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Adult DD ran off upset....

(39 Posts)
TopsyAndTim Fri 13-Jun-25 21:49:05

She's trying to set up as self employed at the moment. She has childcare qualifications but because she has rheumatoid arthritis she hasn't got a full paediatric certificate. She hasn't really needed it as the parents she helps out are happy with the fact that she would know what to do in the case of an emergency and at the nurseries she does bank work at, other staff have had it so not needed.
Today though she was told she has weeks to obtain this certificate as apparently the rules have changed. That even if you qualified before 2016 you still need to have it otherwise you get no more work. My DD said this would be impossible for her and it was basically a 'Tough luck. If you don't have it then no more work.'
She's been in tears.
I'm also secretly worried as she needs her national insurance topped up to help with her health and getting her medication. I know someone who didn't have enough NI contributions and had to pay later on in life.
She's gone off somewhere in a state of anxiety about her future now. She has no office skills. I'm so worried for her.

Lathyrus3 Fri 13-Jun-25 22:19:36

Local authorities, the Red Cross , St Johns Ambukance all do Paediatric Certificate courses. They can be one day attendance plus n-line at your own pace or alternatively two day complete. So it’s not a massive time consuming qualification.

I don’t understand the bit about health care and NI cntributions at all.

Wyllow3 Fri 13-Jun-25 22:25:08

I think O/P has got that wrong, but cant be certain - surely everyone gets NHS and meds whatever they pay into NI during their life? Isnt it pension credits you have to top up?

(not sure, this needs confirming)

TopsyAndTim Fri 13-Jun-25 22:30:16

It's not about finding a course it's that she can't physically do it as it will cause her pain and a possible flare up.
The added expense is also another matter altogether.
I don't know what her rights are. She hates the work (nurseries) and would leave tomorrow if she could but she is also scared of being pushed out of her job at very short notice.
They knew she had RA before she started by the way. I have read there can be an exemption but I feel for her as it's almost like she is being punished or seen as an inconvenience due to her illness.

Whiff Fri 13-Jun-25 22:53:55

TopsyAndTim I know my local job centre with the backing of the council offer retraining for people who through ill health or disability can't do the job they do or did. I know here they have specialists they can train and guide people so they can work from home and hours to fit in with their health needs .

Has your daughter been in contact with the job centre and citizens advice. As she has RA surely the charity can help her as they are bound to have people who can help people change jobs due to their condition. I know by me The Brain Charity helps people retrain and find jobs they can do .

Wyllow3 Fri 13-Jun-25 22:56:39

Excellent idea Whiff as in council disability and diversity officers (unless you've just got Reform in your council - but they may relent when they realise the disability side)

chocolatepeanuts Fri 13-Jun-25 23:20:55

What is it about the qualification that will be impossible for her? Training providers can be very helpful in providing accommodations for students, with alternative forms of assessments, etc. Your daughter should definitely be investigating what can be done to accommodate her needs.

Silverbrooks Fri 13-Jun-25 23:31:14

To be able to obtain a Paediatric First Aid Cerficate (assuming that’s what we are talking about) she would need to be able to demonstrate that she is physical capable of providing first aid to a child. If her illness would prevent her from doing so I don’t see how she could obtain the qualification. The child’s welfare is paramount.

If she hates her job then maybe this will be the push she needs to train for something else.

I think you may be thinking of when people are short on NIC years to get a full State Pension and can top up by paying Voluntary Class 3. At the moment, you need 35 years to get a full SP.

Information here on NIC credits when not working.

www.gov.uk/national-insurance-credits/eligibility

TopsyAndTim Fri 13-Jun-25 23:32:13

They are not helping her through work. It's almost like she is an inconvenience for having this disease. It's clear they truly don't understand. I also don't think (because she qualified before 2016) that she actually needs it. She's emailed ofsted and some other organisations that can provide further clarity.
Maybe a first aid provider would let her observe or just join in with what she can but if they are anything like her workplace have been then I am doubtful.

welbeck Fri 13-Jun-25 23:32:24

Has she applied for PIP ?
What age is she.
If she is not physically fit enough look after small children she will have to find something else.
She is not being punished if she cannot fulfill the demands of the job including any assessments.
You and she need to be realistic.
Whiffs idea is good.
Go seek expert advice re retraining.
Why is she missing NI contributions?
It will not affect her use of NHS.
You need to keep a level head. ⁵

TopsyAndTim Fri 13-Jun-25 23:37:20

Yet there are disabled nursery workers who wouldn't be able to do it and yet they are still able to work. I've read they do make exemptions as there are workers who are in wheelchairs who obviously couldn't do it.
I've told her to wait on further guidance. If they insist that even though she has this disability there can be no support or exemption then she will have to decide what to do next.

TopsyAndTim Fri 13-Jun-25 23:41:21

She has worked with kids all her life. She is able to sit and interact with them. It's very different to a first aid course where she would be slapping, pushing and doing all kinds of things that are going to hurt her.
There are exemptions, adjustments and laws which means they cant discriminate. It's not her fault she has this disease.
I knew a lady through my old work place who had to pay for treatment as her NI contributions ran out.

Silverbrooks Fri 13-Jun-25 23:47:45

Logic tells me that when she qualified would be irrelevant in a first aid context. Skills must be kept up to date and relevant to today’s needs.

This Red Cross course shows what the course covers.

www.redcrossfirstaidtraining.co.uk/courses/first-aid-at-work-courses-uk-mainland/scheduled-courses/paediatric-first-aid/

What is covered on a Paediatric First Aid course?

