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What is the Lullaby Trust checklist for a second-hand cot mattress?

What do Lullaby Trust and NHS pages actually say about a used mattress?

Two Lullaby Trust pages — second-hand baby products and mattresses and bedding — use the same preference: buy a new mattress for each baby. The mattresses page adds that some research has found a higher SIDS risk with a second-hand mattress from outside the family home, "although the link hasn't been proven".

Kingston and Richmond NHS writes: "Where possible, use a new mattress for each baby. If this is not possible, use a second-hand mattress in good condition." Norfolk NHS tells people buying a second-hand crib, cot or pram to buy a new mattress that conforms to BS EN 16890 and to buy from smoke-free homes only. NCT cites the same outside-the-home point and adds that lending a mattress out and taking it back also sits in that research note.

MayTally does not write a SIDS verdict on a used mattress. The institutional line is a preference for new, plus a published fallback list if new is not possible. Official records / a fire label ≠ an all-clear.

How do I run the Lullaby Trust six-point mattress checklist?

If you need to use a second-hand mattress, the Lullaby Trust says it should meet all of the points below. Their second-hand-products page and their mattresses page use the same six lines.

  1. Waterproof cover They ask for a well-fitting, 100% waterproof cover. Their clear-cot FAQ says a waterproof mattress or protector helps you wipe it clean. Kingston and Richmond NHS says to check that cover is clean and dry before you make the bed up.
  2. No rips or tears Any split in the cover or the foam is a fail on their list. Do not tape over a rip and count the point as met.
  3. No water damage They want the mattress "in good condition with no water damage". Staining that looks like a leak is part of this check, not a separate house rule.
  4. Firm and flat No areas of sagging. Their mattresses page says a baby's head should sink no more than a few millimetres. Which? says the mattress should spring back when pressed.
  5. No gaps It must fit the cot or Moses basket well, with no gaps. Which? separately publishes a 3cm maximum gap figure on its cot-bed page — measure; do not average the two wordings.
  6. Fire-resistant label There must be a fire-resistant label on the mattress. Lullaby Trust also names the mattress standards BS 7177:2008+A1:2011 and, for cots, travel cots and cribs, BS EN 16890:2017+A1:2021.

Swipe sideways for the full table

The six Lullaby Trust lines, next to what other UK pages add
Lullaby Trust lineWho else writes a similar checkWhat they do not say
Well-fitting, 100% waterproof coverKingston and Richmond NHS; Lullaby Trust mattresses pageThey do not say a cover "makes a used mattress new"
No rips or tearsNCT reuse guide (citing Lullaby Trust)They do not offer a repair method
No water damage / good conditionKingston and Richmond NHS: clean, not stained, not frayingThey do not grade stains as pass/fail beyond "good condition"
Firm and flat, no saggingWhich? cot-mattress section; Lullaby Trust "few millimetres"Which? also reports firmness loss in its own tests — that is Which?, not a statutory rate
Fits with no gapsWhich? 3cm figure on the cot-bed pageNo page here publishes a DIY foam-cut method
Fire-resistant labelLullaby Trust BS 7177 and BS EN 16890 list; Norfolk NHS names BS EN 16890 for a replacementA fire label is not a SIDS standard — Lullaby Trust says there is none
Wording taken from Lullaby Trust second-hand products and mattresses pages (reviewed 1 February 2025; checked 10 September 2026), Kingston and Richmond NHS safe-sleeping leaflet (updated 23 December 2024), Norfolk NHS "What do I really need" page, NCT reuse guide (reviewed March 2019) and Which? cot-bed article (19 September 2025). Not a merged safety score.

Where is the fire label, and what are BS 7177 and BS EN 16890?

Turn the mattress over. The fire-resistant label is usually a sewn-in or stuck-on cloth tag on the underside or along a long edge. Photograph the whole tag, including any BS number. Lullaby Trust lists:

  • Mattresses: BS 7177:2008+A1:2011
  • Mattresses for cots, travel cots and cribs: BS EN 16890:2017+A1:2021

Which?'s second-hand-products news piece names a different mattress label set, including BS 1877-10:2011+A1:2012, and says "ideally" BS 7177:1996 and BS EN 16890:2017+A1:2021 as well. Those are Which?'s words, with an older BS 7177 year than the Lullaby Trust list. Copy what is on this tag. Do not treat a missing year as a pass because a magazine named a neighbour standard.

The Lullaby Trust repeats: there is no safety standard related to SIDS. A fire or firmness standard is still not a SIDS standard.

Is a mattress from my own home treated the same as one from a stranger?

Keep their distinction. Lullaby Trust's research sentence is about a second-hand mattress from outside the family home. They still "generally advise buying a new mattress for each baby" even when they discuss reuse. NCT says the outside-the-home point also applies if you lent the mattress to somebody else between babies.

A sibling mattress that never left your house is still asked to meet the six-point list if you are not buying new. A marketplace or car-boot mattress is the "outside the family home" case in their wording. This page does not turn that distinction into a yes/no SIDS score.

Does a new waterproof cover fix a tired mattress?

No UK page cited here says a new cover resets the mattress. Lullaby Trust wants the cover and no rips, no water damage, firm and flat, no gaps, and the fire label. A cover pulled over sagging foam fails the firm-and-flat line. A cover that leaves a ridge or a gap fails the fit line.

Their mattresses page also says the surface should be completely flat, with no raised or cushioned edges, and they do not advise pods, nests or a sheepskin on top of the sleep space.

What should I do with the list in front of a seller?

  1. Ask whether the mattress ever left the family home, and whether it always had a waterproof cover on.
  2. Photograph the fire-resistant label and any BS 7177 / BS EN 16890 string.
  3. Press the centre and the corners. Sagging is a fail on the Lullaby Trust list.
  4. Offer the mattress up to the cot or Moses basket you will actually use. A gap is a fail.
  5. If any of the six lines fails, their published fallback does not apply — look at a new mattress, which is still their first line.

In shortIn short: quote Lullaby Trust, not a chat-bot yes/no. They prefer new. If that is not possible, they publish six checks, and they distinguish a mattress from outside the family home. A waterproof cover and a fire label are two lines on that list, not a substitute for the other four.

Questions parents ask

Do Lullaby Trust and NHS say never use a used mattress?
No. Lullaby Trust generally advises a new mattress for each baby and then publishes a six-point list if that is not possible. Kingston and Richmond NHS uses the same "where possible / if this is not possible" structure. Pages that flatten this to a single "never" are not quoting those lines.
Is a fire-resistant label the same as BS EN 16890?
Not automatically. Lullaby Trust lists a fire-resistant label as one checklist point, and lists BS 7177:2008+A1:2011 and BS EN 16890:2017+A1:2021 as the mattress standards to look for. Photograph the actual tag. Which? names an extra BS 1877-10 string on its own second-hand page.
We used this mattress for our first baby and it never left the house. Does the six-point list still apply?
Lullaby Trust's SIDS research sentence is about a mattress from outside the family home, but they still generally advise a new mattress for each baby. If you are not buying new, their six checks are the published fallback. NCT also flags a mattress that was lent out and returned.
The seller says the mattress is "unused spare". Is that enough?
Ask for photos of the fire label, the cover, and the foam edges, and check fit in the cot you will use. "Unused" is not one of the six Lullaby Trust lines. Store damage and sagging still sit on their list.

Sources

Official pages first. If this page and the official page disagree, the official page wins.

This is information, not a guarantee of any payment, and not medical, legal or product-safety advice for your home. Prices and rules change; figures carry the date they were checked. Recall status comes from official records only — a product we cannot find is not a safety all-clear. Tell us if we got a fact wrong.