Appendix 36 - Sex and Relationship Education

Do school policies for social and relationship education really meet the needs of pupils, asks Head David Stewart, and what happens in the real world of the classroom?

(David S Stewart OBE is Head Teacher of Shepherd School, Nottingham and Head Teacher Designate of Oak Field School. He is also a member of the PSHE Association, the subject association for all professionals working in personal, social and health education).

Every child, whether they are in a mainstream or special educational setting, has a right to a sex and relationship education (SRE) which supports them and prepares them for the realities of life. Parents of children with additional needs have identified that they wish schools to work with them on what is seen as a difficult aspect of their child’s life. Citizenship education assumes that young people have a good grasp of self-worth and respect for others, and anti-discrimination legislation demands that pupils with special needs are not disadvantaged in terms of access to the full curriculum. While there may seem to be no shortage of reasons for ensuring that these pupils receive appropriate SRE education, evidence would suggest that the reality is very patchy.

Small scale research in individual authorities paints a picture of very mixed practice. There is no doubt that in some schools there will be exemplary practice. However, this is often down to a particular member of staff who has a passion for SRE. What happens if they leave or retire? Is the whole school signed up to this education?

In other schools, both special and mainstream, some pupils appear to receive almost nothing at all; it is not uncommon to hear comments such as “It is difficult for us discussing issues such as masturbation being a faith school.” Some schools might have a written policy but no clear guidance on who is teaching what. So often the role of covering SRE is given to teaching assistants who may have had no training in special education or sex education. Even if they have been on training courses, they have no authority in the school to change practice or timetabling.

Staff often identify lack of resources or training as key problems, and there can also be a lack of support from senior leadership. Governors who have a responsibility for this area of the curriculum may not question what is being provided for pupils with additional needs. While there is every hope that future OFSTED inspections will question access for all pupils, I think there are some key areas for schools to consider now:

  • does the SRE policy reflect all the needs of pupils? There are many situations in school which are not necessarily covered by the policy, so how are these monitored and assessed? For instance, with issues of personal and intimate care, staff may have a degree of uncertainty about what is deemed appropriate. Are behaviours excused due to disability? There can be a real danger that pupils are not provided with the appropriate boundaries

  • rather than working in isolation, schools should set up support groups including relevant agencies and individuals. Indeed, for 25 years, my school has had a sex and relationship monitoring group. Members include staff, governors, parents, and colleagues from health, police and educational psychology. They work with staff on the delivery of the education and provide training for parents on a wide range of issues. They have also produced a series of booklets for pupils and parents to support their work

  • when should sex and relationship education begin? In the early years, children should be given clear guidance about dignity and modesty, and they need to have a suitable vocabulary to help them understand their bodies. At this age, opportunities to make choices must be introduced. They need to know that they can say no. From an early age, children need to develop the skills which will help them keep safe. If they are not encouraged to do this, what happens when they find themselves in a problematic situation aged sixteen and they do not have the skills to make decisions and be assertive?

  • work with parents is essential. If one is talking about masturbation being a private activity, i.e. in the young person’s bedroom, then discussion with parents is essential. Parents often feel isolated concerning this area of their child’s life, and this is a topic they feel less inclined to talk to other parents about. They need a forum where they can feel comfortable and realise that there are other parents who are dealing with similar issues and can often offer support and advice

  • there is a need for on-going training and professional development. I would always recommend a general all staff training to begin with. While many staff members may not be involved in direct teaching of SRE, they will encounter a wide range of issues during the course of the school day and their reactions and responses to situations can be as powerful as formal teaching. If it has been agreed that a pupil should be dealt with in a particular way, then all staff need to have signed up to this. Staff will have a wide range of views, but they also have a duty to support the pupil with appropriate education. Too often schools simply respond to a crisis rather than having thought through possible scenarios and appropriate responses in advance

  • education should be prophylactic. Pupils need to understand what is happening to them as they grow up. Social stories which prepare for periods or wet dreams can dispel a great deal of anxiety. For those pupils who dislike change, the changes of adolescence can be particularly traumatic

  • issues of friendships and relationships need very sensitive handling, and young people need to know what the social rules are. Children with additional needs can feel very isolated and have little opportunity for friendship, let alone relationships. While responsibility for this area of a child's life is not just the school's, clearly, a school is in a good position to support pupils in the development of friendships.

