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Submitted URL: https://what0-18.nhs.uk/parentscarers/worried-your-child-unwell/scarlet-fever
Effective URL: https://www.what0-18.nhs.uk/parentscarers/worried-your-child-unwell/scarlet-fever
Submission: On December 21 via manual from GB — Scanned from GB
Effective URL: https://www.what0-18.nhs.uk/parentscarers/worried-your-child-unwell/scarlet-fever
Submission: On December 21 via manual from GB — Scanned from GB
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</form>Text Content
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SEND THIS LINK TO A FRIEND. (UK MOBILE NUMBERS ONLY.)
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Menu
* About Us
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* Pregnancy
PREGNANCY
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Ready for pregnancy Concerns during pregnancy
CONCERNS DURING PREGNANCY
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* Under 20 Weeks
UNDER 20 WEEKS
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* Bleeding in Pregnancy
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20 WEEKS AND OVER
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* Bleeding in Pregnancy
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* Have my waters have broken
* Headaches
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* Reduced baby movements after the 24th week of pregnancy
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COVID-19 and maternity
COVID-19 AND MATERNITY
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* COVID-19 (Coronavirus) Infection
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* COVID-19 and infant feeding
Refer yourself to a midwife Antenatal care and screening
ANTENATAL CARE AND SCREENING
×
* Who will look after me?
* Using BadgerNotes
* Scans and screening
* Group B Strep
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* Preterm Birth Prevention Clinic
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Do you have pre existing health problems?
DO YOU HAVE PRE EXISTING HEALTH PROBLEMS?
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* Asthma and pregnancy
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* Overweight
Protect your baby during pregnancy
PROTECT YOUR BABY DURING PREGNANCY
×
* Vaccines in pregnancy
VACCINES IN PREGNANCY
×
* Why are vaccines important to pregnant women?
* Are vaccines safe before and during pregnancy?
* MMR (Measles, Mumps and Rubella)
* Flu (influenza)
* Whooping cough (pertussis)
* Covid-19 vaccination in pregnancy
* Carbon monoxide screening
* Protecting yourself against infections that can be transmitted to your baby
Staying healthy in pregnancy
STAYING HEALTHY IN PREGNANCY
×
* Healthy diet and lifestyle - self assessment
* Food hygiene
* Weight gain in pregnancy
* Alcohol and pregnancy
* Smoking in pregnancy
* Recreational drug use
* Common health problems in pregnancy
* Sexual health
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* Urinary incontinence
* Exercise in pregnancy
* Going to sleep | Safer Pregnancy
Labour and birth
LABOUR AND BIRTH
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* Where to have your baby
WHERE TO HAVE YOUR BABY
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* Having your first baby
* Had a baby before
* Birth choices
BIRTH CHOICES
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* Making a birth plan
* Birth after previous caesarean section
* Choosing a caesarean section
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* What to pack
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* Group B Strep
* Reducing your risk of tears
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Going home with your baby Bereavement Support available for you Maternal
mental health
MATERNAL MENTAL HEALTH
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* An introduction to the maternal mental health pages
* Antenatal & postnatal depression
* Anxiety in the perinatal period
* Bereavement
* Bipolar disorder
* Birth Trauma
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* Drugs and Alcohol
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Maternity Voices Partnership
* New Parent
NEW PARENT
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Welcome to parenthood Postnatal care and appointments
POSTNATAL CARE AND APPOINTMENTS
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* My postnatal care
* 6-8 weeks mother and baby check
* Health Visitors
Going home with your baby Concerns about my health
CONCERNS ABOUT MY HEALTH
×
* Abdominal / tummy pain after you've had your baby
* Blood loss – what to expect after birth
* Headaches after you have had your baby
COVID-19 and maternity Postnatal information
POSTNATAL INFORMATION
×
* Going home with your baby
* Care and advice after a caesarean section Information for women and birth
partners
* How to care for your stitches and perineum following the birth of your baby
* Urinary incontinence
* How to reduce or stop your milk supply
* Shape up after pregnancy
* Iron supplements
* Sex and contraception
* Your medication after the birth of your baby
Dads & Partners New baby - what's normal and what's not Maternal mental
health Maternity Voices Partnership
* Babies under 3 Months
BABIES UNDER 3 MONTHS
×
Concerned about your baby aged less than 3 months?
CONCERNED ABOUT YOUR BABY AGED LESS THAN 3 MONTHS?
×
* My baby has a fever / high temperature
MY BABY HAS A FEVER / HIGH TEMPERATURE
×
* Fever - high temperature in babies under 3 months of age
* My baby is finding it hard to breathe
MY BABY IS FINDING IT HARD TO BREATHE
×
* My baby is finding it hard to breathe – babies under 3 months (Easy Read
RAG)
* Bronchiolitis and RSV
* My baby is yellow / jaundice
* My baby has a rash
* My baby is vomiting
* My baby is crying all the time
* My baby has a sticky eye
* Nappy Rash
* My baby has thrush
* Is my baby getting enough breast milk?
* My baby has a hernia
* My baby has a 'funny shaped' head
* Tongue tie
* What's normal and what's not
* How to give your child liquid medicines
New baby - what's normal and what's not New baby information
NEW BABY INFORMATION
×
* Getting to know your baby
* Safe sleeping
* Babies cry, you can cope
* Getting your baby vaccinated
* Car seat safety
* Washing and bathing your baby
* Tongue-tie
Postnatal care and appointments
POSTNATAL CARE AND APPOINTMENTS
×
* My postnatal care
* 6-8 weeks mother and baby check
* Health Visitors
COVID-19 and maternity Infant feeding in the first 6 months Oral health for
babies
ORAL HEALTH FOR BABIES
×
* Accessing dental care (Babies)
* Dummies and thumb sucking
* Good oral health for good general health (Babies)
* Feeding baby and moving on to solids
* Teething (Babies)
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* Children/young people
CHILDREN/YOUNG PEOPLE
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Worried about your child (aged 3 months and over)?
WORRIED ABOUT YOUR CHILD (AGED 3 MONTHS AND OVER)?
×
* Abdominal pain (tummy ache)
* Arm injury
* Asthma attack
* Bronchiolitis and RSV
BRONCHIOLITIS AND RSV
×
* Bronchiolitis and RSV (chest infection) Easy Read RAG
* Chickenpox
* Conjunctivitis
* Constipation
* Cough and cold
* Croup
CROUP
×
* Croup
* Diarrhoea and vomiting
* Difficulty breathing and wheeze
DIFFICULTY BREATHING AND WHEEZE
×
* My child is finding it hard to breathe and/or has a wheeze
* Earache
* Eczema
* Fever / High Temperature
FEVER / HIGH TEMPERATURE
×
* Fever - high temperature (Easy Read RAG)
* Food Allergies
* Hand, foot and mouth disease
* Headache
* Head Injury
* Infections (eg chicken pox, slapped cheek disease, whooping cough)
* Leg injury
* Limp
* Meningitis
* Nose bleeds
* Poisoning/accidental swallowing
* Rashes
* Seizures
* Sepsis - spotting the signs
* Sore throat
* Strep A and scarlet fever
* Swallowed a foreign object
* Tick bites
* Tics and Tourette's syndrome
* Can a child go to school/nursery today?
* Info about your child's medication
* Teaching your child to swallow tablets
* How to give your child liquid medicines
Long Term Conditions
LONG TERM CONDITIONS
×
* Asthma
ASTHMA
×
* What is asthma?
* Indoor air triggers and asthma
* Your child's asthma medication
* Asthma Attack
* How can I tell if my inhaler is empty?
Worried about daily life?
WORRIED ABOUT DAILY LIFE?
