Illness and Attending Pre School.

  • Parents are asked to keep their children at home if they have any infection and to inform the setting as to the nature of the infection. This will allow the pre-school to alert other parents as necessary and to make careful observations of any child who seems unwell or shows signs or symptoms.
    • The Pre-School will refuse admittance to children with a temperature, contagious infection, disease or rash.
  • The settings definitions of a “well Child” is one who is not reliant on Calpol (or similar medicine properties), does not have a high temperature, is well enough to participate in all pre-school activities, has a normal appetite, is happy and sociable, does not require a greater staff ratio and has normal bowel function.
    •  Children are not permitted to attend the setting if they have been given calpol on that day.
  • Following sickness and or diarrhoea children are not to attend the setting until 48 hours has elapsed since the last attack or during any contagious disease such as chicken pox or slap cheek.


We can only administer prescribed medication with direction from the child’s doctor.

Information Sources

Children with serious injuries and illnesses. Dial 999 and ask for an ambulance. Below is further information on accessing local medical services for children.

Please click here for details of pharmacies and opening times in Bedfordshire.

Putnoe Medical Walk-in Centre, 93 Queen’s Drive, Bedford (open from 8am to 6.30pm). Visit their website

Chronic Care / Regular Users / Open Access

  • Open access means families with children who have long term or chronic conditions can seek advice or treatment directly through the Riverbank Children’s Unit for that condition, without first needing to see their GP. Open access is not used for medical emergencies (parents should dial 999 for an ambulance if their child needs emergency treatment).
  • If you feel your child needs to be seen by a doctor or nurse in relation to the condition your child has open access for, we ask that you telephone the Riverbank Children’s Day Unit on 01234 792204Click here for information.
  • Parents will have the opportunity to discuss health issues with the pre-school staff and will have access to information available to the setting. The setting will maintain links with health visitors and gather health information and advice from the local health authority information services and/or other health agencies.

Children with minor injuries and illnesses.

(Cough, cold, sore throat, diarrhoea). Visit your local pharmacy for over-the-counter remedies and advice on self-care.

  • Many common ailments can be treated at home by keeping a well-stocked medicine cabinet.For further information on treating you and your family at home visit or speak to your pharmacist.
  • If following self care or a visit to your pharmacy, you are in any doubt, or if your child’s condition gets worse, then contact your GP surger for advice. In an emergency always dial 999 for an ambulance.

If your child feels unwell or you need advice.

Fever and other symptoms, back ache, ear pain, cuts, sprains, itches, minor burns and scalds, your GP surgery or walk-in centre is your first port of call.

  • In Bedfordshire, a GP is available 24 hours a day, every day, to treat and advise. People can ring their surgery, even when they know it is closed, for information about how to access a GP. (For residents living in Bedford Borough, you can call the Bedoc out-of-hours service (after 6.30pm) directly on 0845 850 0734)

Bedford Hospital’s A&E department.

Wounds that require stitches and injuries where any x-ray may be required. 

  • If your child needs treatment for a minor injury that cannot be dealt with by a GP (such as stitching a wound or taking an x-ray) then you can attend the Bedford Hospital A&E department, where they will be assessed and treated by emergency medicine consultants with the support of specialist paediatric nurses.

Unwell Children.

  • If a child becomes unwell during the session, the child will be made comfortable and a staff member will contact the first point of contact number which has been provided and continue with other supplied contact numbers until contact is made with a parent or family member. The parents should indicate if taken ill, who is the first point of contact.
  • If the children of the settings staff are unwell, the children will not accompany their parents/carers to work in the setting.
  • Cuts or open sores, whether an adult or child, will be covered with an appropriate dressing. Parents to sign a permissive agreement for dressings such as adhesive plasters to be applied to their child.
  • If a child is on prescribed medication the following procedures will be followed: A medication book will be available to log in the name of the child receiving dedication, times the medication is to be administered, date and time when the medication has been administered, together with the signature of the person who has administered each dose and countersigned by the parent.
  • With regard to the administration of life saving medication such as insulin/adrenalin injections or the use of nebulisers, the position will be clarified by reference to the pre-schools insurance company. (In the case of pre-schools insured with Royal & Sun Alliance, this will be through the Insurance Section at Pre-school Learning Alliance National Centre.) If specialist knowledge is required, staff involved in administering medication will receive training from a qualified health professional.       Procedures will be put in place for each individual child for dealing with an emergency, where life saving medication is required. This should be discussed and agreed with the parent or guardian of the child and confirmed in writing. This could include, a list of symptoms, a procedure to call 999 and call an ambulance stating that the child has collapsed with a particular condition, an emergency contact telephone number for the parent, an emergency medication supply to be provided by the parent for the ambulance crew to administer.
  • The setting will ensure that the first aid equipment is kept clean, replenished and replaced as necessary. The first aid box will be checked by a member of staff every term. Sterile items will be kept sealed in their packages as needed. A dated inventory of all items listed.
  • There will always be on the premises as least one qualified first aided trained to administer first aid to children. Currently all salaried staff members are in trained in the implementation of first aid.
  • Entry into the setting will only be permissible if everyone involved is convinced that the continued safety of the child/children is not compromised.
  • Any other conditions that do not fit into the remit of this policy will be dealt with on an individual basis.