Safeguarding and Welfare Requirement: Health Providers must have and implement a policy, and 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.
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 will agree to administer medication as part of maintaining their health and well-being or when they are recovering from an
In many cases, it is possible for children’s GPs 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 the medication before, it is advised that the parent keeps the child at home for the first 48 hours to ensure there are no adverse effects, as well as to give time for the
medication to take effect.
These procedures are written in line with guidance in Managing
Medicines in Schools and Early Years Settings; the manager is responsible for ensuring all staff understand and follow these procedures.
The key person is responsible for the correct administration of
medication to children for whom they are the key person. This includes ensuring that parent consent forms have been completed, that medicines are stored correctly and that records are kept according
to procedures. In the absence of the key person, the manager is responsible for the overseeing of administering medication.
- Children taking prescribed medication must be well enough
to attend the setting.
- Prescribed medicines must have the child’s name clearly
on original labels.
- Over the counter (OTC) medicines can be administered with
explicit parental authorisation. (see addendum) Parents must give written permission for administration of an OTC and must provide the OTC medication in original packages with recommended
dosage instructions clearly visible. In addition, a telephone call to the parent will be made before an OTC is administered – this is to avoid the risk of ‘double dosing’ if a parent has
administered the OTC before the child comes to preschool. The call will be noted in the Administration of Medicines file, which will be signed by the parent at the end of the day. The preschool
reserves the right to send children home if they are deemed not well enough to attend preschool.
- Children's prescribed medicines are stored in their
original containers, are clearly labelled 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
- - the full name of child and date of
- - the name of medication and strength;
- - who prescribed it;
- - the dosage to be given in the
- - how the medication should be stored and its expiry
- - any possible side effects that may be
- - the signature of the parent, their printed name and the
Parents need to give their child’s medicine
to the Manager or the Deputy in her absence, who will check the medicine is clearly labelled with name and dosage and will ask the parent to fill in our Medicine Form. The Manager will inform the
child’s Key Person of the medicine and dosage and write it on the board so all staff are aware.
If we feel a child is too unwell to
attend pre-school we will contact the parent to collect them.
- The administration of medicine is recorded accurately in
our medication record book each time it is given and is signed by the Key Person/Manager. Parents are shown the record at the end of the day and asked to sign the record book to acknowledge the
administration of the medicine. The medication record book records the:
- name of the child;
- name and strength of the medication;
- date and time of the dose;
- dose given and method;
- signature of the Key Person/Manager;
- parent’s signature
- We use the Pre-school Learning Alliance’s Medication
Record book for recording the administration of medicine and comply with the detailed procedures set out in that publication.
- All medication is stored safely in a locked cupboard or
refrigerated as required. Where the cupboard or refrigerator is not used solely for storing medicines, they are kept in a marked plastic box.
- The child’s key person is responsible for ensuring
medicine is handed back at the end of the day to the parent.
- For some conditions, medication may be kept in the
setting to be administered on a regular or as-and-when- required basis. Key persons check that any medication held in the setting, is in date and return any out-of-date medication back to the
All medicine is stored either in the fridge
if needed, or the medicine cupboard in the kitchen, in an individually named bag. All staff are aware of this storage in the their staff induction.
- If the administration of prescribed medication requires
medical knowledge, individual training is provided for the relevant member of staff by a health professional.
- If rectal diazepam is given, another member of staff must
be present and co-signs the record book.
- No child may self-administer. Where children are capable
of understanding when they need medication, for example with asthma, they should be encouraged to tell their Key Person 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
- 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
- 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 form part of the risk assessment.
- The risk assessment includes vigorous activities and any
other 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 advice is sought from the child’s GP 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 frequently 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.
Managing medicines on trips and outings
- If children are going on outings, staff accompanying the
children must include the key person for the child with a risk assessment, or another member of staff who is fully informed about the child’s needs and/or medication.
- Medication for a child is taken in a sealed plastic box
clearly labelled with the child’s name and the name of the medication. Inside the box is a copy of the consent form and a card to record when it has been given, including all the details that need to
be recorded in the medication record as stated above.
- On returning to the setting the card is stapled to the
medicine record book and the parent signs it.
- If a child on medication has to be taken to hospital, the
child’s medication is taken in a sealed plastic box clearly labelled with the child’s name and the name of the medication. Inside the box is a copy of the consent form signed by the
- As a precaution, children should not eat when travelling
- This procedure is read alongside the outings
- The Human Medicines Regulations (2012)
- Managing Medicines in Schools and Early Years Settings
Policy adopted at meeting – Oct 2007
Reviewed by : Ladybirds Directors
Addendum to policy
Information provided by https://www.wessexlmcs.com/prescribingnurseriesschoolsandotcmedications
Non-prescription (OTC) medication does not need a GP signature/authorisation in order for the
school/nursery/childminder to give it. It has been brought to the attention of the GPC Clinical and Prescribing Subcommittee that the revised 'The Early Years Foundation Stage Statutory Framework',
which governs the standards of institutions looking after and educating children, includes a paragraph under specific legal requirements - medicines, that states: 'Medicines should only be taken to a
setting when this is essential and settings should only accept medicines that have been prescribed by a doctor, dentist, nurse or pharmacist.' We are aware that in some areas this is resulting in
parents making unnecessary appointments to seek a prescription for an OTC medicine, just so it can be taken in nurseries or schools. The Clinical and Prescribing Subcommittee wishes to remind GPs
that the MHRA licenses medicines and classifies them when appropriate as OTC (P or GSL). This is to enable access to those medicines without recourse to a GP. It is appropriate for OTC medicines to
be given by parents, as they consider necessary, in the home or nursery environment. It is a misuse of GP time to take up an appointment just to acquire a prescription for a medicine, wholly to
satisfy the needs of a nursery/school. The Clinical and Prescribing Subcommittee wrote to the Department of Children, Schools and Families seeking an amendment to this paragraph in the Statutory
Framework and we have now heard from that Department. They will amend their guidance to stay consistent with current national standards for day care and childminding, whereby non-prescription
medication can be administered where there is parents' prior written consent. Should any practice find that this continues to be a problem in their area we have produced a template letter which can
be downloaded and sent to the Nursery/School. The Statutory Framework for the EYFS (Early Years Foundation Stage) outlines the policy for administering medicines to children in nurseries/preschools
0-5 years “The provider must promote the good health of children attending the setting. They must have a procedure, discussed with parents and/or carers, for responding to children who are ill or
infectious, take necessary steps to prevent the spread of infection, and take appropriate action if children are ill. Providers must have and implement a policy, and 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. Training must be provided for staff where the
administration of medicine requires medical or technical knowledge. Medicines must not usually be administered unless they have been prescribed for a child by a doctor, dentist, nurse or pharmacist
(medicines containing aspirin should only be given if prescribed by a doctor). Medicine (both prescription and non-prescription) must only be administered to a child where written permission for that
particular medicine has been obtained from the child’s parent and/or carer. Providers must keep a written record each time a medicine is administered to a child, and inform the child’s parents and/or
carers on the same day, or as soon as reasonably practicable”.