×
* Keeping Your Home Warm
* Housing
* Damp and mould
* Money worries
* Parent support tool
Keeping your child safe
KEEPING YOUR CHILD SAFE
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* Accidents and injuries - Keeping your child safe in the home
* Accidents and injuries - Keeping your child safe 'out and about'
* Sexual abuse
* Keep your child safe online
* Face masks and children
* Spotting fake news
* Stay safe this summer - tips and advice
* Child protection and safeguarding - resources for parents
Keeping your child healthy
KEEPING YOUR CHILD HEALTHY
×
* Infant feeding
* What should a healthy day look like for your child?
* Avoiding adverse childhood experiences
* Oral Health
ORAL HEALTH
×
* Oral health for toddlers and pre-schoolers
* Oral health for infant school age (4-7)
* Oral health for junior school age (7-11)
* Oral health for secondary school age
* Obesity
* Childhood Vaccinations - Essential information
* Eye screening and tests
* Health Visitors
* School Nursing
* Maintaining your child's emotional wellbeing
* Stop smoking - protect your child's health
Your child's development
YOUR CHILD'S DEVELOPMENT
×
* General information about child development
* Movement
* Hand skills
* Vision
* Communicating & talking skills
* Emotions, behaviour & play
* Hearing
Fussy eating, tantrums, separation anxiety and toilet training Healthy Sleep
Ready for school Children with complex needs
CHILDREN WITH COMPLEX NEEDS
×
* Multi-disciplinary teams - who's who?
* Transition to adult services
* Therapy/self-referrals
* Adolescent to Parent Violence
Useful links for long term health conditions What support is available for
young people Visit the Young People's section
* Mental Health
MENTAL HEALTH
×
Children's mental health & wellbeing
CHILDREN'S MENTAL HEALTH & WELLBEING
×
* Anxiety (Worry)
* Attention Deficit Hyperactivity Disorder (ADHD)
* Autistic Spectrum Condition (ASC)
* Behaviour of Concern
* Bereavement and loss
* Body image and self-esteem
* Bullying
* Children in care
* Coronavirus help, support and advice
* Crisis, Self-Harm and Suicide
* Depression (low mood)
* Drugs and alcohol
* Eating Difficulties
* Family Breakdown
* 6 Ways to Wellbeing
* Friendships
* Mental health and mental illness
* Problematic gaming
* Psychosis (and hearing voices)
* Trauma (Post Traumatic Stress Disorder)
* Seek help/self-referral by area
* Self-Help and Wellbeing Resources
* Sexuality and gender identity
* Sex and relationships
* Sleep
* Transition through schools
* Adolescent to Parent Violence
Maternal mental health
MATERNAL MENTAL HEALTH
×
* An introduction to the maternal mental health pages
* Antenatal & postnatal depression
* Anxiety in the perinatal period
* Bereavement
* Bipolar disorder
* Birth Trauma
* Complex post-traumatic stress disorder (C-PTSD)
* Drugs and Alcohol
* Eating Disorders
* Friends and family
* Maternal obsessive compulsive disorder (OCD)
* Postpartum psychosis
* Looking after yourself
* Dads & partners
* Coping with a lack of sleep
* Changing relationships
Mental health support for young people
* Professionals
PROFESSIONALS
×
CAMHS and Mental Health Support Teams (MHST)
CAMHS AND MENTAL HEALTH SUPPORT TEAMS (MHST)
×
* Crisis tools
CRISIS TOOLS
×
* Introducing crisis tools
* Crisis tools introduction for managers
* Crisis tools content summary
* Your Life Your Way mental health tool
YOUR LIFE YOUR WAY MENTAL HEALTH TOOL
×
* Session 1: Introduction and choices
* Session 2: Values
* Session 3: The Noticer
* Session 4: Advisor
* Session 5: Discoverer
* Session 6: Extras and Bringing it Together
* Videos for 1° and 2° school children - mental health and emotional
wellbeing
Children's Nurses
CHILDREN'S NURSES
×
* Paediatric Pathways
PAEDIATRIC PATHWAYS
×
* Abdominal Pain
* Acute asthma/wheeze
* Bronchiolitis
* Croup
* Diarrhoea and vomiting
* Eczema
* Enuresis - daytime wetting
* Fever
* Fits, faints and funny turns
* Head Injury
* Musculoskeletal presentations (chronic) in babies and children
* Sepsis
* Colic in infants
* Cow’s Milk Protein Allergy
* Faltering growth in infants
* Gastro-oesophageal reflux
* Pre-term infant feeding
* Secondary lactose intolerance
* Unsettled Baby
* Essential information about prescribing infant formula
* Autism referral pathway
* Clinical pathways - remote assessment
CLINICAL PATHWAYS - REMOTE ASSESSMENT
×
* Abdominal pain
ABDOMINAL PAIN
×
* Abdominal pain Podcast
* Cough and breathlessness in children under 1 year
* Cough and breathlessness in children over 1 year
COUGH AND BREATHLESSNESS IN CHILDREN OVER 1 YEAR
×
* Cough and respiratory tract infection podcast
* Diarrhoea & vomiting
DIARRHOEA & VOMITING
×
* Diarrhoea and vomiting Podcast
* Earache
* Fever
* Head injury
* Limp
* Rash
* Sore throat
* Unsettled baby
UNSETTLED BABY
×
* Unsettled Baby Podcast
* Top tips for remotely assessing a child
* Training videos for remote assessment
* Safety netting & parent info sheets
SAFETY NETTING & PARENT INFO SHEETS
×
* Abdominal Pain
* Asthma Action Plan
* Asthma - Acute Exacerbation
* Bronchiolitis
* Chickenpox
* Cellulitis
* Constipation
* Cough/colds (under 1's)
* Cough/colds (over 1's)
* Crying baby under 3 months of age
* COVID-19 advice for parents of children with long term medical conditions
* Diarrhoea and/or Vomiting
* Earache (following remote assessment)
* Eczema
* Febrile Convulsion
* Fever and Rash
* Fever in children under 5 years
* Fever in children over 5 years
* Fits, faints and funny turns
* Group A strep and scarlet fever
* Hand, foot and mouth disease
* Head Injury
* Otitis externa (swimming ear)
* otitis media (earache)
* Jaundice in babies
* Limp
* Lymphadenopathy
* Rhinosinusitis/persistent runny nose
* Tonsillitis/sore throat
* Seizure (afebrile)
* Viral induced wheeze
* UTI's
* Home milk challenge to confirm cow's milk protein allergy
* Lactose free diet for babies
* Milk and soya free diets for babies
* Milk free diet for babies
* Milk free diet for breastfeeding mums
* Milk free recipes
* The Milk Ladder - has my baby grown out of Cow's Milk Protein Allergy?
* What can I do if my child won't eat?
* High energy diet for babies
* Can a child go to school/nursery today?
* Talking about obesity
* CCN Network
* Parent information on emotional/mental health
* Safeguarding
* Acute paediatric community nursing team referral/advice
* Hospital advice/referral contact details
HOSPITAL ADVICE/REFERRAL CONTACT DETAILS
×
* Basingstoke and North Hampshire Hospital
* Dorset County Hospital
* Queen Alexandra Hospital, Portsmouth
* Poole Hospital
* Royal Hamsphire County Hospital, Winchester
* Salisbury District Hospital
* Southampton's Children Hospital
* St Mary's Hospital, Isle of Wight
* Therapy referrals
* Looking after Refugees
* Education and training
EDUCATION AND TRAINING
×
* Think Sepsis
* Spotting the sick child
* Making every contact count
* Fontanelle Podcasts
* Urgent advice/referral for mental health
* Fontanelle podcasts
* Constipation
* HEEADSSS Screening & Resources
* What's new on Healthier Together
Childcare staff
CHILDCARE STAFF
×
* Can a child go to school/nursery today?
