Sickness and Illness information for children at the Nursery

At More2Nurseries we promote the good health of all children attending. To help keep children healthy and minimise infection, we do not expect children to attend nursery if they are unwell. If a child is unwell it is in their best interest to be in a home environment with adults they know well rather than at nursery with their peers. Our procedures In order to take appropriate action for children who become ill and to minimise the spread of infection we implement the following procedures:

  • If a child becomes ill during the nursery day, we contact their parent(s) and ask them to pick up their child as soon as possible. During this time we care for the child in a quiet, calm area with their key person, wherever possible
  • We follow the guidance given to us by Public Health England (formerly the Heath Protection Agency) in Guidance on Infection Control in Schools and other Child Care Settings and advice from our local health protection unit on exclusion times for specific illnesses, e.g. sickness and diarrhoea, measles and chicken pox, to protect other children in the nursery.
  • Should a child have an infectious disease, such as sickness and diarrhoea, they must not return to nursery until they have been clear for at least 48 hours. We notify Ofsted as soon as possible and in all cases within 14 days of the incident where we have any child or staff member with food poisoning. We inform all parents if there is an outbreak of a contagious infection identified in the nursery, to enable them to spot the early signs of this illness. We thoroughly clean and sterilise all equipment and resources that may have come into contact with a contagious child to reduce the spread of infection
  • We exclude all children on antibiotics for the first 24 hours of the course (unless this is part of an ongoing care plan to treat individual medical conditions e.g. asthma and the child is not unwell) This is because it is important that children are not subjected to the rigours of the nursery day, which requires socialising with other children and being part of a group setting, when they have first become ill and require a course of antibiotics.  Children can also have a reaction to the antibiotics within the first 24 hours.
Rashes and skin infections  
Chickenpox Five days from the onset of rash
German measales (rubella) Six days from onset of rash (preventable by vaccination)
Hand, foot and mouth None
 Impetigo Until lesions are crusted and healed, or 48 hours after commencing antibiotic treatment
 Measles Four days from onset of rash
Ringworm Exclusion not usually required but treatment required
Scabies Child can return after first treatment
Scarlet Fever Child can return 24 hours after commencing appropriate antibiotic treatment
Slapped cheek None
Diarrhoea and vomiting illness 48 hours from last episode of diarrhoea or vomiting
Influenza Until recovered
Whooping Cough Five days from commencing antibiotic treatment
Conjunctivitis None
Diphtheria Exclusion essential until recovered
Glandular Fever None
Headlice None
Hepatitis A Exclude until seven days after onset of jaundice (or seven days after symptom onset if no jaundice)
Meningococcal meningitis/ septicaemia Until recovered
Threadworms None
Mumps Exclude child for five days after onset of swelling