6.2 Managing children who are sick, infectious, or with
(Including reporting notifiable diseases)
At Thorpe Acre Preschool Playgroup, we provide care for healthy children through preventing
cross infection of viruses and bacterial infections and promote health through identifying allergies and preventing contact with the allergenic substance.
Procedures for children who are sick or infectious
- If children appear unwell during the day – have a temperature, sickness, diarrhoea or pains, particularly in the head
or stomach – the manager calls the parents and asks them to collect the child, or send a known carer to collect the child on their behalf.
- If a child has a temperature, they are kept cool, by removing top clothing, sponging their heads with cool water, but
kept away from draughts.
- The child’s temperature is taken using a ‘fever scan’ kept near to the first aid box.
- In extreme cases of emergency the child should be taken to the nearest hospital and the parent
- Parents are asked to take their child to the doctor before returning them to the setting, the setting can
refuse admittance to children who have a temperature, sickness and diarrhoea or a contagious infection or disease.
- Where children have been prescribed antibiotics, parents are asked to keep them at home for 48 hours before returning
to the setting.
- After diarrhoea, parents are asked to keep children home for 48 hours or until a formed stool is passed.
Parents are also asked to follow the same procedure if the child has been sick.
- A notice is displayed on the Parents Notice Board informing parents of this.
- The setting has a list of excludable diseases and current exclusion times. The full list is obtainable from
www.hpa.org.uk/webc/HPAwebFile/HPAweb_C/1194947358374 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 Health Protection Agency.
- When the setting becomes aware, or is formally informed of the notifiable disease, the manager informs Ofsted and acts
on any advice given by the Health Protection Agency.
- HIV virus, like other viruses such as Hepatitis A, B and C are spread through body fluids. Hygiene precautions for
dealing with body fluids are the same for all children and adults.
- Single use vinyl gloves and aprons are worn when changing children’s nappies, pants and clothing that are soiled with
blood, urine, faeces or vomit.
- Protective rubber gloves are used for cleaning/sluicing clothing after changing.
- Soiled clothing is bagged for parents to collect. Spills of blood, urine, faeces or vomit are cleared using mild
disinfectant solution and antibacterial floorwipes; cloths used are disposed of with the clinical waste.
- Tables and other furniture, furnishings or toys affected by blood, urine, faeces or vomit are cleaned using a
Nits and head lice
- Nits and head lice are not an excludable condition, although in exceptional cases a parent may be asked to keep the
child away until the infestation has cleared.
- On identifying cases of head lice, all parents are informed and asked to treat their child and all the family if they
are found to have head lice.
- When cases of head lice are reported or observed by staff, written and verbal information will be related to all
Procedures for children with allergies
- When parents start their children at the setting they are asked if their child suffers from any known allergies. This
is recorded on the registration form.
- If a child has an allergy, a risk assessment form is completed to detail the following:
- The allergen (i.e. the substance, material or living creature the child is allergic to such as nuts, eggs, bee stings,
- The nature of the allergic reactions e.g. anaphylactic shock reaction, including rash, reddening of skin, swelling,
breathing problems etc.
- What to do in case of allergic reactions, any medication used and how it is to be used (e.g.
- Control measures – such as how the child can be prevented from contact with the allergen.
- This form is kept in the child’s personal file and a copy is displayed where staff can see it.
- Parents train staff in how to administer special medication in the event of an allergic reaction.
- Generally, no nuts or nut products are used within the setting.
- Parents are made aware on induction, so that no nut or nut products are accidentally brought in, for example at
lunchtime or for events.
Insurance requirements for children with allergies and disabilities
- The insurance will automatically 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 your insurance
provider must be obtained to extend the insurance.
At all times the administration of medication
must be compliant with the Safeguarding and Welfare Requirements of the Early Years Foundation Stage and follow procedures based on advice given in Managing Medicines in Schools and Early Years
Settings (DfES 2005)
Asthma inhalers are now regarded as ‘oral medication’ by
insurers and so documents do not need to be forwarded to your insurance provider.
- Oral medications must be prescribed by a GP or have manufacturer’s instructions
clearly written on them.
- The setting must be provided with clear written instructions on how to administer
- All risk assessment procedures need to be adhered to for the correct storage and
administration of the medication.
- The setting must have the parents or guardians prior written consent. This consent
must be kept on file. It is not necessary to forward copy documents to your insurance provider.
Life saving medication & invasive treatments
Adrenaline injections (Epipens) for anaphylactic shock
reactions (caused by allergies to nuts, eggs etc) or invasive treatments such as rectal administration of Diazepam (for epilepsy).
- a letter from the child's GP/consultant stating the child's condition and what
medication if any is to be administered;
- written consent from the parent or guardian allowing staff to administer
- proof of training in the administration of such medication by the child's GP, a
district nurse, children’s nurse specialist or a community paediatric nurse.
- Copies of all three letters relating to these children must first be sent to the
Pre-school Learning Alliance Insurance Department for appraisal (if you have another provider, please check their procedures with them). Confirmation will then be issued in writing confirming that
the insurance has been extended.
Key person for special needs children
- children requiring help with tubes to help them with everyday living e.g. breathing apparatus, to take nourishment, colostomy bags etc.
- Prior written consent from the child's parent or guardian to give treatment and/or
medication prescribed by the child's GP.
- Key person to have the relevant medical training/experience, which may include
those who have received appropriate instructions from parents or guardians, or who have qualifications.
- Copies of all letters relating to these children must first be sent to the
Pre-school Learning Alliance Insurance Department for appraisal (if you have another provider, please check their procedures with them). Written confirmation that the insurance has been extended will
be issued by return.
If you are unsure about any aspect, contact the
Pre-school Learning Alliance Insurance Department on 020 7697 2585 or email firstname.lastname@example.org.
- Managing Medicines in Schools and Early Years Settings (DfES 2005)
This policy was adopted at a meeting of
name of provider
Date to be reviewed
Signed on behalf of the management committee
Name of signatory
Role of signatory (e.g. chair/owner)
Other useful Pre-school Learning Alliance publications
- Good Practice in Early Years Infection Control (2009)
Updated March 2014