* Over the counter medications
* Talking about obesity
* Who should a young person talk to about their health?
* What help and support is available to young people?
* Parent health literacy material
PARENT HEALTH LITERACY MATERIAL
×
* Cough & Cold
* Diarrhoea and vomiting
* Fever
* Safeguarding
SAFEGUARDING
×
* Useful links and information
* Definitions
* Clinical Scenarios
* Roles of safeguarding professionals and organisations
* Making a referral or seeking advice
* Parent information on emotional/mental health
* Therapy referrals
* Urgent advice/referral for mental health
* Fontanelle podcasts
* Preterm Birth Information for Education Professionals
* What's new on Healthier Together
* Teaching resources for 3-5 year olds
TEACHING RESOURCES FOR 3-5 YEAR OLDS
×
* Hand Hygiene
* Respiratory Hygiene
* Oral Hygiene
* Autism referral pathway
AUTISM REFERRAL PATHWAY
×
* Hampshire excluding Southampton and Portsmouth
* Isle of Wight
* Southampton
Dietitians
DIETITIANS
×
* Safety netting & parent info sheets
SAFETY NETTING & PARENT INFO SHEETS
×
* High energy diet for babies
* Home milk challenge to confirm cow's milk protein allergy
* Lactose free diet for babies
* Milk and soya free diets for babies
* Milk free diet for babies
* Milk free diet for breastfeeding mums
* Milk free recipes
* The Milk Ladder - has my baby grown out of Cow's Milk Protein Allergy?
* What can I do if my child won't eat?
* Egg allergy information sheet
* Reintroduction of egg in children with mild egg allergy
* Infant feeding guidelines clinical pathways
INFANT FEEDING GUIDELINES CLINICAL PATHWAYS
×
* Colic in infants
* Cow’s Milk Protein Allergy
* Faltering growth in infants
* Gastro-oesophageal reflux
* Pre-term infant feeding
* Secondary lactose intolerance
* Unsettled Baby
* Essential information about prescribing infant formula
* Healthy eating for toddlers - useful resources for parents
* Hypoallergenic Formulae Comparison Table
* Dietetic Departments - Wessex
* Talking about obesity
* Urgent advice/referral for mental health
* Therapy referrals
* Fontanelle podcasts
* HEEADSSS Screening & Resources
GP / Primary Care Staff
GP / PRIMARY CARE STAFF
×
* Paediatric Pathways
PAEDIATRIC PATHWAYS
×
* Abdominal Pain
* Abdominal Pain Podcast
* Acute asthma/wheeze
* Asthma - diagnosis in 5-16 year olds
* Asthma (chronic) management (5-12 years)
* Asthma (chronic) management (>12 years)
* Unaccompanied asylum seeking and refugee children - screening guidance
* Bronchiolitis
* Bronchiolitis Podcast
* Constipation
* Constipation Podcast
* Croup
* Diarrhoea and vomiting
* Diarrhoea and vomiting Podcast
* Diabetes - suspected
* Eczema
* Enuresis - daytime wetting
* Fever
* Fits, faints and funny turns
* Headache
* Head Injury
* Limp
* Lyme disease
* Lymphadenopathy
* Lymphadenopathy Podcast
* Musculoskeletal presentations (chronic) in babies and children
* Rash & Fever
* Recurrent wheeze in children under 5 years
* Respiratory tract infections in children under 2 years
* Respiratory tract infections in children 2 years and over
* Cough and respiratory tract infection podcast
* Sepsis
* Sepsis Podcast
* UTI
* UTI Podcast
* Colic in infants
* Cow’s Milk Protein Allergy
* Egg allergy
* Faltering growth in infants
* Gastro-oesophageal reflux
* Pre-term infant feeding
* Secondary lactose intolerance
* Unsettled Baby
* Unsettled Baby Podcast
* Essential information about prescribing infant formula
* Autism referral pathway
* Wessex Antenatal Care Pathways
WESSEX ANTENATAL CARE PATHWAYS
×
* Ante natal clinic booking for women with a raised BMI
* Large for gestational age
* Abdominal pain (non labour)
* Asymptomatic bacteriuria in pregnancy
* Bleeding in pregnancy
* CO monitoring
* Diarrhoea and vomiting
* GBS in pregnancy
* Hypertensive disorders in pregnancy (community care)
* Hypertensive disorders (secondary care)
* Incident or accident in pregnancy (RTA)
* Intrahepatic cholestasis of pregnancy
* Itching or rash
* Reduced or absent fetal movements
* Respiratory tract infection/ Strep A/ Flu
* Suspected SROM at Term
* Suspected/ confirmed pre term pre labour rupture of membranes PPROM
* Urinary tract infection in pregnancy
* Vaginal discharge
* Clinical pathways - remote assessment
CLINICAL PATHWAYS - REMOTE ASSESSMENT
×
* Abdominal pain
* Abdominal pain Podcast
* Cough and breathlessness in children under 1 year
* Cough and breathlessness in children over 1 year
* Cough and respiratory tract infection podcast
* Diarrhoea & vomiting
* Diarrhoea and vomiting Podcast
* Earache
* Fever
* Limp
* Rash
* Sore throat
* Unsettled baby
* Unsettled Baby Podcast
* Top tips for remotely assessing a child
* Training videos for remote assessment
* Safety netting & parent info sheets
SAFETY NETTING & PARENT INFO SHEETS
×
* Abdominal Pain
* Asthma Action Plan
* Asthma - Acute Exacerbation
* Bronchiolitis
* Cellulitis
* Chickenpox
* Conjunctivitis in children
* Constipation
* Cough/colds (under 1's)
* Cough/colds (over 1's)
* Croup
* Crying baby under 3 months of age
* Diarrhoea and/or Vomiting
* Earache (following remote assessment)
* Eczema
* Febrile Convulsion
* Fever and Rash
* Fever in children under 5 years
* Fever in children over 5 years
* Fits, faints and funny turns
* Foreign body (swallowed)
* Group A strep and scarlet fever
* Hand, foot and mouth disease
* Headache
* Head Injury
* Limp
* Jaundice in babies
* Lymphadenopathy
* Otitis externa (swimming ear)
* otitis media (earache)
* Otitis Media (being treated with antibiotics)
* Lymphadenitis
* Periorbital Cellulitis
* Pneumonia
* Pyelonephritis
* Rhinosinusitis/persistent runny nose
* Seizure (afebrile)
* Tics and Tourette's syndrome
* Tonsillitis/sore throat
* Tonsillitis (being treated with antibiotics)
* UTI's
* Viral induced wheeze
* High energy diet for babies
* Home milk challenge to confirm cow's milk protein allergy
* Lactose free diet for babies
* Milk and soya free diets for babies
* Milk free diet for babies
* Milk free diet for breastfeeding mums
* Milk free recipes
* The Milk Ladder - has my baby grown out of Cow's Milk Protein Allergy?
* What can I do if my child won't eat?
* Egg allergy information sheet
* Reintroduction of egg in children with mild egg allergy
* Anterior Knee Pain
* Your healthy back
* Bow legs and knock knees in young Children
* Heel Pain in Children
* Acute knee injuries
* Growing Pains
* Toe-walking in children
* Positional Talipes Equinovarus
* Curly Toes
* Calcaneovalgus feet
* Metatarsus adductus
* Can a child go to school/nursery today?
