactic reaction, the school nursing team is urging all schools to review their policy information to ensure that children prescribed an auto adrenaline injector have at least one with them at all times, including when traveling to and from school. NHS England has issued the following statement:" }, { "id": "p1.3", "order": 3, "type": "text", "bbox": { "l": 70.5458, "t": 633.12, "r": 525.0142, "b": 498.24 }, "text": "\"As we look ahead in particular to Christmas festivities and possible changes in routine which arise from celebration events, we ask all School related health services and all paediatric and paediatric allergy services to reinforce the message that all children and young people who have been prescribed an adrenaline auto-injector are reminded that they should have two unexpired devices with them at all times, including on the way to & from school. This is in line with previously published guidance\"\n\"https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/1148583/AAI_HMR238_Clarification_Dr_P_Turner.pdf\"\nand https://assets.publishing.service.gov.uk/media/5a829e3940f0b6230269bcf4/Adrenaline_auto_injectors_in_schools.pdf", "children": [ { "id": "p1.3.1", "order": 4, "type": "link", "bbox": { "l": 77.06, "t": 553.36, "r": 525.55, "b": 539.93 }, "text": "https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/fil", "attrs": { "uri": "https://gbr01.safelinks.protection.outlook.com/?url=https%3A%2F%2Fassets.publishing.service.gov.uk%2Fgovernment%2Fuploads%2Fsystem%2Fuploads%2Fattachment_data%2Ffile%2F1148583%2FAAI_HMR238_Clarification_Dr_P_Turner.pdf&data=05%7C02%7Cmarta.thlon2%40nhs.net%7C62249acfe3ce4d183c0308dd0a39f6d3%7C37c354b285b047f5b22207b48d774ee3%7C0%7C0%7C638677966270166441%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&sdata=EoeNpx%2Fm4sW9K%2FEItQSc0pS37rpDVpZZDpzFf7hBsG4%3D&reserved=0", "action_type": "/URI" } }, { "id": "p1.3.2", "order": 5, "type": "link", "bbox": { "l": 69.75, "t": 539.93, "r": 325.89, "b": 526.5 }, "text": "e/1148583/AAI_HMR238_Clarification_Dr_P_Turner.pdf,", "attrs": { "uri": "https://gbr01.safelinks.protection.outlook.com/?url=https%3A%2F%2Fassets.publishing.service.gov.uk%2Fgovernment%2Fuploads%2Fsystem%2Fuploads%2Fattachment_data%2Ffile%2F1148583%2FAAI_HMR238_Clarification_Dr_P_Turner.pdf&data=05%7C02%7Cmarta.thlon2%40nhs.net%7C62249acfe3ce4d183c0308dd0a39f6d3%7C37c354b285b047f5b22207b48d774ee3%7C0%7C0%7C638677966270166441%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&sdata=EoeNpx%2Fm4sW9K%2FEItQSc0pS37rpDVpZZDpzFf7hBsG4%3D&reserved=0", "action_type": "/URI" } }, { "id": "p1.3.3", "order": 6, "type": "link", "bbox": { "l": 89.204, "t": 526.5, "r": 525.55, "b": 513.08 }, "text": "https://assets.publishing.service.gov.uk/media/5a829e3940f0b6230269bcf4/Adrenaline_auto_i", "attrs": { "uri": "https://gbr01.safelinks.protection.outlook.com/?url=https%3A%2F%2Fassets.publishing.service.gov.uk%2Fmedia%2F5a829e3940f0b6230269bcf4%2FAdrenaline_auto_injectors_in_schools.pdf&data=05%7C02%7Cmarta.thlon2%40nhs.net%7C62249acfe3ce4d183c0308dd0a39f6d3%7C37c354b285b047f5b22207b48d774ee3%7C0%7C0%7C638677966270197940%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&sdata=p5JOf27O8aTHovohkT7JgNmZ8Bjp4hR%2FRxyuA0iz89U%3D&reserved=0", "action_type": "/URI" } } ] }, { "id": "p1.4", "order": 7, "type": "link", "bbox": { "l": 69.75, "t": 513.08, "r": 178.94, "b": 485.65 }, "text": "njectors_in_schools.pdf.", "attrs": { "uri": "https://gbr01.safelinks.protection.outlook.com/?url=https%3A%2F%2Fassets.publishing.service.gov.uk%2Fmedia%2F5a829e3940f0b6230269bcf4%2FAdrenaline_auto_injectors_in_schools.pdf&data=05%7C02%7Cmarta.thlon2%40nhs.net%7C62249acfe3ce4d183c0308dd0a39f6d3%7C37c354b285b047f5b22207b48d774ee3%7C0%7C0%7C638677966270197940%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&sdata=p5JOf27O8aTHovohkT7JgNmZ8Bjp4hR%2FRxyuA0iz89U%3D&reserved=0", "action_type": "/URI" } }, { "id": "p1.5", "order": 8, "type": "text", "bbox": { "l": 68.3862, "t": 457.68, "r": 517.0958, "b": 402.48 }, "text": "Hannah’s tragic incident occurred because the school’s policy did not allow pupils to bring their own adrenaline auto-injectors into school, as the school maintained its own stock. This policy inadvertently resulted in Hannah not having her auto-injector with her when she experienced the fatal reaction after leaving school." }, { "id": "p1.6", "order": 9, "type": "text", "bbox": { "l": 68.6262, "t": 389.52, "r": 510.6171, "b": 335.28 }, "text": "It is crucial that all policy documents related to the management of medicines in your school are reviewed promptly to ensure they align with these guidelines. If your school needs assistance with reviewing policy documentation or requires any advice or guidance regarding the management of these medicines, please contact the school nursing team on" }, { "id": "p1.7", "order": 10, "type": "text", "bbox": { "l": 70.0659, "t": 322.08, "r": 399.7594, "b": 308.64 }, "text": "School Nursing team email : huh-tr.schoolnursescentralcontact@nhs.net" }, { "id": "p1.8", "order": 11, "type": "link", "bbox": { "l": 199.82, "t": 322.8, "r": 399.51, "b": 295.37 }, "text": "huh-tr.schoolnursescentralcontact@nhs.net", "attrs": { "uri": "mailto:huh-tr.schoolnursescentralcontact@nhs.net", "action_type": "/URI" } }, { "id": "p1.9", "order": 12, "type": "text", "bbox": { "l": 70.0659, "t": 294.24, "r": 219.7957, "b": 281.04 }, "text": "And or your school nurse directly" } ], "excluded_furniture": { "first": [], "last": [] } }