Sunday 26 January 2014

Conjunctivitis (acute infective): advice for nurseries and schools

Conjunctivitis is often cause for much concern for parents, teachers and nursery staff, leading to confusion about whether affected children should be allowed to attend nursery or school.

Official advice from Public Health England is that exclusion of children with conjunctivitis is not necessary ( - see page 7).

Furthermore, the idea that conjunctivitis should be treated with antibiotic eye drops or ointment flies in the face of a growing body of opinion in the medical community that this is unnecessary, on the basis that the vast majority of cases of conjunctivitis tend to be relatively mild and will resolve spontaneously.  To quote from the NHS Choices website: “Infective conjunctivitis rarely requires any medical treatment because the infection will normally heal by itself, usually within one or two weeks. For most people, the condition does not cause any complications.” (

The widespread use of antibiotics has been blamed for the emergence of “superbugs” such as MRSA which are resistant to most or all antibiotics.  There is therefore increasing pressure on us all not to use antibiotics unless absolutely necessary.  A leaflet from the Department of Health summarises this argument (

The danger of a policy which encourages parents to seek the prescription of antibiotics is that it turns a mild self-limiting illness into a medical emergency, as parents seek medical attention after they have returned from work and before their next working day.  This in turn places unnecessary pressure on GPs, out of hours services and urgent care services for a condition that usually does not require medical intervention at all.

It is therefore important that children with simple conjunctivitis are neither excluded from nursery or school nor their parents encouraged to seek antibiotics.

Local health protection teams are another great source of advice.  Find yours at

Post Script

On a related note, Ofsted advise that only written parental consent is required for schools and nurseries to administer over the counter medication. No prescription or documentation from a doctor should be needed. ( via Dr +Mark Folman)

Wednesday 1 January 2014

GP SOLO form (Excel format)

Pension contributions in respect of ad hoc GP work (such as out of hours work) can be registered with the NHS Pensions Agency using a GP SOLO form.

This is available from the NHSBA website in Word format only.

To make it easier for GPs and their employers to complete, I have converted it to Excel format. Please note, the layout looks better (and closer to the original) when printed than when viewed on screen.

If anyone from NHS Pensions Agency reads this page, could they please ensure that future revisions of this and other forms are generated in Excel format!