Should my child go to school

It can be tricky deciding whether or not to keep your child off school, nursery or playgroup when they're unwell.

The topics below can help you decide what to do. If you do keep your child at home, it's important to phone the school or nursery on the first day. Let them know that your child won't be in and give them the reason.

  • Give paracetamol and plenty to drink.
  • Children and young people who are unwell and have a high temperature should stay at home and avoid contact with other people, where they can. They can go back to school or childcare, and resume normal activities when they no longer have a high temperature and they are well enough to attend.
  • If your child's high temperature continues for five days or more, seek advice.

For more information go to High Temperature/Fever.

  • Children with headache, earache or stomach ache can go to school - just let the staff know they have felt unwell.
  • Give paracetamol and plenty of fluids to drink.
  • If headache, earache or stomach ache persist, seek advice.

For more information go to information on HeadacheEarache and/or Tummy Ache.

  • Children and young people with mild symptoms such as a runny nose, sore throat, or slight cough, who are otherwise well, can continue to attend school. However, if your child has a high temperature or is unwell, they should stay at home and avoid contact with other people, where they can. They can go back to school or childcare, and resume normal activities when they no longer have a high temperature and they are well enough to attend.

  • Children should be given paracetamol, plenty of fluids to drink and can be sent to school.
  • Ensure good hand hygiene – dispose of tissues and regularly wash hand with soap and water.
  • If your child is asthmatic, remember they may need their blue inhaler more often.

For more information go to Cough and Cold.

  • Often associated with fever, cough, sneezing, runny nose, headache, body aches, exhaustion and sore throat.
  • Ensure good hand hygiene – dispose of tissues and regularly wash hand with soap and water.
  • Children and young people with mild symptoms such as a runny nose, sore throat, or slight cough, who are otherwise well, can continue to attend their education setting. However, if your child has a high temperature or is unwell, they should stay at home and avoid contact with other people, where they can. They can go back to school or childcare, and resume normal activities when they no longer have a high temperature and they are well enough to attend.
  • Vaccinations are the most effective way to prevent infectious diseases. It is important that vaccines are given on time for the best protection. For more information on the NHS vaccination schedule for children please visit NHS vaccinations and when to have them
  • Not sure? seek advice.

For more information go to High Temperature/Fever.

Find out more about the Flu Vaccine for Children.

  • Children should be given paracetamol, plenty of fluids to drink and be sent to school.
  • Glandular fever often associated with high temperature, sore throat (usually more painful than any before) and swollen glands. Child needs to be well enough to concentrate at school.

For more information go to Sore Throat.

  • Ensure good hand hygiene.
  • Children can return to school 48 hours after the last episode of diarrhoea or vomiting.

For more information go to Diarrhoea and Vomiting.

  • Itchy scalp (may be worse at night).
  • Children can go to school with head lice but they must be treated for the condition to prevent further spreading.
  • Parents should treat their children and other family members by wet combing with a nit comb and conditioner.

  • Itching and rash may be all over the body but is commonly between the fingers, wrists, elbows and arms.
  • Children can go back to school after the first treatment.
  • Others at home should be treated.

  • Associated with intense itchiness around the bottom.
  • Children can go to school when they have started their treatment.
  • Everyone at home should be treated.

  • Hand, foot and mouth disease generally causes a mild illness such as fever, sore throat and small painful blisters inside the mouth, tongue and gums, which may also appear on hands and feet. Children can go to school or nursery as soon as they are feeling better - they do not need to stay off until all the blisters have healed. Hand, foot and mouth disease is most contagious in the first seven days of the illness - young children are more at risk of catching it as they tend to play closely with other children. 
  • Verrucae should be covered in swimming pools and changing rooms.
  • Athletes foot is spread by direct contact with infected people or prolonged indirect contact with contaminated floors including showers. Visit your pharmacist for advice on treatment, take care to dry between the toes after bathing and wear shoes that allow feet to breathe.
  • If your child has molluscum, they can continue to attend school or nursery, and continue doing activities such as swimming. Children should continue to attend school / nursey but should cover the affected foot with a rubber sock when going swimming.

