Advice for parents

Advice for parents image

Home » Advice for parents

If you feel that your child is unwell, or you are unable to care for them, seek medical help. This could be your local pharmacist, NHS111, GP, an urgent treatment centre (UTC) or A&E.

GREEN – CARE AT HOME

AppearanceBreathing/ChestHydrationTemperature
– Normal skin, lips and tongue colour
– Responding normally/still smiling
– Stays awake or wakes up easily
– Normal cry or strong cry
– Mild pain e.g. earache, tummy ache
– Breathing normally with no wheeze
– Mild cough or runny nose without affecting breathing
– Baby feeding/child drinking as normal or slightly reduced
– Sick, but drinking and keeping most fluids down Diarrhoea for less than 2 days
– Passing urine, normal colour or slightly darker than usual
– Mild temperature raised up to 38ºC (101ºF) but controlled if paracetamol is given.
– Seek advice if temperature continues for 3-5 days
  • Your local pharmacist or NHS111 can give advice
  • Check www.nhs.uk
  • Consider paracetamol
  • Encourage rest and drinks, even if only in small amounts

AMBER – GP/NHS111

AppearanceBreathing/ChestHydrationTemperature
– Child becoming worse/parents more concerned
– Less activity/more sleepy than usual
– Change in normal behaviour/ not acting in usual manner
– Irritable/no smilePain e.g. persistent severe earache, severe tummy ache – seek advice
– Mild/moderate allergic reaction – seek advice
Noisy breathing/ wheezy/fast breathing/ nasal ‘flaring’– Drinking less than half of usual amounts/vomiting most feeds
– Fewer wet nappies than usual/less urine or darker concentrated urine
– For babies under 1 year – sick more than 3 times in 24 hours, diarrhoea 6 times in 24 hours
– For children 1 and over – diarrhoea for longer than 2 days
– Over 3 months – temperature over 39ºC (102ºF)
– Persistent temperature for more than 3-5 days or not controlled by paracetamol – seek advice
  • Phone your GP for advice and decision – this may be by telephone/video or face to face
  • Call GP/NHS111 if concerned
  • If worried, always seek advice

RED – URGENT HELP REQUIRED

AppearanceBreathing/ChestHydrationTemperature
-Collapse/unresponsive – Hard to wake/floppy or listless
– Mottled blue or ashen skin
– Fitting (seizure) without a temperature
– Severe allergic reaction/ anaphylaxis
– Rash that does NOT disappear under pressure (glass test)
– Neck stiffness
– High pitched, weak or continuous cry
– Bile stained sick (green)
– Bulging fontanelle (soft spot)
– Severe difficulty in breathing – Grunting/very fast breathing/ sucking in and out between ribs – Breathless – unable to talk in sentences– Sunken fontanelle (soft spot)
– Very little urine/dry nappies
– 0-3 months – temperature over 38ºC (101ºF)
– Over 3 months – temperature over 39ºC (102ºF) and/or cold hands or feet
– Any child with a temperature below 36ºC (97ºF)
– Any child with a high temperature and fitting (seizure)
  • Take your child to your nearest A&E department
  • CALL 999 FOR BREATHING DIFFICULTIES OR A NON-BLANCHING RASH (rash that does not fade and lose colour under pressure – glass test)/COLLAPSE
View all news

Latest news and highlights

News

20 February 2025

Women in East of England could get cancer detected earlier as a result…

Breast cancer cases in the East of England could be detected earlier as a major new NHS drive begins, supporting thousands more women in the region…

News

20 February 2025

Embrace the outdoors this half term with some family fun

A senior NHS leader is encouraging families to get out and about this February half term despite the chilly weather. Engaging in outdoor activities not…

News

18 February 2025

Parents urged to catch up on children’s vaccinations at clinics this February…

Parents of children who have not received all of their routine immunisations have been urged to attend a series of catch-up sessions this February half term. Dates have now been…

News

17 February 2025

Act to help prevent cancer during Cancer Prevention Action Week

A senior NHS doctor in Bedfordshire, Luton and Milton Keynes is calling on all residents to look at their lifestyles to help reduce the chances of getting cancer, during Cancer…

News

14 February 2025

Look after your heart health this Valentine’s Day

Elizabeth Barrett Browning famously asked her beloved: “How do I love thee? Let me count the ways,” but as Valentine’s Day arrives, a local NHS leader has reminded men and…

News

12 February 2025

NHS urges eligible people to get free RSV vaccination

NHS England has launched a new campaign to encourage uptake of free RSV (Respiratory Syncytial Virus) vaccinations which will be available from 10 February 2025. RSV causes common colds and…