What is Millie's Mark?

As a parent, placing your child in a setting or with a childminder that is endorsed with Millie’s Mark provides reassurance that all childcare practitioners know what to do in a paediatric first aid situation.

It acknowledges that children’s safety is at the forefront of the provider's mind when they care for your child.

Parents flyer

Download leaflet for England and Scotland

Download leaflet for Wales

The Early Years Foundation Stage (EYFS) guidelines, which childcare settings in England are required to follow, currently state that just one person with a current paediatric first aid certificate must be on the premises and available at all times when children are present or on outings. 

The National Minimum Standards for regulated childcare for children up to the age of 12 (NMS) states that the minimum requirement is at least 1:10 (trained adult: child ratio) holding a current Full Paediatric First Aid 12 hours certificate with all other staff (including volunteers or trainees) included in the adult: child staffing ratios must undertake Emergency Paediactric First Aid 6 hours training and maintain a current certificate.  

There are no specific requirements for the number of paediatric first aid trained staff under Scotland’s Health and Social Care Standards. However these standards require sufficient individuals to be trained in paediatric first aid and to have the confidence to act in an emergency.

Millie's Mark will be awarded as a special endorsement to childcare providers that go above and beyond these minimum requirements by having 100% of staff trained in paediatric first aid, and also ensuring that everything learned during the course is kept alive and in the forefront of practitioners’ minds so that they are confident, ready and capable.

"My son's nursery in Stockport has just been awarded Millie's Mark. I just wanted to send you a note for Millie's parents to say thank you - and congratulations - for having the strength to come up with such a worthwhile organisation in Millie's memory. You've made the environment my two-year-old son is cared for in much safer, so thank you." Richard, dad of a child at Millie's Mark accredited nursery


Millie’s legacy

Millie’s Mark is named after Millie Thompson, who died after choking on food at nursery in 2012 when she was just nine months old.

Read more about Millie's legacy.


Contact us

National Day Nurseries Association
National Early Years Enterprise Centre
Longbow Close

Telephone: 01484 407070
Fax: 01484 407060
Email: info@milliesmark.com