For more information go to:

What 0-18 - Hand, Foot and Mouth disease

  • Teary, red, itchy, painful eyes.
  • Children can go to school.
  • They should be encouraged to wash their hands to prevent further spread of infection. Treatment is not usually required.

For more information go to Conjunctivitis.

  • Clusters of red bumps or blisters surrounded by area of redness. 
  • Children can go back to school when their lesions are crusted or healed, or two days after starting antibiotics.

For more information go to Impetigo.

Measles

  • Associated with fever, cough, runny nose, and watery inflamed eyes. Small red spots with white or bluish white centres in the mouth, red blotchy rash. Let your GP surgery know (by telephone) if you think that your child has measles.
  • Children should go back to school four days after the rash has started.

For more information go to Measles.

Chicken Pox

  • Rash begins as small, red flat spots that develop into itchy fluid-filled blisters.
  • Cases of chicken pox are generally infectious from two days before the rash appears to five days after the onset of the rash.
  • Although the usual exclusion period is 5 days, all lesions should be crusted over before children return to nursery or school.

For more information go to Chickenpox.

German Measles

  • Children should go back to school four days after the rash has started. Please let the school know, as pregnant members of staff may be affected.

For more information go to German Measles (Rubella).

Note: If you think that your child has measles, Mumps or German Measles (Rubella) (MMR), please let your GP surgery know as they are all notifiable diseases.

Vaccinations are the most effective way to prevent infectious diseases. It is important that vaccines are given on time for the best protection. For more information on the NHS vaccination schedule for children please visit NHS vaccinations and when to have them 

  • Severe sore throat and painful glands in neck. No runny nose or cough. Associated with sandpaper-like pink/red rash in scarlet fever. If you think that your child has scarlet fever, please contact your GP practice.
  • Children should go back to school 24 hours after starting appropriate antibiotic treatment.

For more information go to Scarlet Fever or Strep.

  • Painful swellings in the side of the face under the ears (the parotid glands), headaches, joint pain, high temperature. Let your GP surgery know (by telephone) if you think that your child has measles.
  • Children should go back to school five days from the start of swollen glands.
  • Vaccinations are the most effective way to prevent infectious diseases. It is important that vaccines are given on time for the best protection. For more information on the NHS vaccination schedule for children please visit NHS vaccinations and when to have them

For more information go to Mumps.

  • Children should go back to school five days after starting antibiotics. Non-infectious coughing may continue for many weeks.
  • Vaccinations are the most effective way to prevent infectious diseases. It is important that vaccines are given on time for the best protection. For more information on the NHS vaccination schedule for children please visit NHS vaccinations and when to have them

For more information go to Whooping Cough.

Medicines in school

  • Children can come to school even if they are taking medicines, as staff are able to give them prescribed medicine in school.
  • Please make sure the bottle has a pharmacy label detailing your child's name, dosage and how frequently they should have it.
  • Please discuss with the headteacher.

School nurse drop-in session

  • Your school nurse is available to meet with you in school. Please ask reception for the school nurse's contact details.

Further advice

  • You can also contact NHS 111 or see your local pharmacist for help and advice. In some areas there is a new minor ailment service available (check with your GP for details) called Pharmacy First. If your child has certain minor ailments or conditions you may be eligible for the 'Pharmacy First' service which enables those who get free prescriptions to go straight to their pharmacist for a consultation, instead of going to their GP for a prescription.
  • Vaccinations are the most effective way to prevent infectious diseases. It is important that vaccines are given on time for the best protection. For more information on the NHS vaccination schedule for children, click here.
  • Caution needs to be taken with children who are more susceptible to severe infection due to an underlying long term medical condition or being immunocompromised. These children are more likely to require medical review when unwell and are less likely to be able to attend school/nursery.

If your child's school or nursery says that they are unable to give any medication without a prescription, this is incorrect. Over the counter medications, such as hay fever treatment or simple pain relief may be given as long as dosing instructions are clearly written on the medication. Your pharmacist will label your medication appropriately if you ask them to. Please do not make a GP appointment to obtain over the counter medications with a prescription, you will be advised to get this from the pharmacy directly.

Information in this guide is taken from the Public Health England guidelines “Health protection in schools and other childcare facilities: A practical guide for staff on managing cases of infectious diseases in schools and other childcare settings.

For more information, click here.