Safeguarding and Welfare Requirement: Health

Providers must have and implement a policy and have procedures for administering medicines. It must include systems for obtaining information about a child’s needs for medicines and for keeping this information up-to-date.

6.1. Administering Medicines



Policy statement

These procedures are written in line with current guidance in ‘Essential

Policies and Procedures for EYFS’ published by the Pre School Learning Alliance in 2014, the manager is responsible for ensuring all staff understand and follow these procedures.


While it is not our policy to care for sick children who should be at home until they are well enough to return to the setting. We agree to administer life-saving medication such as inhalers, epipens or epileptic medication. However, we include the application of creams to children

with eczema, when children stay all day and we have parental consent. We also hold a supply of infant paracetamol on premises to administer if a child suddenly develops a temperature of over 38 degrees Celsius to prevent possible convulsions occurring. We would contact parents first to let them know we will be administering paracetamol and ensure they have signed the consent form, they would then collect their child immediately, Any dosage given will be recorded in the medication record and signed by the parent when they collect the child.


In many cases, it is possible for children’s GP’s to prescribe medicine that can be taken at home in the morning and evening. As far as possible, administering medicines will only be done where it would be detrimental to the child’s health if not given in the setting. If a child has not had medication before it is advised that the parent keeps the child at home for the first 48 hours to ensure no adverse effect as well as to give time for the medication to take effect.


The  Daily Supervisor is responsible for the overseeing of correct administration of life-saving medication to children. This includes ensuring that parental consent forms have been completed, that medicines are stored correctly and that records are kept according to procedures. In the event of a child needing life-saving medication, it is the responsibility of all staff on duty to be prepared and available to administer a required medicine. Training will be provided for all staff where necessary. We notify our insurance provider of all required conditions as laid out in our insurance policy



  • Children taking prescribed medication at home must be well enough to attend the setting.

  • Only prescribed medication by a doctor (or other medically qualified people) is administered. It must be in-date and prescribed for the condition, (medicines containing aspirin will only be given if prescribed by a doctor).

  • Children's prescribed life-saving medicines are stored in their original containers, are clearly labeled and are inaccessible to the children.

  • Parents give prior written permission for the administration of medication. The staff receiving the medication must ask the parent to sign a         consent form stating the following information. No medication may be given without these details being provided:

    • full name of child and date of birth;

    • name of medication and strength;

    • who prescribed it;

    • dosage to be given in the setting;

    • how the medication should be stored and expiry date;

    • any possible side effects that may be expected should be noted; and

    • signature, printed name of parent and date.


Member of staff on morning duty areto accept medication and check that consent form are completed and held. The Manager/ Daily Supervisor must be advised immediately.


  • The administration is recorded accurately each time it is given and is signed by staff.

  • Parents are notified immediately. Parents sign the record book to acknowledge the administration of a medicine. The medication record book records:

    • name of child;

    • name and strength of medication;

    • the date and time of dose;

    • Dose given and method; and is

    • signed by the person who administered the medication and a staff witness, and is verified by parent signature.

    • We use the Pre-school Learning Alliance’s publication Medication Record for recording administration of medicine and comply with the detailed procedures set out in that publication.


Storage of medicines

  • Medicine is stored in a container that is marked clearly with the child’s name.

  • The staff is responsible for ensuring medicine is handed back at the end of the day to the parent.

  • It is the responsibility of the parent to ensure the medication is in date and to notify staff of any changes, and a new medication sheet must be completed.






  • If the administration of prescribed medication requires medical knowledge, individual training is provided for the relevant member of staff by a health professional. We cannot accept full responsibility for a child to daily sessions until full training of administration of the particular life saving drug is giving to all staff.

  • A child can self-administer, only under staff supervision. Where children are capable of understanding when they need medication, for example with asthma, they should be encouraged to tell staff what they need. However, this does not replace staff vigilance in   knowing and responding when a child requires medication.


Children who have long term medical conditions and who may require on ongoing medication:

  • A risk assessment is carried out for each child with long term medical conditions that require ongoing medication. This is the responsibility of the manager alongside the key person. Other medical or social care personnel may need to be involved in the risk assessment.

  • Parents will also contribute to a risk assessment. They should be shown around the setting, understand the routines and activities and point out anything which they think may be a risk factor for their child.

  • For some medical conditions key staff will need to have training in a basic understanding of the condition as well as how the medication is to be administered correctly. The training needs for staff is part of the risk assessment.

  • The risk assessment includes vigorous activities and any other nursery activity that may give cause for concern regarding an individual child’s health needs.

  • The risk assessment includes arrangements for taking medicines on outings and the child’s GP’s advice is sought if necessary where there are concerns.

  • A health care plan for the child is drawn up with the parent; outlining the key person’s role and what information must be shared with other staff who care for the child.

  • The health care plan should include the measures to be taken in an emergency.

  • The health care plan is reviewed every six months or more if necessary. This includes reviewing the medication, e.g. changes to the medication or the dosage, any side effects noted etc.

  • Parents receive a copy of the health care plan and each contributor, including the parent, signs it.

  • The insurance company needs to be informed of all children for which we hold life saving medications (not asthmas inhalers though) and additional proceduresmay need to be followed to meet the insurance requirements.


Managing medicines on trips and outings:

  • If children are going on outings, staff accompanying the children must include a member of staff who is fully informed about the child’s needs and/or medication.

  • Medication for a child is taken in a container clearly labelled with the child’s name, and name of the medication.

  • If medication has been given the record book must be completed on return to the setting.

  • If a child on medication has to be taken to hospital, the child’s medication is taken in a container clearly labeled with the child’s name, name of the medication. Inside the container is a copy of the consent form signed by the parent.



Legal framework

  • The Human Medicines Regulations 2012


Further guidance

  • Essential Policies and Procedures for EYFS (Pre School Learning Alliance 2014)


Other useful Pre-school Learning Alliance publications

  • Medication Record (2016)

  • Register and Outings Record (2016)