Category Archives: School

New ‘gold standard’ in paediatric first aid launched

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A new initiative to help improve paediatric first aid training in early years settings has been launched today by Education and Childcare Minister Sam Gyimah, in memory of a 9-month-old girl who tragically died in 2012.

Millie Thompson passed away after choking on her lunch while at nursery in Stockport. Since her death, Millie’s parents Joanne and Dan have campaigned for a new ‘gold standard’ certificate to be created in recognition of early years childcare providers that train all their staff in paediatric first aid, going above and beyond the minimum legal requirements.

The quality mark – which has been developed by the Department for Education (DfE), National Day Nursery Association (NDNA) and the Thompsons – will be known as ‘Millie’s Mark’ and will help to give parents assurance that every staff member that cares for their child is trained in these important, life-saving skills.

From summer 2016, early years settings in England will be eligible to apply to be accredited with this unique quality mark that will provide parents with the assurance that their child is being cared for by safe and knowledgeable staff. The quality mark will be in addition to the existing statutory requirements for paediatric first aid that all early years providers must meet as a legal requirement.

Alongside the launch of Millie’s Mark, the government has today published a response to the consultation on changing the paediatric first aid requirements in the statutory framework for the early years foundation stage (EYFS). The majority of those who responded were in favour of increasing the number of paediatric first aiders in early years settings.

So, from this September [2016], all newly qualified level 2 and level 3 staff must also have either a full paediatric first aid certificate or an emergency paediatric first aid certificate to count in the required staff to child ratios.

‘So for Nurseries that have trained with us at BUFFS and have the New Level 3 Paediatric first aid certificate you need to read the information below and if you meet all the criteria you can apply’. PK

Millie’s Mark – Paediatric First Aid

NDNA has been awarded a contract to deliver Millie’s Mark, the new quality mark

for nurseries where all employees are trained in paediatric first aid.

Nurseries will be able to apply for Millie’s Mark, which will be awarded as a special endorsement to childcare providers that can meet a set criteria including:

  • Evidence of needs assessment for setting staff
  • Evidence that all staff hold an appropriate in-date PFA (full or emergency) certificate
  • Evidence of classroom-based training for one-day courses.

The awarding of Millie’s Mark will be dependent on all of the criteria being met in addition to the legal requirements as set out in the Early Years Foundation Stage (EYFS) Statutory Framework.

These childcare providers will work to keep these crucial skills in the forefront of their employees’ minds, so that they are competent and ready to act in an emergency situation. 

The aims of Millie’s Mark are to keep children safe and minimise risk and accidents by:

  • Raising standards in paediatric first aid
  • Increasing numbers of first aid-trained staff
  • Increasing competency in applying first aid
  • Enabling staff to respond quickly in emergencies
  • Raising the quality and skills of the early years workforce and helping them with day-to-day first aid issues, such as allergies
  • And providing reassurance to parents.

Red Poinsettias. Safe for Kids?

Red Poinsettias in Pots on Display in a Plant Nursery

Poinsettia plants are less toxic than once believed.

In most cases, poinsettia exposure causes only discomfort, including:

  • A mild, itchy rash. Skin contact with the sap of a poinsettia plant can cause a rash, If this happens, wash the affected area with soap and water. Apply a cool compress to ease itching.
  • A mild stomachache, vomiting or diarrhea. This can happen after eating part of a poinsettia plant. Severe signs and symptoms are unlikely, If you find a child eating a poinsettia plant, clear and rinse his or her mouth.
  • Eye irritation. If the sap of a poinsettia plant comes in contact with the eyes, they can become red and irritated. If this happens, flush the eyes with water.
  • Allergic reaction. Some people are more sensitive to poinsettia plants than are others. Reactions to poinsettia plants are more common among people who have latex allergies, since latex and poinsettia plants share several proteins. In case of a severe reaction, seek prompt medical attention.
Taken from Answers from Jay L. Hoecker, M.D. at the Mayo Clinic

Amendments to the Human Medicines Regulations 2012 to allow the supply of salbutamol inhalers to schools

For those of you having problems purchasing inhalers from independent pharmacists in the UK who may not be aware of the recent changes to the use of inhalers in schools.

I have attached a copy of the document you need to show them and please refer them to this section below which appears on page 12.

‘These Regulations amend the Human Medicines Regulations 2012, to allow schools to hold stocks of asthma inhalers containing salbutamol for use in an emergency. These regulations come into effect on 1st October 2014.
From this date onwards, schools can buy inhalers and spacers (the plastic funnels which make it easier to deliver asthma medicine to the lungs) from a pharmaceutical supplier in small quantities provided it is done on an occasional basis and is not for profit.
A supplier will need a request signed by the principal or head teacher (ideally on appropriately headed paper) stating:
• the name of the school for which the product is required; • the purpose for which that product is required, and • the total quantity required.
The Department of Health has also consulted on draft non-statutory guidance to support schools in England in their management of inhalers, and has revised this to take on board comments received from respondents. It is hoped that the current draft guidance (published simultaneously with this response) covers the major implementation issues raised in the consultation. DH will continue to refine the guidance in the light of any further comments received – particularly from schools as they implement the new arrangements.
As devolved administrations, Wales, Northern Ireland and Scotland will have respective responsibility for issuing guidance for their schools’.


