Safeguarding and Welfare Requirement: Health

The provider must promote the good health of children attending the setting. They must have a procedure discussed with parents and carers for responding to children who are ill and infectious, take necessary steps to prevent the spread of infection and take appropriate action if children are ill

6.2 Managing children who are

sick, infectious or with allergies


Policy statement

We aim to provide care for healthy through preventing cross infection of viruses and bacterial infections and promote health through identifying allergies and preventing contact with the allergenic trigger.


Procedures for children who are sick or infectious

  • If children appear unwell during the day, for example, if they have a temperature, sickness or diarrhea our manager will call the parents and ask them to collect their child.

  • If a child has a temperature they are kept cool and given paracetamol if permitted by the parents. This is to reduce the risk of febrile convulsions. Parents will then sign the medication records when they collect the child.

  • The child’s temperature is taken using a forehead thermometer strip kept in the first aid box.

  • In extreme circumstances an ambulance is called and the parents are informed.

  • Parents are asked to take their child to the doctor before returning them to the setting. We can refuse admittance to children who have a temperature, sickness, diarrhea or a contagious infection or disease.

  • Where children have been prescribed antibiotics for an infectious illness or complaint we ask parents to keep them home for 48 hours before returning to the setting.

  • After diarrhea or sickness we ask parents to keep children at home for 48 hours following the last episode.

  • Some activities such as sand or water play maybe suspended where there is a risk of cross contamination during an outbreak

  • We have a list of excludable diseases and current exclusion times. The full list is available from and includes common childhood illnesses such as measles.


Reporting of “notifiable diseases”

  • If a child or adult is diagnosed as suffering from a notifiable disease under the Health Protection (Notification) Regulations 2010, the GP will report this to the Public Health England

  • When we become aware or are informed of a notifiable disease our manager informs ofsted and contacts Public Health England and acts on any advice given


HIV/AIDS/Hepatitis procedure

HIV virus, like other viruses such as Hepatitis A, B and C are spread through bodily fluids. Hygiene precautions for dealing with body fluids are the same for children and adults. 



  • Wear single use gloves and aprons when changing children’s nappies, pants and clothing that are soiled with blood, urine, faeces or vomit.

  • Bag soiled clothes for parents to take home for cleaning.

  • Clear spills of blood, urine, faeces or vomit using mild disinfectant and mops, any cloths used are disposed of with clinical waste.

  • Clean any tables or other furniture infected affected by blood, urine, faeces or vomit using a disinfectant.


Nits and head lice

  • Nits and head lice are not an excludable condition although in exceptional circumstances we may ask the parents to keep the child away until the infestation has cleared.

  • On identifying cases of head lice we inform all parents to check and treat their children if necessary.


Procedures for children with allergies

  • When children start at the setting we ask parents if their child suffers from any known allergies, this is recorded on their registration form.

  • If a child has an allergy, we complete a risk assessment form to detail the following:

  • The allergen

  • The nature of the allergic reactions

  • What to do in case of an allergic reaction

  • Control measures – prevention of contact with allergen

  • Review measures

  • The risk assessment is kept in the child’s personal file and a copy is displayed where our staff can see it.

  • Generally no nuts or nut products are used within the setting.

  • Parents are made aware so that no nut or nut products are accidently brought in.


Insurance requirements for children with allergies and disabilities

  • If necessary, our insurance will include children with any disability or allergy, but certain procedures must be strictly adhered to as set out below. For children suffering life threatening conditions or requiring invasive treatments, written confirmation from our insurance provider must be obtained to extend the insurance.

  • At all times we ensure the administration of medication is compliant with the Safeguarding and Welfare Requirements of the EYFS.

  • Oral medication:

  • Asthma inhalers are regarded as “oral medication” by insurers and so documents do not need to be forwarded to our insurance provider. Oral medications must be prescribed by a GP or have manufacturer’s instructions clearly written on them.

  • We must be provided with clear written instructions on how to administer such medication

  • We adhere to all risk assessment procedures for the correct storage and administration of the medication

  • We must have the parents prior written consent. The consent must be kept on file. It is unnecessary to forward copies of consent to our insurance provider.


Life-saving medication and invasive treatments

These include adrenaline injections (Epipens) for anaphylactic shock reactions or invasive treatments such as rectal administration of Diazepam

  • We must have a letter from the GP stating the condition and medication to be administered.

  • Written consent from the parents allowing staff to administer medication 

  • Proof of training to administer the required medication from the GP or specialist nurse.

  • Copies of all 3 documents relating to the child must be sent to our insurance provider. Written confirmation that the insurance has been extended will be issued by return.


Key person for special needs children requiring assistance with tubes to help them with everyday living, e.g. breathing apparatus, colostomy bags ect:

  • Prior written consent must be obtained from the child’s parent to give treatment and/or medication prescribed by the GP.

  • The key person must have the correct medical training which may include receiving instructions from the parents.

  • Copies of all letters relating to these children must first be sent to our insurance provider. Written confirmation that the insurance has been extended will be issued by return.​


If we are unsure about any aspect we will contact our insurance providers on 020 76972585.

Other useful publications

  • Good Practice in Early Years Infection Control (2009)

  • Medication Administration Record  (2013)