Review decision date: December 2014

Review decision: 

No update required. Published guidance still current.  

Next review: To be scheduled

These recommendations focus on providing home safety assessments, supplying and installing home safety equipment and providing education and advice when carrying out these activities.

The guidance includes the following advice:

  • prioritise households at greatest risk
  • establish partnerships with local community organisations
  • offer home safety assessments and advice
  • offer appropriate safety equipment including door guards, cupboard locks, safety gates, smoke and carbon monoxide alarms, thermostatic mixing valves and window restrictors.

This guideline was previously called preventing unintentional injuries among under-15s in the home. 

It is is for commissioners and providers of health services, environmental health services, housing services and associations, local authority children’s services, local authority health and wellbeing boards, local authorities and their strategic partnerships, local safeguarding children boards, police, fire and rescue services, Sure Start and children’s centres.

It is also for practitioners who visit families and carers with children and young people aged under 15 (including GPs, midwives, social workers and health visitors).

This is one of three pieces of NICE guidance published in November 2010 on how to prevent unintentional injuries among under-15s. A second publication covers unintentional injuries on the road and a third covers strategies, regulation, enforcement, surveillance and workforce development.

Your responsibility

The recommendations in this guideline represent the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, professionals are expected to take this guideline fully into account, alongside the individual needs, preferences and values of their patients or service users. The application of the recommendations in this guideline is not mandatory and the guideline does not override the responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or their carer or guardian.

Local commissioners and/or providers have a responsibility to enable the guideline to be applied when individual health professionals and their patients or service users wish to use it. They should do so in the context of local and national priorities for funding and developing services, and in light of their duties to have due regard to the need to eliminate unlawful discrimination, to advance equality of opportunity and to reduce health inequalities. Nothing in this guideline should be interpreted in a way that would be inconsistent with compliance with those duties.

Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible.

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