1. CACHE Level 3 Early Years Educator CACHE LEVEL 3 CHILDCARE & EDUCATION Unit 4 Child health © Hodder & Stoughton Limited

2. CACHE Level Early Years Educator LO2 Know how to recognise ill health in children. AC 2.1 Describe signs and symptoms of ill health in children. AC 2.2 Give examples of when medical intervention is necessary. LO3 Understand legal requirements for reporting notifiable diseases, injury and fatality. AC 3.1 Identify notifiable diseases. AC 3.2 Describe the process for reporting notifiable diseases, injury and fatality. © Hodder & Stoughton Limited

3. CACHE Level Early Years Educator There are many signs that a child may be feeling unwell. Please copy over the diagram from U 1.5 Lesson 2 (LO2, LO3) – slide 3, thanks LO2 Know how to recognise ill health in children [AC 2.1] Signs and symptoms of ill health in children © Hodder & Stoughton Limited

4. CACHE Level Early Years Educator Starter activity Time: 15 mins A child in your setting has vomited twice during the morning session. How would you care for them? Write a list of actions that you would take to look after the child. © Hodder & Stoughton Limited LO2 Know how to recognise ill health in children [AC 2.1]

5. CACHE Level Early Years Educator Medical intervention should be sought immediately if meningitis or whooping cough is suspected. Medical attention should be sought in other cases if the following symptoms are present: Measles and mumps – signs of severe headaches Chicken pox – evidence of drowsiness, coughing or seizures Rubella – signs of joint pain Tonsillitis – white spots on the tonsils. When medical intervention is necessary © Hodder & Stoughton Limited LO2 Know how to recognise ill health in children [AC 2.2]

6. CACHE Level Early Years Educator Classroom discussion activity Time: 15 mins You have a child in your setting who is running a temperature, has a headache and has vomited. She appears tired and ‘clingy’. You think that her level of discomfort and distress has increased and that she needs to be examined by a doctor. What action do you take? Consider all the things that you would do. © Hodder & Stoughton Limited LO2 Know how to recognise ill health in children [AC 2.2]

7. CACHE Level Early Years Educator Reflection activity Time: 15 mins Recap on signs and symptoms of ill health. Consider how you can support and care for children who display some of these. List each sign or symptom and explain what measures you would take to care for a child who is displaying them. © Hodder & Stoughton Limited LO2 Know how to recognise ill health in children [AC 2.1, 2.2]

8. CACHE Level Early Years Educator Some diseases are what are known as ‘notifiable’. This means that they have to be reported to the local health authority. These will be contagious diseases. Reporting these diseases can inform the authority of how well the immunisation programme is working. The measles outbreak in Wales in 2013 highlighted the fact that many parents had chosen not to let their children have the MMR vaccination, it also showed how the disease can turn into an epidemic if not contained. The Welsh authorities put a new emergency immunisation plan in place in order to ensure that all children were vaccinated against the illness. A child with a notifiable disease should not attend at a setting until they are advised that it is safe to return. LO3 Understand legal requirements for reporting notifiable diseases, injury and fatality [AC 3.1] Identify notifiable diseases © Hodder & Stoughton Limited

9. CACHE Level Early Years Educator Independent research activity Time: 15 mins Research the notifiable diseases and the advice on how long a child should be excluded from a setting. Find out which diseases are notifiable. Revise the signs and symptoms of the most common ones. Note the incubation period for each one (how long it takes for the disease to show). © Hodder & Stoughton Limited LO3 Understand legal requirements for reporting notifiable diseases, injury and fatality [AC 3.1, 3.2]

10. CACHE Level Early Years Educator It is normally the job of the doctor who has diagnosed the disease to report it to the ‘Proper Officer’ at the Local Authority. This is usually a consultant from the Health Protection Unit (HPU). The HPU can then take action to limit the spread of the disease. Head teachers and managers are also asked to contact the HPU to report any unusual or serious illnesses, in both pupils and staff, that they may need advice on. On being informed of a notifiable disease, it is normal for the HPU to contact the setting to gain more information and to provide advice and guidance. To aid in reporting to the HPU, settings should keep a sickness register. If head teachers/managers suspect that an outbreak is occurring in their setting, they should telephone the HPU immediately. The process for reporting notifiable diseases © Hodder & Stoughton Limited LO3 Understand legal requirements for reporting notifiable diseases, injury and fatality [AC 3.2]

11. CACHE Level Early Years Educator Pairs activity Time: 15 mins Using your research about notifiable diseases, design an information poster for parents to be put on display in your setting. Your poster should explain: Why some diseases are notifiable The importance of recognising signs and symptoms, and being aware of the incubation and exclusion periods. © Hodder & Stoughton Limited LO3 Understand legal requirements for reporting notifiable diseases, injury and fatality [AC 3.1, 3.2]

12. CACHE Level Early Years Educator Group activity Time: 15 mins 1. A girl in your setting came in two days ago with ringworm. According to NHS advice, she does not need to be excluded from the setting. Today, two more children came into the setting with ringworm. What action should you take? 2. You have two children in your setting who have conjunctivitis. The Health Protection Agency states that children do not need to stay away from school. What advice would you give to parents and to the practitioners in your setting? © Hodder & Stoughton Limited LO3 Understand legal requirements for reporting notifiable diseases, injury and fatality [AC 3.1, 3.2]

13. CACHE Level Early Years Educator If there was an accident in the setting and a child suffered a serious injury as a result, then Ofsted would need to be informed. The Health and safety Executive (HSE) would also need to be informed of any serious accidents within the setting. Ofsted HSE, and the Police would also need to be informed of any accident within the setting or on an off-site trip that caused a fatality. The process for reporting injury and fatality © Hodder & Stoughton Limited LO3 Understand legal requirements for reporting notifiable diseases, injury and fatality [AC 3.2]

14. CACHE Level Early Years Educator Extension activity Time: 15 mins Using the Ofsted and HSE factsheets, create a checklist of reasons for notifying them of any diseases, injuries or fatalities within the setting. Include: How to notify them When to notify them Reasons for notifying them Any follow-up requirements. © Hodder & Stoughton Limited LO3 Understand legal requirements for reporting notifiable diseases, injury and fatality [AC 3.1, 3.2]

15. CACHE Level Early Years Educator In this lesson we: Have identified signs and symptoms of ill health in children. Have learnt about cases when medical intervention is necessary. Have researched and identified notifiable diseases. Have learnt about the process for reporting notifiable diseases, injury and fatality. Have discussed case studies and suggested the action that we would take. Have designed information posters to explain about notifiable diseases to parents. © Hodder & Stoughton Limited

16. CACHE Level Early Years Educator 1.Research further into your setting’s policy on infectious illnesses. © Hodder & Stoughton Limited