Some illnesses are clear-cut and mean automatic exclusion from childcare. D&V, and a list of infections produced by the Health Protection Agency, as well as any time a doctor advises against attending. Already though, we run into difficulties. It is not uncommon for parents to be, ahem, economical with the truth about GPs' diagnoses or advice. Suffice to say, on occasions when I’ve asked parents to have a doctor confirm this sort of thing I need writing, they never do.
There are some 'grey area' illnesses where a judgement call is required. HPA do not require automatic exclusion for conjunctivitis, but it can spread easily in suitable conditions. A child who sucks everything and touches everyone’s faces would definitely have to stay home. But a more hygienic child might possibly be allowed to attend if certain measures were put in place.
Beyond that, the childminder is left to make the decision if parents are wanting them to attend. The childminder has to consider not only the other children's health, but her own; her family's; the poorly child's ability to take part in the normal routine and educational programme; and whether they will be thoroughly miserable without mum.
It’s important to remember childminders are not medically qualified. But if they make a wrong call and other children get ill, they’ll have parents all over social media and complaining to Ofsted. With her reputation and livelihood at stake, it’s little wonder she will err on the side of caution.
As other posts have highlighted, it’s shocking how many mums will knowingly send a sick child to childcare, risking others getting sick and condemning their own child to a miserable time. Then, if the childminder gets ill and has to close, those same mums will be the first to moan.