Me or childminder?

[Bbbbbbbb2017]

Oldest DD has has a rash for a week, looks like heat/allergy rash. Took her to gp yesterday to have a look who werent sure, they think most likely an allergy rash but also raised scabies as an alternative possibility but was very much a "long shot". Gave her a cream to help. I asked about younger ds and they said at this stage treatment was unnecessary.

Informed childminders about what the gp said (as they asked me to take her) and they seem to have heard scabies, ignored the likely allergy, done 2 + 2 and immediately banned DS from attending today until he also received treatment.

The gp were quite clear it was only a possibility and werent concerned enough to say to treat him or myself too.

Were the childminders being unreasonable for saying he cant go until i treat him? Im so frustrated with it all!

I don't think Ofsted would allow her to have children If there's a possibility they've been in contact with scàbies

No they aren’t being unreasonable. The GP said it’s a possibility so, it’s a possibility and other children need to be isolated from it and monitored until you know for sure.

But the gp havent deemed it necessary to actually treat either for it so what am i supposed to do, keep them isolated indefinitely on a long term basis?

What was the cream op?

Assuming I have read this right a childminder should not be excluding a healthy child even if their sibling is ill.

Hydrocortisone and a big bottle of dermal cream

And this is how the rash starts and then she scratches to the point it looks red and angry.

The definite impression the gp gave was that it was possible but unlikely to the point he didnt want to treat for it.

Is she itchy? I had scabies once & the itching was horrendous.

The problem is, if it is and she has knowingly exposed other children to it, she would get in trouble as the statutory guidance says we must protect the health of the children in the setting.

Why would she exclude if she wasn’t concerned? Do you think she just wants the day off (unlikely if she has other children)? What other motive do you think she has?

That looks like hives, have you tried Piriton? I don’t think a CM can exclude a child just in case they might catch something. Call your Childminder coordinator person from your LA and ask advice.

Erm a childminder is in charge of their own business/setting, they can exclude whoever they like. Going to the LA is odd. They aren’t the Cms boss!

That's not scabies. Go to a different doctor.

Ask to see her infection control policy. She can do as she chooses to an extent, but it moist be in line with her policy.

And her policy must have been checked and passed by the LA or Ofsted I think. So checking in there is such an unreasonable suggestion.

Isn’t*

When I did CM induction it was organised by my LA, they have a person who coordinates all the childminders in my borough and parents are given their name and number to contact incase they have any issues with their child minder. It’s not odd here in the slightest.

🙄

Oh look! George rolled their eyes. That’s the discussion resolved.

Yes that’s us told! 😂

I’m a cm. you can report me to the la if you want, but given that cms can’t actually get hold of anyone relevant at the la most of the time, you will be lucky to get through. They don’t actually care what is written in my policies, I haven’t had any contact from my la representative for over 18months, maybe even 2 years. I’ve heard the money has gone, so the jobs have been cut. Cms are very much out there on their own!

If your GP thought there was any possibility of scabies they should’ve prescribed everyone in the house treatment and advised everything in the house to be washed because it’s pretty contagious. Tbf I’m with the CM that DS should stay away until it’s completely ruled out. However, it does seem like the GP was being overly cautious by mentioning scabies because the photo doesn’t look like it!!

that is not scabies I can assure you. Btw a lot of doctors don't know what it looks like either.

Ask to see her infection control policy. She can do as she chooses to an extent, but it moist be in line with her policy. And her policy must have been checked and passed by the LA or Ofsted I think. So checking in there is such an unreasonable suggestion

Infection control policy is nothing to do with the LA or Ofsted and the CM can exclude if she has grounds to do so. If it is potentially scabies, which is a complete PITA to get rid of and requires a deep clean of the setting, then she has every right to exclude all those potentially exposed to it.

The way forward would be to get confirmation from the GP that it isn't scabies.

well as your average doctor doesn't recognise scabies if it is waved under their nose, you might have a problem.

In addition, people have a lot of misconceptions about this condition, which are endlessly parroted.

For the avoidance of doubt: check the images here.

www.dermnetnz.org/topics/scabies/

The picture you've posted looks like there are a couple of hives that have been scratched a lot. CM is being sensible in covering her own backside, but has clearly got the wrong end of the stick. The difficulty is, you're going to sound like you're downplaying the possibility to the CM, rather than that she heard "scabies" and immediately went into overdrive. So she may be pretty hard to convince...

Infection control policy is nothing to do with the LA or Ofsted and the CM can exclude if she has grounds to do so.

Any exclusion would have to be covered in one of their policies. Otherwise they will have broken their contract to care for the child on the days and times they agreed.