Menu Home Search
01622 851197 Contact us

Non-Prescription medication in nurseries and schools

Prescribing non-prescription (over the counter) medication in nurseries and schools

Non-prescription /over the counter (OTC) medication does not need a GP signature/authorisation in order for the school/nursery/childminder to give it.

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 so that it can be taken in nurseries or schools. We would like to remind practices 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.

In 2015, the GPC wrote to the Department of Children, Schools and Families seeking an amendment to this paragraph in the EYFS Statutory Framework, who confirmed in a letter that an FP10 is not required, and that they would update the guidance to stay consistent with current national standards for day care and child minding, whereby non-prescription medication can be administered where there is parents' prior written consent.

If any practice find that this continues to be a problem in their area, Wessex LMC 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”.

Further guidance for pupils at schools with medical conditions, including templates, is available on the Gov.uk website.

Updated on Wednesday, 8 November 2017, 5728 views

Related guidance...

Parental Responsibility

BMA Guidance on Parental Responsibility and Consent Parental responsibility refers to the rights, duties, powers and responsibilities...

Medical Records and Adoption

When a child is adopted do I have to go through the medical record to delete all references to the previous surname? Following lengthy...

Managing Workload

Raising Concerns - Primary to Secondary Care Interface - email addresses have been established for reporting breaches of the interface...

Managing Workload LMC Advice: School Certificates (July 2017)

School Medical Certificates The NHS service does not provide any payment for Occupational Health Service for patients and that means...

Parents requesting access to their children’s medical records: LMC Advice

A child is defined as Under 18 by the Children's Act 1989 We are often asked if a parent can have access to their child's medical...

Patient Group Directions (PGDs)

Patient Group Directions (PGDs) provide a legal framework that allows some registered health professionals to supply and/or administer...

Requests for MED3 ‘Fit Note’: Kent LMC Coronavirus (Covid-19) Guidance for Practices

(with thanks to Londonwide LMCs ) Requests for certification of absence from the workplace relating to covid-19 may fall into five...

Practice Staff

Employee Assistance Programme (EAP) All staff employed by practices in Kent and Medway are able to access the Employee Assistance...

Personal Health Budgets (PHB) Guidance for GPs

From April 2014 people eligible for NHS continuing healthcare (including parents of children) across England will have the right to ask...

EOL, Death & Cremation Certification

NHSE Information & Guidance for Medical Practitioners - Coronavirus Act: Excess death provisions The Coronavirus Act of Parliament...