From reactive to proactive: How Fulwood & Cadley transformed health and safety management.
❌ Challenges faced
Before Medical Tracker
1. Staff members are staying indoors rather than keeping an eye on the playground.
2. Lost paper slips in backpacks.
3. Incident detail recall turned into a nightmare when parents called.
4. Accident books are archived in boxes under the stage.
🚀 Improvement ambitions
When choosing a new solution
1. Ensure parents receive instant, reliable notifications about incidents and medication.
2. Free up staff to be outside supervising, rather than inside administering.
3. Generate meaningful reports for governors.
4. Eliminate manual, paper-based recording.
🎉 Benefits of the decision
After subscribing to Medical Tracker
1. Lancashire County Council's Health and Safety team praised the system during a school visit.
2. Parents/carers and class/form teachers automatically notified by email or text, no missed information.
3. Medication levels are monitored automatically, with alerts sent to parents when supplies run low.
4. Accident patterns identified early, enabling proactive intervention via class teachers and SENCo.
A school doing its best with the wrong tools.
Fulwood & Cadley Primary School sits in north Preston, serving around 320 children from Reception through to Year 6. It's a school that takes its community seriously with one large shared playground, a multi-use Games area, a trim trail, an outdoor gym, an EYFS climbing area, and an outdoor education zone where children care for animals, insects, grow food, and learn about the natural world. It's a rich, active environment. And with that richness comes complexity.
Before Medical Tracker, managing the health and safety of those 320 children was an exercise in controlled chaos.
Every accident was recorded by hand in an accident book. Staff who dealt with incidents during breaks would often have to write up multiple accidents at the end of a supervision period, from memory, because there simply wasn't time to do so in the moment.
A dedicated member of staff sat indoors throughout every break and lunchtime, just to handle and log incidents, effectively removing a pair of eyes from the playground when they were needed most.
Paper slips went home for head bumps. They got lost in book bags. Parents rang the school, not knowing what had happened to their child, and office staff had to chase down the member of staff who'd dealt with the incident, if they could find them.
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"Archived accident records were stored in boxes under the stage, organised only by year, with no easy way to retrieve a specific entry."
Amy Royle
School Business Manager
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"Finding out who had first-aided the child and what had happened was really difficult for the office staff," recalls Amy Royle, School Business Manager. "Information was scattered and not easily accessible."
In England, schools are legally required to keep accident records for a minimum of 3 years and, for injuries to children, in many cases, significantly longer. For a busy primary school generating dozens of incidents each term, the resulting paper mountain is costly to store and almost impossible to interrogate.
A system she already believed in.
Amy had used Medical Tracker at a previous school, but only for basic accident recording. When she joined Fulwood & Cadley and saw the scale of the manual burden the team was carrying, she knew what needed to happen.
What she hadn't anticipated was quite how much the system had grown. During her initial onboarding call with the Medical Tracker team, she discovered that the platform went far beyond accident logging. It could manage medical conditions, care plans, medication administration, and staff training records, including automated reminders when qualifications were due for renewal.
"That initial conversation completely changed my perspective," she says. "I realised this wasn't just about improving first-aid recording; it was about transforming how we manage health, safety, and compliance across the whole school."
1 in 10 schools
Utilising Medical Tracker in Lancashire.
92% of all schools
Are switching from a paper process.
1 every 4 seconds
The frequency of incidents recorded on Medical Tracker.
Whole-school impact from day one!
Implementation brought immediate, tangible change. Every member of staff received a login. iPads went outside with staff during break and lunch, allowing incidents to be logged in real time. Parents received automatic email notifications — no more paper slips, no more unanswered calls. Class teachers were set up to receive an alert whenever a child in their class had an accident during lunchtime, ensuring nothing was missed between handovers.
Care plans were created and sent to parents digitally for approval. Medication use was automatically tracked, and the system emailed parents when supplies were running low. The dedicated indoor staff member who had spent every break and lunchtime inside was freed to return to the playground — where they belonged.
For Amy, as School Business Manager, the reporting capability was transformative. She can now generate detailed, date-ranged reports for governors showing where accidents are occurring, which incident types are most common, and what actions have been taken in response. When she demonstrated the system to the Health and Safety team from Lancashire County Council, they were visibly impressed.
Research consistently shows that paper-based incident recording introduces significant risk of human error, incomplete data, and communication failures — all of which can compromise safeguarding. The shift to real-time digital logging directly addresses these risks.
From data to early intervention
Perhaps the most meaningful shift has been cultural. Fulwood & Cadley is no longer reacting to incidents — it is anticipating them.
"By identifying children who have frequent accidents, we can spot emerging patterns and share this information with class teachers, SENCO, or other relevant staff for early intervention," says Amy. The system enables the school to compare year-on-year trends, spot seasonal patterns — such as increased incidents when the field opens in summer — and demonstrate to governors that health and safety is being managed with rigour and accountability.
Medication, care plans, and staff training are tracked in a single, auditable system. Compliance is no longer something to chase; it is built into the workflow.
"Medical Tracker has enabled us to move from a reactive approach to a proactive, data-informed strategy for pupil safety and wellbeing."
Amy Royle
School Business Manager
When asked how she would feel if she could no longer use Medical Tracker, Amy's answer was immediate: very disappointed. But the more telling measure is what the school has already achieved. A system that was once held together by handwritten slips and boxes under a stage is now a model of digital, data-led health management — one that a county council health and safety team stopped to admire.
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Whether it's a paper-based system, a limited MIS module or a hybrid method somewhere in between - it doesn't hurt to see what else is out there.
It helps me with our site manager and look at health and safety improvements. For example, In technology, the bulk of our injuries were eye injuries and it was through not wearing safety goggles. So we were able to locate what health and safety issues are happening in departments.
Judy Wilson
School Nurse, Kennet School
Parents receive instant notifications when incidents or medication administration are recorded. A full communication audit trail is saved. This helps parents feel that their child is well looked after at school- great for Ofsted!
Linda Hopper
Bursar,Bugbrooke Community Primary School
It's a really simple solution to a complex problem. I can't think why no one has come up with it before now. It’s also easy to get support and the system is being developed all the time.


