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Fever is extremely common in children and usually suggests that your child has an infection. If you use a thermometer to measure your child’s temperature, it's really important that you do it accurately - you should use a digital thermometer (under the armpit (axillary) for children 5 years and younger, and in the mouth for children over 5 years of age). The other option is to use an in the ear thermometer (tympanic), although these should not be used in babies below a month of age.
Watch this short video on fever by one of our Consultants:
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Click here for an Operation Ouch video on fever that you and your child can watch together.
Your child may require emergency treatment.
You should call 999 or take them to your nearest Children’s A&E where they can be assessed.
Your child does not need to be rushed to A&E but you should seek medical advice today.
If your child develops any symptoms in the Red Box above, click and follow advice for that symptom.
If your child is distressed, you may want to lower their temperature using paracetamol (calpol) and/or ibuprofen. Use one and if your child has not improved 2-3 hours later you may want to try giving the other medicine. However, remember that fever is a normal response that may help the body to fight infection and paracetamol/ibuprofen will not get rid of it entirely.
Avoid tepid sponging your child – it doesn’t actually reduce your child’s temperature and may cause your child to shiver.
Encourage them to drink plenty of fluids.
Click here for advice on fever in children under 5 years of age
Or click here if your child is older than 5 years.
Click box for further advice.
You child does not seem to have any symptoms of serious illness or injury.
You can get general advice on the NHS website or from your local Pharmacy.
If your child develops any of the symptoms in the Red or Amber boxes above, click on that symptoms and follow the advice.
Continue providing your child’s care at home. If you are still concerned about your child, call NHS 111 – dial 111
If your child has any symptoms suggestive of COVID-19 (high temperature; new continuous cough - coughing a lot, for more than an hour or 3 or more coughing episodes in 24 hours; or loss of taste/smell) then arrange for your child to be tested via the NHS testing website or by calling 119. You and anyone in your support bubble must remain at home (isolate) until your child's test results are back.
The diagrams above are taken from www.whenshouldiworry.com
You can treat your child's very minor illnesses and injuries at home.
Some illnesses can be treated in your own home with support and advice from the services listed when required, using the recommended medicines and getting plenty of rest.
Children can recover from illness quickly but also can become more poorly quickly; it is important to seek further advice if a child's condition gets worse.
For information on common childhood illnesses go to What is wrong with my child?
Pharmacists are experts in many aspects of healthcare and can offer advice on a wide range of long-term conditions and common illnesses such as coughs, colds and stomach upsets. You don’t need an appointment and many have private consultation areas, so they are a good first port of call. Your pharmacist will say if you need further medical attention.
Health visitors are nurses or midwives who are passionate about promoting healthy lifestyles and preventing illness through the delivery of the Healthy Child Programme. They work with you through your pregnancy up until your child is ready to start school.
Health Visitors can also make referrals for you to other health professionals for example hearing or vision concerns or to the Community Paediatricians or to the child and adolescent mental health services.
Contact them by phoning your Health Visitor Team or local Children’s Centre.
Health visitors also provide advice, support and guidance in caring for your child, including:
For more information watch the video: What does a health visitor do?
School nurses care for children and young people, aged 5-19, and their families, to ensure their health needs are supported within their school and community. They work closely with education staff and other agencies to support parents, carers and the children and young people, with physical and/or emotional health needs.
Contacting the School Nurse
Primary and secondary schools have an allocated school nurse – telephone your child’s school to ask for the contact details of your named school nurse.
All home educated children will have a named School Nurse for details please contact [this is a contact we are waiting for being updated beginning Sept 2021]
Before your child starts school your health visitor will meet with the school nursing team to transfer their care to the school nursing service. The school nursing team consists of a school nursing lead, specialist public health practitioners and school health staff nurses.
They all have a role in preventing disease and promoting health and wellbeing, by:-
Each member of the team has links with many other professionals who also work with children including community paediatricians, child and adolescent mental health teams, health visitors and speech and language therapists. The school health nursing service also forms part of the multi-agency services for children, young people and families where there are child protection or safeguarding issues.
The clinical team in GP surgeries include doctors, advanced nurse practitioners and nurses who are trained to assess, treat and manage a whole range of health problems. They also provide health education, give vaccinations and carry out simple surgical procedures. Your GP surgery team will arrange a referral to a hospital specialist should you need it.
You have a choice of service:
If you’re not sure which NHS service you need, call 111. An adviser will ask you questions to assess your symptoms and then give you the advice you need, or direct you straightaway to the best service for you in your area.
Use NHS 111 if you are unsure what to do next, have any questions about a condition or treatment or require information about local health services.
A&E departments provide vital care for life-threatening emergencies, such as loss of consciousness, suspected heart attacks, breathing difficulties, or severe bleeding that cannot be stopped. If you’re not sure it’s an emergency, call 111 for advice.
Developed in Partnership with the Healthier Together Programme
Alder Hey Children's Charity