* What's new on Healthier Together
* Empirical antibiotic guidelines for children
* Parent information sheets on common medications
* Over the counter medications
* The 6-8 week postnatal check
* Immunisation Guidance
* Your child's development
* Talking about obesity
* Parent information on emotional/mental health
* Safeguarding
SAFEGUARDING
×
* Useful links and information
* Definitions
* Clinical Scenarios
* Roles of safeguarding professionals and organisations
* Making a referral / seeking advice
* Child protection and safeguarding resources for parents
* Looking after Refugees
* Hospital advice/referral contact details
HOSPITAL ADVICE/REFERRAL CONTACT DETAILS
×
* Basingstoke and North Hampshire Hospital
* Dorset County Hospital
* Queen Alexandra Hospital, Portsmouth
* Poole Hospital
* Royal Hamsphire County Hospital, Winchester
* Salisbury District Hospital
* Southampton's Children Hospital
* St Mary's Hospital, Isle of Wight
* Acute paediatric community nursing team referral/advice
* Urgent advice/referral for mental health
* Therapy referrals
* Useful Videos for Children
* HEEADSSS Screening & Resources
* Transition from children's to adult care
* Education and training
EDUCATION AND TRAINING
×
* Bronchiolitis and viral induced wheeze - guidance for primary care
professionals
* Webinar on managing young children presenting with cough & SOB
* Wessex LMC podcasts and recorded webinars
* Spotting the sick child
* Antibiotic prescribing in children
* Think Sepsis
* Imperial College Serious Infection Course
* RCPCH healthy child programme 0-18yrs
* Children and young people's mental health
* Adolescent health
* Safeguarding
* Antibiotic stewardship
* Improving maternal health
* Making every contact count
* Fontanelle Podcasts
* LMC primary care paediatric update
* Suspected diabetes in children and young people
* Fontanelle podcasts
Health Visitors
HEALTH VISITORS
×
* Paediatric Pathways
PAEDIATRIC PATHWAYS
×
* Respiratory illness and managing winter pressures - webinar for HVs
* Abdominal Pain
* Acute asthma/wheeze
* Bronchiolitis
* Cough & breathlessness under 2 years
* Croup
* Diarrhoea and vomiting
* Enuresis - daytime wetting
* Fever
* Fits, faints and funny turns
* Head Injury
* Lyme disease
* Sepsis
* Colic in infants
* Cow’s Milk Protein Allergy
* Faltering growth in infants
* Gastro-oesophageal reflux
* Pre-term infant feeding
* Secondary lactose intolerance
* Unsettled Baby
* Essential information about prescribing infant formula
* Petechial/purpuric rash
* Autism referral pathway
* Pregnancy Pathways
PREGNANCY PATHWAYS
×
* Abdominal pain
* Ante natal clinic booking for women with a raised BMI
* Asymptomatic bacteriuria
* Bleeding
* Choleastasis
* Carbon monoxide monitoring
* Diarrhoea and vomiting
* Falls
* Fetal Movements ≥24/40 (reduced/absent)
* Hypertensive disorders (Community care)
* Hypertensive disorders (Secondary care)
* Itching or rash
* Large for gestational age
* Respiratory tract infection in pregnancy
* Spontaneous Rupture of Membranes (pre-term/pre-labour)
* Spontaneous rupture of membranes (term)
* Urinary tract infection
* Vaginal discharge in pregnancy
* Clinical pathways - remote assessment
CLINICAL PATHWAYS - REMOTE ASSESSMENT
×
* Abdominal pain
* Cough and breathlessness in children under 1 year
* Cough and breathlessness in children over 1 year
* Diarrhoea & vomiting
* Earache
* Fever
* Head injury
* Limp
* Rash
* Sore throat
* Unsettled baby
* Top tips for remotely assessing a child
* Training videos for remote assessment
* Safety netting & parent info sheets
SAFETY NETTING & PARENT INFO SHEETS
×
* Abdominal Pain
* Asthma Action Plan
* Asthma - Acute Exacerbation
* Bronchiolitis
* Chickenpox
* Cellulitis
* Constipation
* Cough/colds (under 1's)
* Cough/colds (over 1's)
* COVID-19 advice for parents of children with long term medical conditions
* Crying baby under 3 months of age
* Diarrhoea and/or Vomiting
* Earache (following remote assessment)
* Eczema
* Febrile Convulsion
* Fever and Rash
* Fever in children under 5 years
* Fever in children over 5 years
* Fits, faints and funny turns
* Group A strep and scarlet fever
* Hand, foot and mouth disease
* Head Injury
* Jaundice in babies
* Limp
* Lymphadenopathy
* Otitis externa (swimming ear)
* otitis media (earache)
* Rhinosinusitis/persistent runny nose
* Seizure (afebrile)
* Tonsillitis/sore throat
* UTI's
* Viral induced wheeze
* High energy diet for babies
* Home milk challenge to confirm cow's milk protein allergy
* Lactose free diet for babies
* Milk and soya free diets for babies
* Milk free diet for babies
* Milk free diet for breastfeeding mums
* Milk free recipes
* The Milk Ladder - has my baby grown out of Cow's Milk Protein Allergy?
* What can I do if my child won't eat?
* Parent information sheets on common medications
* The 6-8 week postnatal check
* Immunisation Guidance
* Healthy child programme
* Talking about obesity
* Parent information on emotional/mental health
* Safeguarding
* Vaccinations in Pregnancy: Flu/Whooping Cough
VACCINATIONS IN PREGNANCY: FLU/WHOOPING COUGH
×
* Information for pregnant mums on flu vaccine
* Information for pregnant mums on whooping cough vaccine
* Parent workshops - common illness in children
PARENT WORKSHOPS - COMMON ILLNESS IN CHILDREN
×
* Cough & Cold
* Diarrhoea and vomiting
* Fever
* Hospital advice/referral contact details
HOSPITAL ADVICE/REFERRAL CONTACT DETAILS
×
* Basingstoke and North Hampshire Hospital
* Dorset County Hospital
* Queen Alexandra Hospital, Portsmouth
* Poole Hospital
* Royal Hamsphire County Hospital, Winchester
* Salisbury District Hospital
* Southampton's Children Hospital
* St Mary's Hospital, Isle of Wight
* Acute paediatric community nursing team referral/advice
* Therapy referrals
* Looking after Refugees
* Education and training
EDUCATION AND TRAINING
×
* Respiratory illness and managing winter pressures - webinar for HVs
* RCPCH healthy child programme 0-18yrs
* Spotting the sick child
* Think Sepsis
THINK SEPSIS
×
* Podcast: Sepsis in Children. Topic 7 of Healthier Together with Dr
Sanjay Patel
* Safeguarding
* Improving maternal health
* Make every contact count
* Fontanelle Podcasts
* Useful Videos for Children
* Urgent advice/referral for mental health
* Fontanelle podcasts
* HEEADSSS Screening & Resources
* What's new on Healthier Together
* Can a child go to school/nursery today?
