Adult DD ran off upset....

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?

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 ...

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.

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.

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

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.

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

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.

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)

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 .

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.

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)

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.