This course covers how to help a baby or child who:

•is unresponsive and breathing
•is unresponsive and not breathing, including the use of an automated external defibrillator (AED)
•is choking
•is bleeding
•is burnt or has a scald
•has an object in their eye, ear or nose
•has hypothermia or heat exhaustion
•has sickness or a fever

This course also covers what to do if someone is having a medical emergency, including:

•meningitis
•diabetic emergency
•seizures
•asthma attack
•severe allergic reaction (anaphylactic shock)
•injury to a bone muscle or joint (including spinal injuries)
•head injury
•swallowed something harmful.

Would her own health condition allow her to attend to all of those emergencies?

It may well be that here are different grades of workers within a child care setting whose pay depends on what they are qualified to do.

But really, if she hates the job ...

welbeck Fri 13-Jun-25 23:53:27

I have never heard of someone being asked about or having to prove the state of their NI contributions before using NHS. Sometimes there are questions to prove residency or visa status if not a UK citizen.
Have you or she come from another country?

srn63 Sat 14-Jun-25 00:03:46

I don't want to seem unsympathetic, I have arthritis myself and know the difficultues it causes, but is it really fair to take on the care of young children if you are unable to respond in an emergency? I for one wouldn't want someone with those limitations looking after mychildren.

BlueBelle Sat 14-Jun-25 06:40:22

If she hates the job and if she’s not able to fulfil the criteria for looking after and keeping safe young children then I m sorry TopsyandTim but she shouldn’t be in this job and this is not said without feeling for your daughter but looking after young children is a really physical job
I hope your daughter can find a career suitable to her strengths and think the advice you ve been given by others is worth looking into
Of course it’s not her fault poor lady but we all have to be fully trained whatever job we do we can’t just miss pieces out according to or fitness levels
She’s shocked and scared at the moment but there will be help out there if she seeks it

Allsorts Sat 14-Jun-25 07:08:10

I am afraid if she cannot do what is required to do the job, the safety of children come first and agree with Bluebell. She doesn't even like the job so why did she go into it? This is an opportunity to re think what she does want,

Parsley3 Sat 14-Jun-25 07:23:20

Sometimes we just have to be realistic about the limitations of some health conditions. If your daughter is setting up as a self employed child minder I am guessing that it is the insurance company that requires her to have the qualification. There is some good advice on here that I hope your daughter will find helpful.

M0nica Sat 14-Jun-25 07:26:11

Has she been down to Citizen's Advice to find out what her legal and welfare entitlements are and for help to make sure she gets them?

What job would she really like to do? has she enquired how to train for that?
Has she been in touch with the NRAS National Rheumatoid Arthritis Society nras.org.uk/get-support/ ? They can give helpand advice tailored to her needs and hopes and also provides a community.

The NRAS have a whole series of publication addressing all the things she needs help with and also have aa helpline.

Astitchintime Sat 14-Jun-25 07:29:15

I am equally puzzled as others who have commented…….if she doesn’t like the work, why is she complaining about her employer wanting her to obtain a paediatric first aid certificate? Surely, this is a given for anyone working in that environment? Who would want to leave their child with someone who couldn’t help if that child were choking or in cardiac arrest?
Whilst I am sorry that your DD has RA, which I know is very painful and debilitating, I think it is time for you both to rethink her career and move into a different ‘industry’.

Sadgrandma Sat 14-Jun-25 07:44:13

I’m afraid I agree with others who say that if your daughter would be unable to meet the requirements of the first aid certificate then she is obviously not physically capable of doing the job. She obviously doesn’t like her job either. I feel that she should resign on the grounds of ill health and apply for Universal Credit and PIP, both these will also pay her NI. These would provide her with an income and access to the job centre who should be able to provide her with support to obtain another suitable job and training. If she doesn’t know how to apply for these benefits she should visit to her local Citizens’ Advice who will help her to apply. I hope this helps.

LOUISA1523 Sat 14-Jun-25 08:23:33

TopsyAndTim

They are not helping her through work. It's almost like she is an inconvenience for having this disease. It's clear they truly don't understand. I also don't think (because she qualified before 2016) that she actually needs it. She's emailed ofsted and some other organisations that can provide further clarity.
Maybe a first aid provider would let her observe or just join in with what she can but if they are anything like her workplace have been then I am doubtful.

Thing is, if she can't participate physically in the training, then how is she going to participate a in real life emergency..... I wouldnt want her caring for my child in those circumstances.....she should look for another line of work

petra Sat 14-Jun-25 08:30:09

I certainly wouldn’t want someone working in a nursery who hates the job
I’m more concerned for the children your daughter is working with than I am for your befuddled understanding of NI contributions.

Marydoll Sat 14-Jun-25 08:34:56

I find this a strange post.

I was a teacher have had severe RA for over forty years and this scenario situation puzzles me.

I had to retire on ill health grounds, because I could no longer physically manage to do my job. More importantly,I felt I could not guarantee the safety of my charges.
I would have concerns about the safety of my own child, if your DD was in charge of them.

Is she attending an RA clinic and does she take medication to manage her condition? If so her consultant can arrange access to a whole range of support.
Her employer should also be supporting her under the Disability Act) and arrange access to the occupational health team.

The scenario of missing NI contributions is a puzzle. The only way I can see them not being paid is if she is self employed.
Another way of ensuring NI I contributions is by contacting DWP and explaining her situation.
I eventually ran out of sick pay and DWP contacted me to say that my NI contributions were not being paid. I had no income at all.

Called in for an interview and examined by their own doctor, I was deemed unfit to work for life..
The result was thaI my N.I contributions were credited and I was paid an allowance, until my teacher's pension kicked in.

I feel there is a part of the story missing.

Chocolatelovinggran Sat 14-Jun-25 11:01:38

Nurseries must comply with statutory requirements. If this certificate is required, then it must be undertaken.
As others here, I am more concerned about the fact that she "hates her job".
It cannot be good for the children in her care, or herself.
My first criteria for appointment was always that the candidate was enthusiastic about the post.