Hospital Staff
HOSPITAL STAFF
×
* Clinical paediatric pathways
CLINICAL PAEDIATRIC PATHWAYS
×
* Abdominal Pain
* Acute asthma/wheeze
* Unaccompanied asylum seeking and refugee children - screening guidance
* Bronchiolitis
* Cellulitis (BSAC pathway)
* Constipation
* Croup
* Diarrhoea and vomiting
* Eczema
* Enuresis - daytime wetting
* Fever
* Fits, faints and funny turns
* Headache
* Head Injury
* Lymphadenitis (BSAC pathway)
* Limp
* Lyme disease
* Lymphadenopathy
* Musculoskeletal presentations (chronic) in babies and children
* Otitis media/mastoiditis (BSAC pathway)
* Petechial/purpuric rash (BSAC pathway)
* Preseptal / orbital cellulitis (BSAC pathway)
* Pneumonia / empyema (BSAC pathway)
* Rash & Fever
* Sepsis
* Tonsillitis / quinsy (BSAC pathway)
* UTI
* Colic in infants
* Cow’s Milk Protein Allergy
* Faltering growth in infants
* Gastro-oesophageal reflux
* Pre-term infant feeding
* Secondary lactose intolerance
* Unsettled Baby
* Essential information about prescribing infant formula
* Autism referral pathway
* Safety netting & parent info sheets
SAFETY NETTING & PARENT INFO SHEETS
×
* Abdominal Pain
* Asthma Action Plan
* Asthma - Acute Exacerbation
* Bronchiolitis
* Chickenpox
* Constipation
* Cellulitis
* Cough/colds (under 1's)
* Cough/colds (over 1's)
* COVID-19 advice for parents of children with long term medical conditions
* Croup
* Crying baby under 3 months of age
* Diarrhoea and/or Vomiting
* Eczema
* Fever and Rash
* Febrile Convulsion
* Fever in children under 5 years
* Fever in children over 5 years
* Fits, faints and funny turns
* Foreign body (swallowed)
* Group A strep and scarlet fever
* Hand, foot and mouth disease
* Headache
* Head Injury
* Jaundice in babies
* Limp
* Lymphadenopathy
* otitis media (earache)
* Otitis externa (swimming ear)
* Rhinosinusitis/persistent runny nose
* Seizure (afebrile)
* Tonsillitis/sore throat
* UTI's
* Viral induced wheeze
* Cellulitis (being treated with antibiotics)
* Lymphadenitis (being treated with antibiotics)
* Mastoiditis (being treated with antibiotics)
* Meningitis (being treated with antibiotics)
* Osteomyelitis (being treated with antibiotics)
* Otitis Media (being treated with antibiotics)
* Periorbital Cellulitis (being treated with antibiotics)
* Pneumonia (being treated with antibiotics)
* Pyelonephritis (being treated with antibiotics)
* Septic arthritis (being treated with antibiotics)
* Tonsillitis (being treated with antibiotics)
* High energy diet for babies
* Home milk challenge to confirm cow's milk protein allergy
* Lactose free diet for babies
* Milk and soya free diets for babies
* Milk free diet for babies
* Milk free diet for breastfeeding mums
* Milk free recipes
* The Milk Ladder - has my baby grown out of Cow's Milk Protein Allergy?
* What can I do if my child won't eat?
* Parent information sheets on common medications
* Empirical antibiotic guidelines for children
* Safeguarding
* Parent information on emotional/mental health
* Talking about obesity
* Looking after Refugees
* Can a child go to school/nursery today?
* Paediatrician advice/referral contact details
PAEDIATRICIAN ADVICE/REFERRAL CONTACT DETAILS
×
* Basingstoke and North Hampshire Hospital
* Dorset County Hospital
* Queen Alexandra Hospital, Portsmouth
* Poole Hospital
* Royal Hamsphire County Hospital, Winchester
* Salisbury District Hospital
* Southampton's Children Hospital
* St Mary's Hospital, Isle of Wight
* Acute paediatric community nursing team referral/advice
* Urgent advice/referral for mental health
* Therapy referrals
* Useful Videos for Children
* HEEADSSS Screening & Resources
* Transition from children's to adult care
* Education and training
EDUCATION AND TRAINING
×
* Imperial college serious infection course
* Reducing avoidable term baby admissions
* RCPCH healthy child programme 0-18yrs
* Spotting the sick child
* Antibiotics prescribing for children
* Think Sepsis
* Adolescent health
* Safeguarding
* Antibiotic Stewardship
* Make every contact count
* Fontanelle Podcasts
* Fontanelle podcasts
* What's new on Healthier Together
* Tics and Tourette's syndrome
Midwives
MIDWIVES
×
* Pregnancy Pathways
PREGNANCY PATHWAYS
×
* Ante natal clinic booking for women with a raised BMI
* Abdominal pain (non labour)
* Asymptomatic bacteriuria in pregnancy
* Bleeding in pregnancy
* CO monitoring
* Diarrhoea and vomiting
* GBS in pregnancy
* Hypertensive disorders (secondary care)
* Hypertensive disorders in pregnancy (community care)
* Intrahepatic cholestasis of pregnancy
* Incident or accident in pregnancy (RTA)
* Itching or rash
* Reduced or absent fetal movements
* Respiratory tract infection/ Strep A/ Flu
* Suspected SROM at Term
* Suspected/ confirmed pre term pre labour rupture of membranes PPROM
* Urinary tract infection in pregnancy
* Vaginal discharge
* Safety netting & parent info sheets
SAFETY NETTING & PARENT INFO SHEETS
×
* Chickenpox
* Crying baby under 3 months of age
* Hand, foot and mouth disease
* High energy diet for babies
* Home milk challenge to confirm cow's milk protein allergy
* Jaundice in babies
* Lactose free diet for babies
* Milk and soya free diets for babies
* Milk free diet for babies
* Milk free diet for breastfeeding mums
* Milk free recipes
* The Milk Ladder - has my baby grown out of Cow's Milk Protein Allergy?
* What can I do if my child won't eat?
* COVID-19 advice for parents of children with long term medical conditions
* Maternal vaccination in pregnancy
* Congenital heart disease in pregnancy
* Immunisation guidance
* Pregnant women with diabetes
* Pregnant women with epilepsy
* Looking after refugees
* Education and training
EDUCATION AND TRAINING
×
* Reducing avoidable term baby admissions
* Improving maternal health
* Make every contact count
* Fontanelle Podcasts
* Therapy referrals
* Urgent advice/referral for mental health
* Fontanelle podcasts
* Crying baby under 3 months of age
* HEEADSSS Screening & Resources
* What's new on Healthier Together
NHS 111 clinicians
NHS 111 CLINICIANS
×
* Clinical pathways
CLINICAL PATHWAYS
×
* Abdominal pain
ABDOMINAL PAIN
×
* Abdominal pain Podcast
* Cough and breathlessness in children under 1 year of age
COUGH AND BREATHLESSNESS IN CHILDREN UNDER 1 YEAR OF AGE
×
* Cough and respiratory tract infection podcast
* Cough and breathlessness in children over 1 year of age
* D&V
D&V
×
* Diarrhoea and vomiting Podcast
* Earache
* Fever
* Head injury
* Limp
* Lyme disease
* Musculoskeletal presentations (chronic) in babies and children
* Rash
* Sore throat
* Unsettled baby
UNSETTLED BABY
×
* Unsettled Baby Podcast
* Top tips for remotely assessing a child
* Training videos for remote assessment
* Safety netting & parent info sheets
SAFETY NETTING & PARENT INFO SHEETS
×
* Abdominal Pain
* Asthma Action Plan
* Asthma - Acute Exacerbation
* Bronchiolitis
* Chickenpox
* Cellulitis
* Conjunctivitis in children
* Constipation
* Cough/colds (under 1's)
* Cough/colds (over 1's)
* COVID-19 advice for parents of children with long term medical conditions
* Croup
* Crying baby under 3 months of age
* Diarrhoea and/or Vomiting
* Earache (following remote assessment)
* Eczema
* Febrile Convulsion
* Fever and Rash
* Fever in children under 5 years
* Fever in children over 5 years
* Fits, faints and funny turns
* Foreign body (swallowed)
* Group A strep and scarlet fever
* Hand, foot and mouth disease
* Headache
* Head Injury
* Jaundice in babies
* Limp
* Lymphadenitis
* Lymphadenopathy
* Otitis externa (swimming ear)
* otitis media (earache)
* Periorbital Cellulitis
* Pneumonia
* Pyelonephritis
* Rhinosinusitis/persistent runny nose
* Seizure (afebrile)
* Tonsillitis/sore throat
* UTI's
* Viral induced wheeze
* Empirical antibiotic guidelines for children
* Can a child go to school/nursery today?
