Last updated: June 2026

Review date: June 2027

Introduction

Intimate care is any care which involves washing, touching, assisting with toileting, nappy changing, changing soiled clothing, or carrying out a procedure involving intimate personal areas. In most cases, such care is provided for hygiene and welfare purposes as part of a staff member's duty of care. Where a specific medical procedure is required, only a person suitably trained and assessed as competent should undertake that procedure.

Intimate care is a sensitive aspect of childcare and requires staff to be respectful of each child's needs, dignity, privacy and wellbeing. Children should always be treated with respect and supported in a way that promotes independence, choice and confidence. Staff must maintain a high awareness of safeguarding and child protection responsibilities at all times.

Staff behaviour during intimate care must be open, transparent and professional. Staff should work in partnership with parents and carers to ensure continuity of care and to meet each child's individual needs.

Principles of Intimate Care

• Children will be treated with dignity, respect and sensitivity at all times.
• Children's welfare and wellbeing are paramount.
• Staff will encourage children to develop independence and self-care skills appropriate to their age and stage of development.
• The child's privacy will be respected whilst ensuring appropriate safeguarding measures are maintained.
• Intimate care arrangements will be discussed with parents/carers and reviewed regularly, particularly during significant transitions such as settling-in periods or toilet training.
• Individual care needs, preferences, allergies and medical requirements will be taken into account.

Staff and Child Interactions

Providing intimate care is often part of daily nursery life and should be viewed as an opportunity to support the child's wellbeing and strengthen positive, professional relationships between staff and children.

Staff should:

• Explain to children what is happening and where they are going before commencing intimate care.
• Communicate with children throughout the process through conversation, reassurance, songs or other appropriate interaction.
• Encourage children to participate in their own care wherever possible.
• Respect children's feelings and provide reassurance if they are upset or anxious.