Health Minister Mike Nesbitt announced changes to childcare regulations in Northern Ireland, including updated adult-to-child ratios and reduced requirements for GP-signed health declarations. The reforms follow a public consultation and take effect from 1 June 2026 for childminders.

New rules allow a single childminder to care for two children under 18 months, up from one under 12 months. Childminders may also look after three children under compulsory school age, or four if at least two are siblings and one is under school age. Overall, childminders can manage up to eight children under 12, including their own, with no more than six under eight.

In group day care settings, permanent ratios now stand at one adult to three children under two, one to five two-year-olds, one to eight three-year-olds, and one to 10 children aged four and over. At least two staff must be present in every room at all times.

GP-countersigned health declarations are now required only for senior roles, such as childminders, day care managers, and assistant managers. Other staff will work under supervision to address health concerns.

Nesbitt stated that safety and quality in childcare remain a priority while supporting providers. He noted the previous system created recruitment challenges due to GP assessment demands.

In the Assembly, Nesbitt confirmed £9.4 million spent from £13.1 million allocated for children's respite services, leaving £3.7 million unspent. The Western Trust received £2.2 million, Belfast Trust £2.2 million, South Eastern Trust £2.1 million, Northern Trust £1.4 million, and Southern Trust £1.4 million.

Sinn Féin MLA Ciara Ferguson welcomed the Western Trust funding. She asked about recruitment targets for carers amid a regional campaign. Nesbitt replied that efforts continue within budget limits to place the right workforce.