* Fontanelle podcasts
* HEEADSSS Screening & Resources
* What's new on Healthier Together
Paramedics
PARAMEDICS
×
* Paramedic Paediatric Pathways
PARAMEDIC PAEDIATRIC PATHWAYS
×
* Abdominal Pain
* Cough/breathlessness over 1
* Cough/breathlessness under 1
* Diarrhoea and vomiting
* Fever
* Head injury
* Rashes
* What's new on Healthier Together
* Safety netting & parent info sheets
SAFETY NETTING & PARENT INFO SHEETS
×
* Abdominal Pain
* Asthma Action Plan
* Asthma - Acute Exacerbation
* Bronchiolitis
* Chickenpox
* Cellulitis
* Conjunctivitis in children
* Constipation
* Cough/colds (under 1's)
* Cough/colds (over 1's)
* Croup
* Crying baby under 3 months of age
* Diarrhoea and/or Vomiting
* Earache (following remote assessment)
* Eczema
* Febrile Convulsion
* Fever and Rash
* Fever in children under 5 years
* Fever in children over 5 years
* Fits, faints and funny turns
* Foreign body (swallowed)
* Group A strep and scarlet fever
* Hand, foot and mouth disease
* Headache
* Head Injury
* Limp
* Jaundice in babies
* Lymphadenopathy
* Otitis externa (swimming ear)
* otitis media (earache)
* Otitis Media (being treated with antibiotics)
* Lymphadenitis
* Periorbital Cellulitis
* Pneumonia
* Pyelonephritis
* Rhinosinusitis/persistent runny nose
* Seizure (afebrile)
* Tonsillitis/sore throat
* Tonsillitis (being treated with antibiotics)
* UTI's
* Viral induced wheeze
* High energy diet for babies
* Home milk challenge to confirm cow's milk protein allergy
* Lactose free diet for babies
* Milk and soya free diets for babies
* Milk free diet for babies
* Milk free diet for breastfeeding mums
* Milk free recipes
* The Milk Ladder - has my baby grown out of Cow's Milk Protein Allergy?
* What can I do if my child won't eat?
* Anterior Knee Pain
* Your healthy back
* Bow legs and knock knees in young Children
* Heel Pain in Children
* Acute knee injuries
* Growing Pains
* Toe-walking in children
* Positional Talipes Equinovarus
* Curly Toes
* Calcaneovalgus feet
* Metatarsus adductus
* Can a child go to school/nursery today?
Pharmacists
PHARMACISTS
×
* Paediatric Pathways
PAEDIATRIC PATHWAYS
×
* Abdominal pain
* Colic in infants
* Constipation
* Cough and breathlessness in children under 1 year
* Cough and breathlessness in children over 1 year
* Diarrhoea & vomiting
* Earache
* Eczema
* Enuresis - daytime wetting
* Fever
* Gastro-oesophageal reflux
* Head injury
* Limp
* Lyme disease
* Lymphadenopathy
* Musculoskeletal presentations (chronic) in babies and children
* Rash
* Secondary lactose intolerance
* Sore throat
* Unsettled baby
* Pregnancy Pathways
PREGNANCY PATHWAYS
×
* Abdominal pain
* Ante natal clinic booking for women with a raised BMI
* Asymptomatic bacteriuria
* Bleeding
* Choleastasis
* Carbon monoxide monitoring
* Diarrhoea and vomiting
* Falls
* Fetal Movements ≥24/40 (reduced/absent)
* Hypertensive disorders (Community care)
* Itching or rash
* Large for gestational age
* Respiratory tract infection in pregnancy
* Spontaneous rupture of membranes (term)
* Urinary tract infection
* Vaginal discharge in pregnancy
* Safety netting & parent info sheets
SAFETY NETTING & PARENT INFO SHEETS
×
* Abdominal Pain
* Asthma Action Plan
* Asthma - Acute Exacerbation
* Bronchiolitis
* Chickenpox
* Cellulitis
* Constipation
* Cough/colds (under 1's)
* Cough/colds (over 1's)
* Crying baby under 3 months of age
* COVID-19 advice for parents of children with long term medical conditions
* Earache (following remote assessment)
* Eczema
* Febrile Convulsion
* Fever and Rash
* Fever in children under 5 years
* Fever in children over 5 years
* Fits, faints and funny turns
* Group A strep and scarlet fever
* Hand, foot and mouth disease
* Headache
* Head Injury
* Jaundice in babies
* Limp
* Lymphadenopathy
* Otitis externa (swimming ear)
* otitis media (earache)
* Rhinosinusitis/persistent runny nose
* Seizure (afebrile)
* Tonsillitis/sore throat
* UTI's
* Viral induced wheeze
* High energy diet for babies
* Home milk challenge to confirm cow's milk protein allergy
* Lactose free diet for babies
* Milk and soya free diets for babies
* Milk free diet for babies
* Milk free diet for breastfeeding mums
* Milk free recipes
* The Milk Ladder - has my baby grown out of Cow's Milk Protein Allergy?
* What can I do if my child won't eat?
* Empirical antibiotic guidelines for children
* Can a child go to school/nursery today?
* Parent information on emotional/mental health
* Parent information sheets on common medications
* Safeguarding
* What's new on Healthier Together
* Immunisation guidance
* Can a child go to school/nursery today?
* Talking about obesity
* Acute paediatric community nursing team referral/advice
* Hospital advice/referral contact details
HOSPITAL ADVICE/REFERRAL CONTACT DETAILS
×
* Basingstoke and North Hampshire Hospital
* Dorset County Hospital
* Queen Alexandra Hospital, Portsmouth
* Poole Hospital
* Royal Hamsphire County Hospital, Winchester
* Salisbury District Hospital
* Southampton's Children Hospital
* St Mary's Hospital, Isle of Wight
* Urgent advice/referral for mental health
* Therapy referrals
* Looking after refugees
* Education and training
EDUCATION AND TRAINING
×
* Spotting the sick child
* Think Sepsis
* Safeguarding
* Make every contact count
* Fontanelle Podcasts
* Useful Videos for Children
* Fontanelle podcasts
* HEEADSSS Screening & Resources
School Nurses
SCHOOL NURSES
×
* Can a child go to school/nursery today?
* Safety netting & parent info sheets
SAFETY NETTING & PARENT INFO SHEETS
×
* Abdominal Pain
* Asthma Action Plan
* Asthma - Acute Exacerbation
* Chickenpox
* Cellulitis
* Constipation
* Cough/colds (under 1's)
* Cough/colds (over 1's)
* COVID-19 advice for parents of children with long term medical conditions
* Eczema
* Febrile Convulsion
* Fever and Rash
* Fever in children over 5 years
* Fits, faints and funny turns
* Group A strep and scarlet fever
* Hand, foot and mouth disease
* Head Injury
* Limp
* Lymphadenopathy
* Rhinosinusitis/persistent runny nose
* Otitis externa (swimming ear)
* otitis media (earache)
* Seizure (afebrile)
* Tonsillitis/sore throat
* UTI's
* Viral induced wheeze
* Parent information on emotional/mental health
* Safeguarding
* Immunisation guidance
* Can a child go to school/nursery today?
* Suspect an outbreak? What should you do?
