Thank you for your reply Gill,   we are all hoping to avoid the PEG if we can, but the little one will need an operation in September now to close a cleft.   The NG tube will go in for a few weeks before that.    I'm glad the nursery wish to try and are looking into training etc.,  I did have one of those moments a little while ago when I thought ahh, how does this sit with Insurance - if the staff members are trained, obviously by a professional, is that good enough for the Insurance company and would they need to be informed beforehand that this was happening at some point.