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First aid guidance for childcare providers

It is important that childcare provision is safe. Providers must have measures in place to prevent and minimise injuries to children and take precautions to avoid infection.

Regulations for the Childcare Register require the childminder or home child carer to have a first aid qualification; and for the registered person for childcare on domestic or non-domestic premises to ensure that at least one person caring for children on the premises has a first aid qualification.

The qualification must be appropriate to the ages of the children for whom childcare is provided and to the nature of the provision.

First aid provision must be available at all times that children are cared for either on the childcare premises or off the premises on visits and outings.

The registered provider is responsible for ensuring these requirements are met.

First aid guidance for childcare providers – Registered Childminders are childcare professionals working in their own homes to provide care and education for other people’s children in a family setting. They have to be inspected and registered by Ofsted (the Office for Standards in Education) in England, the SCC in Scotland (Scottish Commission for the regulation of Care in Scotland), the CSSIW in Wales (Care and Social Services Inspectorate Wales), or the HSE (Health Services Executive) in Ireland.

First aid guidance for childcare providers – Question and Answers

What are the requirements?

For a person registering as a childminder or home child carer the regulations require that:

‘The applicant has a first aid qualification which is appropriate to the ages of the children for whom childminding is provided and to the nature of the provision.’

For a person registering a childcare provider the regulations require that:

‘At least one person caring for children on the premises on which childcare is being provided has a first aid qualification which is appropriate to the ages of the children for whom childcare is provided and to the nature of the provision.’ 

 If the applicant is registering as a childminder or home child carer then they must have a first aid certificate.

For childcare providers the registered person does not necessarily have to have a first aid certificate. However, they must ensure that at least one person who is engaged in caring for the children has a first aid qualification and is on the premises at all times while childcare is being delivered and is present on any visits. For some providers this is likely to mean having several members of staff trained. It is good practice to consider the following in relation to people selected to be first aiders:

People must renew their first aid certificate every three years after the date the training was completed. Child carers may wish to make sure relevant people undertake refresher courses annually. By the time a certificate expires, the individual will have to undertake another full course of training to become a first aider. Child carers should keep a record of first aiders and certification dates.

There is no set minimum length of time for a first aid course for the voluntary part of the Childcare Register. Many standard courses take 12 hours to complete. It may be possible for child carers to undertake an intensive course in less than 12 hours. However, the child carer must ensure that the course covers all of the criteria specified below and that they receive adequate practical training. The outcomes of the course should be that the child carer can demonstrate independently how they would handle each of the conditions specified below.

People who are renewing their certificate after three years may feel that a shorter course will suffice. However, they should ensure that it still covers all of the criteria specified and provides sufficient practical training to refresh skills and learn any new techniques.

First aid courses should offer child carers the opportunity to practice practical techniques – for example resuscitation – until they feel comfortable performing all of the techniques independently.

Providers must determine whether their first aid training is appropriate based on the type of care they provide. An ‘appropriate’ first aid certificate will depend on the type of provision being offered.

For example, what is appropriate for a nanny caring for young children may be different to an activity-based provider caring for older children. As a minimum, a certificate should meet the criteria set out below. Providers need to consider whether it would be appropriate to have additional training.

Childcare that features certain activities or that provides for children with disabilities may need to have people with specific first aid training. Providers are responsible for determining whether specific additional first aid training is needed. Providers may want to contact their relevant professional bodies for advice on what they recommend.

The need for a paediatric or an adult first aid certificate will depend upon the ages of the children for whom care is provided. Child carers who care for children who have not yet reached puberty should have a paediatric first aid certificate. Child carers who care for children who have reached puberty should have an adult first aid certificate. Child carers who care for a wide age range of children may need to have both adult and paediatric training.

Ofsted will accept any certificate which meets the minimum criteria below for registration. However as set out above providers are responsible for determining whether specific additional first aid training is needed.

Providers are responsible for demonstrating to Ofsted that they have met all of the registration requirements. As part of an application, applicants must declare that they have met the first aid requirements and provide us with a copy of the certificate. For childminders this must be their own certificate.

For other providers this may be the certificate of a member of staff who will be responsible for first aid.

When Ofsted visit the childcare provider to check that the requirements are being met the inspector they expect to see the first aid certificates of the relevant member(s) of staff (those who are caring for children and have first aid certificate(s) at that point). They may also request further details of the course content or evidence that it is local authority, Health and Safety Executive (HSE) or Qualifications and Curriculum Authority (QCA) approved.

Providers must have available the proper materials and equipment which should be clearly labelled, secured away from children and easily accessible to the first aider. Additional first aid equipment may be needed for sports activities or high risk activities.

There is no mandatory list of items for a first aid box. However the Health and Safety Executive website provides some helpful guidance on the minimum provision of first-aid items (where there is no special risk identified).

Criteria for an appropriate first aid certificate

The course should include learning outcomes covering the following areas:

For more information on first aid guidance for childcare providers and paediatric first aid training offered by Liverpool Training Solutions please follow the links below to our course content for Paediatric First Aid training:

Further reading and guidance for childcare providers can be found on the OFSTED website section The Early Years and Childcare Registers

For more information on our Paediatric first aid training course delivered directly in the workplace anywhere in Liverpool, please email us. Or why not call us on 0151 515 0416 and ask to speak with one of our training consultants.

To view the list of regulated FAA qualifications and access Qualification Specifications containing detailed information please click here.