* What's new on Healthier Together
* Over the counter medications
* Talking about obesity
* Hospital advice/referral contact details
HOSPITAL ADVICE/REFERRAL CONTACT DETAILS
×
* Basingstoke and North Hampshire Hospital
* Dorset County Hospital
* Queen Alexandra Hospital, Portsmouth
* Poole Hospital
* Royal Hamsphire County Hospital, Winchester
* Salisbury District Hospital
* Southampton's Children Hospital
* St Mary's Hospital, Isle of Wight
* Therapy referrals
* Urgent advice/referral for mental health
* Looking after refugees
* Education and training
EDUCATION AND TRAINING
×
* RCPCH healthy child programme 0-18yrs
* Spotting the sick child
* Think Sepsis
* Safeguarding
* Make every contact count
* Fontanelle Podcasts
* Preterm Birth Information for Education Professionals
* Useful Videos for Children
* Fontanelle podcasts
* HEEADSSS Screening & Resources
* Autism referral pathway
AUTISM REFERRAL PATHWAY
×
* Hampshire / Southampton / Portsmouth
* Isle of Wight
Teachers
TEACHERS
×
* Key stage 1
KEY STAGE 1
×
* Introduction to Microbes
* Hand Hygiene
* Respiratory Hygiene
* Oral Hygiene
* Key stage 2
KEY STAGE 2
×
* Antibiotic Awareness
* Introduction to Microbes
* Useful Microbes
* Harmful Microbes
* Hand Hygiene
* Respiratory Hygiene
* Food Hygiene
* Animal and Farm Hygiene
* Oral Hygiene
* Vaccinations
* Antibiotics
* Mental Health
MENTAL HEALTH
×
* Let's talk about mental health - lesson 1
* Anxiety - lesson 2
* Depression- lesson 3
* Self-harm - lesson 4
* Bereavement - lesson 5
* What have we learnt about mental health - lesson 6
* Key stage 3
KEY STAGE 3
×
* Introduction to Microbes
* Useful Microbes
* Harmful Microbes
* Hand Hygiene
* Respiratory Hygiene
* (11-14yrs) Food Hygiene
* Sexually Transmitted Infections (STIs)
* Vaccinations
* Antibiotic Use and Antimicrobial Resistance
* Key stage 4
KEY STAGE 4
×
* Introduction to Microbes
* Useful Microbes
* Harmful Microbes
* Hand and Respiratory Hygiene
* (11-14yrs) Food Hygiene
* Sexually Transmitted Infections (STIs)
* Vaccinations
* Antibiotic Use and Antimicrobial Resistance
* Can a child go to school/nursery today?
* What's new on Healthier Together
* Videos for 1° and 2° school children - mental health and emotional
wellbeing
VIDEOS FOR 1° AND 2° SCHOOL CHILDREN - MENTAL HEALTH AND EMOTIONAL
WELLBEING
×
* Peaceful Place imagery
* Activity and Boredom Jar
* Making a Self Soothe Box
* Muscle Relaxation
* Grounding Exercise
* Body Scan
* 5 Finger Positive
* Breathing Techniques
* Goal Setting
* Getting Sleep
* Positive Affirmations
* Colour Breathing
* Our Bodies
* Soothing Rhythm Breathing
* Autism referral pathway
AUTISM REFERRAL PATHWAY
×
* Hampshire / Southampton / Portsmouth
* Isle of Wight
1.
2. Children/young people
3. Worried about your child (aged 3 months and over)?
4. Strep A and scarlet fever
STAY IN CONTROL OF YOUR CHILD'S HEALTH
Download the Healthier Together App from the App Store or Google Play.
STREP A AND SCARLET FEVER
There are currently high rates of Group A strep and scarlet fever in the UK.
Scarlet fever, which is caused by the bacteria Group A streptococcus, is usually
a mild illness but it is highly infectious. Scarlet fever is much more common in
children than in adults and it is important that children with scarlet fever are
seen by a healthcare professional so that they can be started on antibiotics.
WHAT SHOULD I LOOK OUT FOR?
The rash of scarlet fever often begins with small spots on the body that then
spread to the neck, arms and legs over the next 1-2 days. It is often
'sand-paper' like to touch but is not itchy.
Your child may also have a:
* Sore throat/tonsillitis
* Fever (temperature of 38°C (100.4°F) or above)
* Painful, swollen glands in the neck
* A red tongue (strawberry tongue)
DOES MY CHILD NEED TO BE SEEN?
If you think that you child has scarlet fever, you should let your GP practice
or NHS 111 know the same day. If a healthcare professional thinks that your
child has scarlet fever, they will prescribe your child antibiotics. This
reduces the chance of their infection becoming more severe but more importantly
also stops them spreading the infection to others (after 24 hours of starting
antibiotics), especially to people at higher risk of severe infections such as
the elderly and those with weakened immune systems. NOTE: there are many causes
of rash in children - if your child does not have the other features above, they
are unlikely to have scarlet fever.
Group A strep can also cause tonsillitis (Strep throat) - your child is likely
to have a high fever, severe sore throat and you will see pus on their
tonsils. Children with likely strep throat should also be seen by a healthcare
professional within 24-48 hours for consideration of antibiotics. NOTE: if your
child also has a runny nose with their tonsillitis, it makes a diagnosis of
strep throat far less likely and if your child has none of the red or amber
features below, they are unlikely to require treatment with antibiotics.
MY CHILD HAS BEEN IN CLOSE CONTACT WITH SOMEONE WITH STREP A - DO THEY NEED
ANTIBIOTICS?
If your child has been in close contact with a case of scarlet fever or strep
throat, they do not need to be treated with antibiotics unless they are showing
signs of infection (severe tonsillitis with fever in the absence of a runny nose
or signs of scarlet fever). Only in exceptional circumstances will the local
public health team recommend for an entire school class to be treated with
antibiotics.
MY CHILD HAS BEEN DIAGNOSED WITH SCARLET FEVER OR STREP THROAT AND IS ON
ANTIBIOTICS - WHAT DO I NEED TO LOOK OUT FOR?
Your child may continue to have a fever for a few days after starting
antibiotics. Very rarely, Group A streptococcus can spread to other areas of the
body (invasive Group A strep), causing infections in the neck (tonsillar
abscesses or lymph node abscesses), behind the ear (mastoiditis), chest
infections (pneumonia), bone and joint infections (septic arthritis) or sepsis.
There is clear red / amber / green information below about what symptoms and
signs to look our for to identify the child with possible invasive Group A strep
or other complications of Group A strep.
WHEN SHOULD YOU WORRY?
IF YOUR CHILD HAS ANY OF THE FOLLOWING:
* Is pale, mottled and feels abnormally cold to touch
* Has blue lips
* Too breathless to talk / eat or drink
* Has a fit/seizure
* Is extremely agitated (crying inconsolably despite distraction), confused of
very lethargic (difficult to wake)
* Has dark green vomit
* Has a rash that does not disappear with pressure (the ‘Glass Test’)
YOU NEED URGENT HELP.
Go to the nearest Hospital Emergency (A&E) Department or phone 999
IF YOUR CHILD HAS ANY OF THE FOLLOWING:
* Is finding it hard to breathe
* Has laboured/rapid breathing or they are working hard to breathe – drawing in
of the muscles below their lower ribs, at their neck or between their ribs
(recession).
* Unable to swallow saliva
* Has features suggestive of scarlet fever (see above)
* Seems dehydrated (sunken eyes, drowsy or not passed urine for 12 hours)
* Is drowsy (excessively sleepy) or irritable (unable to settle them with toys,
TV, food or picking up) - especially if they remain drowsy or irritable
despite their fever coming down
* Has extreme shivering or complains of muscle pain
* Has a painful, red swollen gland in their neck which is increasing in size or
a painful swelling behind their ear which is pushing their ear forwards
* Is 3-6 months of age with a temperature of 39°C/102.2°F or above (but fever
is common in babies up to two days after they receive vaccinations)
* Continues to have a a fever of 38°C or above for more than 5 days
* If your child has recently had scarlet fever but now appears to have a puffy
face/eyelids, 'coca-cola' coloured urine (pee), or a swollen, painful
joint(s)
* Is getting worse or if you are worried
YOU NEED TO CONTACT A DOCTOR OR NURSE TODAY.
