My nanny works for me 2 days a week and let me know with a week's notice that she needed to have a minor op (Not on one of the days she works for me). I assumed she would not be able to work the following 2 days for me but she insisted very firmly she would be fine as it was quite minor. Of course she wasn't fine and the afternoon before she was due to come to work she let me know she had been kept in hospital so couldn't work the next day (but said she would be in the follwing day). I had to let my employer know I would miss a day. Then the NEXT afternoon (5pm) she let me know she wouldn't be able to work the following day either - so I had to call in again to say I wouldn't be in work the next day. All a bit frustrating as I had predicted this and given the opportunity could have perhaps organised alternative childcare or at least given my office notice. And it means I wont be paid for the days I didn't go in as I am freelance. Do you think I should still pay my nanny as sick pay? I think not as I have lost income already (not to mention looked unprofessional for all the last minute chopping and changing) but I wonder if I am being too harsh as it was beyond her control in the end. If you have made it this far - what do you think?