Hope this helps


Which First Aid Course do I need?

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A number of students and managers have contacted me recently with regard to the changes coming up in October regarding the Childcare sector.

I have studied the First Aid training requirements and the advice for each sector is below:

Registered Childminder  – Paediatric First Aid – 12 hours In line with the Early Years Foundation Stage Statutory Framework ( EYFS) the Level 3 Paediatric First Aid (PFA) Course covers all topics required by Ofsted.

Nursery or Pre – School  – Paediatric First Aid – 12 hours In line with the Early Years Foundation Stage Statutory Framework ( EYFS) the Level 3 Paediatric First Aid (PFA) 12 Hour course covers all topics required by Ofsted.

Foundation Stage Teachers  – Paediatric First Aid – 12 hours The EYFS requires that at least one person in a school holds a twelve hour certificate in PFA. The EYFS guidance applies to those who deal with 4, 5 and rising 6 year olds.

School Staff Teaching & Support  – Emergency First Aid at Work for Schools Level 2 (EFAWS) – 6 hours In line with the guidance from The Department of Children, Schools and Families, this course is child orientated and suitable for all school staff who support First Aiders.

After School clubs  – Emergency First Aid at Work for Schools Level 2 (EFAWS) – 6 hours


Level 3 Paediatric First Aid (PFA) 12 Hour course.

Ofsted will expect the course to be relevant to the age of the children. If under 5’s are present you need the Paediatric First Aid – 12 hours

Nanny, Au Pair, Babysitter  – Emergency Paediatric First Aid (EPFA) – 6 hours  There is no set minimum that this course should take. Our 6Hr Emergency Paediatric First Aid (EPFA) course meets the needs of the Voluntary part of the Ofsted Childcare Register, which many Nannies are now opting to join.

The general guidance, as I understand it, is if under 5’s are involved then even if the 12 hour course is not a requirement we still recommend it. The guidance from Ofsted regularly highlights the need for the training to be relevant to the age of the child / children being cared for.

First Aid Box Contents Update 15

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1. There is no mandatory list of items to be included in a first-aid container. The decision on what to provide will be influenced by the findings of the first-aid needs assessment. As a guide, where work activities involve low hazards, a minimum stock of first-aid items might be:

  • a leaflet giving general guidance on first aid (for example, HSE’s leaflet Basic advice on first aid at work);
  • 20 individually wrapped sterile plasters (assorted sizes), appropriate to the type of work (hypoallergenic plasters can be provided if necessary);
  • two sterile eye pads;
  • two individually wrapped triangular bandages, preferably sterile;
  • six safety pins;
  • two large sterile individually wrapped unmedicated wound dressings;
  • six medium-sized sterile individually wrapped unmedicated wound dressings;
  • at least three pairs of disposable gloves (see HSE’s leaflet Latex and you6).

Attached is a Pdf list for the suggested workplace and travel kits.

First Aid Box Contents 15


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“Can I shock someone if they are wet or on a metal surface”?

It is safe to defibrillate a patient on either a wet or metal surface as long as the appropriate safety precautions are taken. Specifically, care should be taken to ensure that no one is touching the patient when the shock button is pressed.

The attached document will answer your question.


EFAW Book update

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Slight change to your recent book if you attended a Emergency First Aid at Work(EFAW) course with me in the last 12 months

AED Data Collection

The Resuscitation Council (UK) no longer supplies or collects the AED event form that has been in use. Out-of-hospital cardiac arrest remains an important priority for the Resuscitation Council (UK) and it has established a national out-of-hospital database with the British Heart Foundation and Association of Ambulance Medical Directors, in partnership with the University of Warwick. This audit also captures the events where a public access AED has been used before the arrival of the ambulance crew via a reusable and easily accessible new online event form. To that end, there is a requirement to reflect this information within the suite of Highfield First Aid books.

The required changes are below.

Page 9

The book states the following:

‘In cases where a defibrillator has been used, regardless of whether shocks were given or not, then the Event Report Form (ERF) requires completing in full and the white copy to be sent to the Resuscitation Council (UK) as soon as possible. The address of which can be found at the bottom of the form.’

This paragraph requires removing and the following inserted:

‘In cases where a public access AED has been used, dependent on local authority policies, there may be a requirement to report the event using a prescribed audit reporting chain’


Thank you