Ofsted-registered nurseries, childminders, nannies, preschools, afterschool clubs and any other daycare – Do you need to tell Ofsted about an accident, injury or illness a child suffers in your care?
Here’s the official latest guidance this February 2020 from Ofsted:-
As an Ofsted-registered childminder, nanny or daycare, you must report all serious childcare incidents that occur to children while they are in your care. This includes all serious accidents, injuries and illnesses.
You don’t need to report a minor accident, injury or illness suffered by a child in your care.
WHAT YOU MUST TELL OFSTED
You must inform us about:
- the death of a child
- where a person’s suitability to look after children might be affected, including:
- involvement with social services or the police
- something significant affecting their health
- events that might affect the smooth running of the childcare, such as a fire or flooding at the premises
- serious accidents, injuries or illnesses to a child
- food poisoning affecting 2 or more children
You must also tell Ofsted about any allegations of serious harm or abuse anywhere by any person at the premises who is:
- living there
- working there
- looking after children there
SERIOUS INJURIES, ACCIDENTS AND ILLNESSES
You must tell Ofsted about any of the following:
- anything that requires resuscitation
- admittance to hospital for more than 24 hours
- a broken bone or fracture
- dislocation of any major joint, such as the shoulder, knee, hip or elbow
- any loss of consciousness
- severe breathing difficulties, including asphyxia
- anything leading to hypothermia or heat-induced illness
MINOR INJURIES
You do not need to tell Ofsted about minor injuries, even if treated at a hospital (for less than 24 hours). These include:
- animal and insect bites, such as a bee sting that doesn’t cause an allergic reaction
- sprains, strains and bruising, for example if a child sprains their wrist tripping over their shoelaces
- cuts and grazes
- minor burns and scalds
- dislocation of minor joints, such as a finger or toe
- wound infections
EYES
You must report to Ofsted if a child suffers any loss of sight, whether it is temporary or permanent. You must also tell us about any:
- penetrating injury to the child’s eye
- chemical or hot metal burn to the child’s eye
SUBSTANCES AND ELECTRICITY
If a child in your care suffers any injury from, or requires medical treatment for, any of the following situations you must tell Ofsted:
- from absorption of any substance:
- by inhalation
- by ingestion
- through the skin
- from an electric shock or electrical burn
- where there is reason to believe it resulted from exposure to:
- a harmful substance
- a biological agent
- a toxin
- an infected material
WHAT YOU DO NOT NEED TO TELL OFSTED
You do not need to tell us about:
- minor injuries
- general hospital appointments
- routine treatments by a doctor
Minor injuries include:
- sprains, strains and bruising
- cuts and grazes
- wound infections
- insect and animal bites
More information is available on what Ofsted sees as a minor injury.
HOW TO TELL OFSTED
You will fulfil your legal requirements if you submit the online report within 14 days. It will take about 10 to 20 minutes to complete.
To complete this, you’ll need to have:
- your reference number
- the childcare address
- details of the incident and those involved