Please ring your GP surgery or call NHS 111 - dial 111
If symptoms persist for 4 hours or more and you have not been able to speak to
either a member of staff from your GP practice or to NHS 111 staff, recheck that
your child has not developed any red features.
IF NONE OF THE ABOVE FEATURES ARE PRESENT
Addition information is available about infant crying and how to cope –
click here.
SELF CARE
Continue providing your child’s care at home. If you are still concerned about
your child, speak to your health visitor, local pharmacist or call NHS 111– dial
111
Children and young people who are unwell and have a high temperature should stay
at home. They can go back to school, college or childcare when they no longer
have a high temperature, and they are well enough to attend.
WHAT SHOULD YOU DO?
* If you think your child has scarlet fever, they should be seen by their GP.
They may need treatment with antibiotics.
* To make your child more comfortable, you may want to lower their temperature
using paracetamol (calpol) and/or ibuprofen. Use one and if your child has
not improved 2/3 hours later you may want to try giving the other medicine.
However, remember that fever is a normal response that may help the body to
fight infection and paracetamol/ibuprofen will not get rid of it entirely.
* Avoid tepid sponging your child - it doesn't actually reduce your child's
temperature and may cause your child to shiver.
* Encourage them to drink plenty of fluids.
* Good hand and respiratory hygiene are important for stopping the spread of
many bugs. By teaching your child how to wash their hands properly with soap
for 20 seconds, using a tissue to catch coughs and sneezes, and keeping away
from others when feeling unwell, they will be able to reduce the risk of
picking up or spreading infections. So remember to:
* Catch it: always cough or sneeze into a tissue
Bin it: always throw the used tissue in a bin
Kill it: always wash your hands with soap and hot water
DOWNLOAD 'FEVER' ADVICE SHEET FOR CHILDREN UNDER 5 YEARS OF AGE
DOWNLOAD 'FEVER' ADVICE SHEET FOR CHILDREN OVER 5 YEARS OF AGE
HOW LONG WILL YOUR CHILD'S SYMPTOMS LAST?
* The sore throat and fever often last for about 3-6 days and the rash usually
improves within a week. Antibiotics reduce the length of fever/sore throat by
about 1 day.
* Children commonly experience peeling of their fingers and toes after scarlet
fever.
* Your child is no longer infectious to others (contagious) after 24 hours of
starting antibiotics and can go back to school/nursery if they feel well
enough.
WHERE SHOULD YOU SEEK HELP?
* If it is non-urgent speak to your local pharmacist or health visitor
* If your child has any of the above features, urgently see your GP. For an
urgent out-of-hours GP appointment, call NHS 111
* You should only call 999 or go to your nearest a&e department in critical or
life threatening situations
SELF CARE
FOR WEAR AND TEAR, MINOR TRIPS AND EVERYTHING IN BETWEEN.
SELF-CARE
You can treat your child's very minor illnesses and injuries at home.
Some illnesses can be treated in your own home with support and advice from the
services listed when required, using the recommended medicines and getting
plenty of rest.
SOUND ADVICE
Children can recover from illness quickly but also can become more poorly
quickly; it is important to seek further advice if a child's condition gets
worse.
For information on common childhood illnesses go to What is wrong with my child?
LOCAL PHARMACIST
Pharmacists are experts in many aspects of healthcare and can offer advice on a
wide range of long-term conditions and common illnesses such as coughs, colds
and stomach upsets. You don’t need an appointment and many have private
consultation areas, so they are a good first port of call. Your pharmacist will
say if you need further medical attention.
SOUND ADVICE
a. Visit a pharmacy if your child is ill, but does not need to see a GP.
b. Remember that if your child's condition gets worse, you should seek further
medical advice immediately.
c. Help your child to understand - watch this video with them about going to
the pharmacy.
For information on common childhood illnesses go to What is wrong with my child?
HEALTH VISITORS
Health visitors are nurses or midwives who are passionate about promoting
healthy lifestyles and preventing illness through the delivery of the Healthy
Child Programme. They work with you through your pregnancy up until your child
is ready to start school.
Health Visitors can also make referrals for you to other health professionals
for example hearing or vision concerns or to the Community Paediatricians or to
the child and adolescent mental health services.
Contact them by phoning your Health Visitor Team or local Children’s Centre.
SOUND ADVICE
Health visitors also provide advice, support and guidance in caring for your
child, including:
* Breastfeeding, weaning and healthy eating
* Exercise, hygiene and safety
* Your child’s growth and development
* Emotional health and wellbeing, including postnatal depression
* Safety in the home
* Stopping smoking
* Contraception and sexual health
* Sleep and behaviour management (including temper tantrums!)
* Toilet training
* Minor illnesses
For more information watch the video: What does a health visitor do?
SCHOOL NURSES
School nurses care for children and young people, aged 5-19, and their families,
to ensure their health needs are supported within their school and community.
They work closely with education staff and other agencies to support parents,
carers and the children and young people, with physical and/or emotional health
needs.
Contacting the School Nurse
Primary and secondary schools have an allocated school nurse – telephone your
child’s school to ask for the contact details of your named school nurse.
There is also a specialist nurse who works with families who choose to educate
their children at home.
SOUND ADVICE
Before your child starts school your health visitor will meet with the school
nursing team to transfer their care to the school nursing service. The school
nursing team consists of a school nursing lead, specialist public health
practitioners and school health staff nurses.
They all have a role in preventing disease and promoting health and wellbeing,
by:-
* encouraging healthier lifestyles
* offering immunisations
* giving information, advice and support to children, young people and their
families
* supporting children with complex health needs
Each member of the team has links with many other professionals who also work
with children including community paediatricians, child and adolescent mental
health teams, health visitors and speech and language therapists. The school
health nursing service also forms part of the multi-agency services for
children, young people and families where there are child protection or
safeguarding issues.
GP (GENERAL PRACTITIONER)
GPs assess, treat and manage a whole range of health problems. They also provide
health education, give vaccinations and carry out simple surgical procedures.
Your GP will arrange a referral to a hospital specialist should you need it.
SOUND ADVICE
You have a choice of service:
a. Doctors/GPs can treat many illnesses that do not warrant a visit to A&E.
b. Help your child to understand – watch this video with them about visiting
the GP or going to a walk in centre
For information on common childhood illnesses go to What is wrong with my child?
NHS 111
If you’re not sure which NHS service you need, call 111. An adviser will ask you
questions to assess your symptoms and then give you the advice you need, or
direct you straightaway to the best service for you in your area.
SOUND ADVICE
Use NHS 111 if you are unsure what to do next, have any questions about a
condition or treatment or require information about local health services.
For information on common childhood illnesses go to What is wrong with my child?
ACCIDENT AND EMERGENCY
A&E departments provide vital care for life-threatening emergencies, such as
loss of consciousness, suspected heart attacks, breathing difficulties, or
severe bleeding that cannot be stopped. If you’re not sure it’s an emergency,
call 111 for advice.
SOUND ADVICE
a. Many visits to A&E and calls to 999 could be resolved by any other NHS
services.
b. If your child's condition is not critical, choose another service to get
them the best possible treatment.
c. Help your child to understand – watch this video with them about going to
A&E or riding in an ambulance
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