When should my child stay off nursery? Sickness and exclusion explained
2 min read Last reviewed October 2026 Checked against official guidance
Children pick up plenty of bugs in their first year at nursery. Knowing the usual rules helps you plan back-up care and avoid surprises.
48 hours
Off after diarrhoea or vomiting stops
Chickenpox
Until all spots have crusted over
Check policy
Nursery rules can be stricter
In this guide
1
Common exclusion periods
Nurseries usually follow UK Health Security Agency guidance, though their own policies may be stricter. Typical guidance includes:
- Diarrhoea and/or vomiting: 48 hours after the last episode
- Chickenpox: until all spots have crusted over
- Scarlet fever: 24 hours after starting antibiotics
- Impetigo: until lesions crust or 48 hours after starting antibiotics
- Hand, foot and mouth: usually no exclusion if well enough
- Conjunctivitis: usually no exclusion
- High temperature: until fever-free and well
2
Do I pay when my child is off sick?
In most cases, yes, fees are usually charged for booked sessions regardless of illness. Some nurseries offer credit for long absences or closures, so read your contract carefully.
3
Planning for sick days
- Agree a back-up plan with your partner, family or friends
- Check your employer's policy on emergency dependant leave
- Keep Calpol (paracetamol) consent forms up to date
- Make sure the nursery has current emergency contacts