This site is intended for health professionals only

At the heart of general practice since 1960

pulse june2020 80x101px
Read the latest issue online

GPs go forth

GP leaders urge nurseries to change conjunctivitis antibiotics policies

An estimated 160,000 GP appointments could be freed up if schools and nurseries stop sending home children with infective conjunctivitis, the RCGP has said.

Some schools are refusing to admit children with the condition unless they have a prescription for antibiotics, but the RCGP has written to Ofsted calling for nursery, pre-schools and childcare providers to re-think their policy.

The situation is ‘clogging up’ appointments for other patients, forcing parents to take time off work, and encouraging unnecessary use of antibiotics, said the college - despite there being little evidence to show that antibiotics help the condition any more than waiting for it clear up naturally.

The RCGP has also published a leaflet with ‘top tips’ for teachers, childcare professionals and parents raise awareness of the correct treatment for minor infections.

Research published in the BJGP earlier this year revealed that 87% of nursery schools across England, Scotland and Wales currently exclude children with conjunctivitis from attending.

The policy of half of these (49%) is to refuse to admit the children without a prescription for antibiotics, against clinical guidance from Public Health England advising that treatment for conjunctivitis is only appropriate, and indeed necessary, in severe cases.

RCGP chair Dr Maureen Baker said: 'GP practices are being swamped with requests for appointments and antibiotics to treat minor conditions, including conjunctivitis, and these cases are clogging up the system, which leads to longer waiting times for patients whose needs might be more urgent.

conjunctivitis rcgp poster

conjunctivitis rcgp poster

'Infective conjunctivitis is an unpleasant condition but antibiotics are not the answer in most cases – especially as it’s a viral infection where antibiotics are ineffective.'

Dr Baker added that 'growing resistance to antibiotics will have severe consequences for the health of our population globally'.

Readers' comments (5)

  • If I had a pound for every GANFYD demanded by nurseries I would be able to afford that gold-plated Trumpton laptop I promised myself.
    Happy Tots Nursery Business Plan:any problems,dump them on the GP.

    Unsuitable or offensive? Report this comment

  • Don't worry. There will soon be some scheme to have all of these children seen in pharmacies where they will be given futile topical treatments. Still, parents, schools/nurseries and pharmacists will all be happy even if completely mismanaged.

    Unsuitable or offensive? Report this comment

  • You can buy them if your child is over 2. It is difficult not to treat when presented with obvious conjunctivitis.

    But as a parent who's kids eyes were stuck together and despite bathing, stuck again within 30 minutes, I used antibiotics in the hope that they would help.

    Unsuitable or offensive? Report this comment

  • No one is willing to take responsibility so it will still be dumped to primary care.

    Unsuitable or offensive? Report this comment

  • It's a hustle. Nurseries still charge the parents for the day even though they aren't looking after the child. They simply want to be paid for nothing

    Unsuitable or offensive? Report this comment

Have your say