This is not an area of choice for schools; it is one of absolute duty. Schools must support some of the most vulnerable children and young people in society and help them to have happy, safe and fulfilled lives.

Further information

A Series of Information Booklets for Parents on:

  • Menstruation § Male Masturbation

  • Female Masturbation

  • HIV & AIDS

  • Protecting Your Child

  • A Planned Dependent Life & Sexuality

  • Loss (also suitable for younger children)

  • Smearing

  • Your Child’s Right (an introduction to Sex Education for parents)

  • Your Child’s Right 2 - FAQ

Booklets for Young People on: ‘Feeling Grown Up’

  • Female Masturbation

  • Male Masturbation

  • Menstruation at Home

  • Menstruation at School

  • Wet Dreams

  • Use of Public Toilets

ALL BOOKLETS £2.50 each plus postage & packaging

For further information and purchase, please contact: Oak Field School and Sports College, Wigman Road, Bilborough, Nottingham, NG8 3HW Tel: 0115 915 3265 Fax: 0115 915 3264 Email: admin@oakfield.nottingham.sch.uk

Teaching Children with Down Syndrome About Their Bodies, Boundaries and Sexuality: A Guide for Parents and Professionals – Terri Couwenhoven

  • Living your life (Brook, www.brook.org.uk)

  • Sexuality & Learning Disability: A Resource for Staff (FPA, www.fpa.org.uk)

  • Sex and Relationship Education: a programme for learners with ASD (City of Nottingham, www.fionaspeirs.co.uk)

  • Exploring sexual and social understanding and Sex (both Bild, www.bild.org.uk)

How it is; an image vocabulary for children about: feelings, rights and safety, personal care and sexuality (Triangle, www.triangle.org.uk)

The Bridge sexual health services for people with learning disabilities

The bridge leaflet

The Autism-Friendly Guide to Periods (2019) Robyn Steward

SNAP charity (Special Needs and Parents):

At the SNAP Centre and on the SNAP helpline we are often asked for help with this particular issue, puberty.  It seems that although sex and relationship education (SRE) is part of the National Curriculum, this is often not delivered at the correct time for a child with special needs or not differentiated to the appropriate level.  Mainstream schools can usually only lesson plan with age appropriate material, which may not match the level of the child with special needs at that time.  

Periods/Menses:

Preparation Is Key

It’s advisable not to wait until your daughter gets her first bleed before you talk to her about periods. Girls can begin their periods from the age of 9 and sometimes earlier, it is, therefore important to have an ongoing conversation about changes to her body such as her growing taller, needing to buy new clothes and her body shape changing. This will lay the foundation to talking to her about beginning her period.   Discussing menstruation before it happens reduces levels of anxiety and avoids it seeming like a crisis or a scary event when it does happen.  Talk to your daughter’s school and ask them what they teach and how they teach the subject of puberty and menstruation. This can be useful for both you as the parent and the school, so together you can educate your daughter in a structured way that she will understand.  After your daughter begins her period preparation is still important. Keeping a diary of her menstrual cycle can help to plan ahead allowing you both to be prepared emotionally and practically for her monthly bleed.

How Period Pants Can Help?

It can be a worry as a parent how your daughter will cope with changing her period protection, especially if she is at school or without you. It may be that your daughter is also anxious about changing and disposing of a pad or tampon in a public bathroom. WUKA’s Period Pants can be worn up to 8 hours on lighter days meaning that your daughter may not need to change her pants whilst out and about.  Some girls may find a pad irritating against their skin, especially those who may have sensory issues. Wearing WUKA’s Period Pants (or similar “period pants”) alleviates the above concerns as the pad is secure inside the pants, meaning that they fit and feel like a pair ordinary of pants. They are made from soft, breathable and moisture wicking materials which contain no harmful chemicals.   https://wuka.co.uk/blogs/periods-a-z/learningdifficultiesandperiods

Genital examination and resources:

Testicular cancer and self-checking/examination:  https://www.macmillan.org.uk/documents/cancerinfo/easyreadpdfs/testicularcancerandself-checking[pdf,434mb].pdf

Breast cancer and self-checking/examination: https://cdn.macmillan.org.uk/dfsmedia/1a6f23537f7f4519bb0cf14c45b2a629/498-source/mac16301-breast-care-for-women-pdf-er?_ga=2.70562963.247245374.1659449827-1685237116.1659449827