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Childcare CPR & first aid requirements

First Aid & CPR United Kingdom

If you work in childcare in United Kingdom — whether at a daycare, preschool, home-based care, or camp — first aid and CPR certification is not optional. It's a licensing requirement, and for good reason: children are among the most vulnerable to choking, allergic reactions, and injuries. Being prepared to respond can mean everything.

Requirements at a glance

Regulatory frameworkThe statutory EYFS (Early Years Foundation Stage, England) framework requires at least one person holding a full Paediatric First Aid (PFA) certificate (12 hours) to be on the premises at all times when children are present, and on outings. PFA is a Level 3 qualification covering EYFS Annex A.
Governing authorityDepartment for Education (EYFS statutory framework); inspected by Ofsted
Training hours12 hours required
Renewal periodEvery 3 years
New hire deadlineWithin 90 days of hire
Min. certified staffAt least one person holding the full 12-hour PFA present at all times. Staff with Level 2/3 childcare qualifications gained since 30 June 2016 must obtain PFA within 3 months of starting to count in ratios.
Online training acceptanceOnline courses accepted
12 hours requiredEvery 3 yearsOnline courses accepted

What United Kingdom requires

In England, the statutory Early Years Foundation Stage (EYFS) framework requires at least one person holding a full Paediatric First Aid (PFA) certificate — a 12-hour, Level 3 qualification — to be on the premises whenever children are present, and on outings. The certificate must be renewed every three years, and staff who gained a Level 2 or 3 childcare qualification since 30 June 2016 have three months from starting a role to obtain PFA in order to count in the staff-to-child ratios. Compliance is inspected by Ofsted.

Anaphylaxis and medication administration

The EYFS framework requires a written medicines policy and prior written parental consent, with anaphylaxis managed through the child's Individual Healthcare Plan or Allergy Action Plan. Auto-injectors are kept readily accessible rather than locked away, and Regulation 238 of the Human Medicines Regulations 2012 allows anyone to administer adrenaline to save a life. When a severe reaction unfolds, giving that dose within seconds can be lifesaving.

How our courses meet these requirements

A recognized, standards-based certification — online theory paired with a hands-on skills check — meets United Kingdom’s requirement and keeps your team ready to act.

View early-childhood first-aid courses

Don't wait for renewal day

When a young child chokes, has a seizure or suffers a severe allergic reaction, the outcome is shaped in the first minutes by whoever is there — not by the help on its way. A recognised, standards-based paediatric certification not only meets the EYFS requirement but gives your team the calm confidence to act, and reassures parents that their child is in capable hands. Training is what turns a frightening moment into one you're ready for.

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