In England, childcare is inspected and regulated by OFSTED (previously this was administered by Local Authority Social Services). Care for children under five is split into Childcare on Domestic Premises which is Childminding and Daycare. In the UK being a 'Childminder' is a protected title and can only be used by registered professionals. Registered Childminders are trained, insured and qualified in Pediatric First Aid. They comply/administer/work with The Early Years Foundation Stage and have the same responsibilities for education as nurseries and reception classes. They generally work from their own homes and are always self-employed setting their own terms and conditions. The basic numbers of children that childminders can care for is 6 children under 8 years of age; of these children, 3 may be under 5 and of these 1 may be under 1. These numbers include the childminder's own children (although the childminder's children will not be included in the childminding 'certificate'). Some childminders work with either childminding assistants or with co-childminders, which often increases the number of children that can be cared for and individual childminders can request a 'variation' which may increase the children that they care for particularly for 'continuity of care' or for twins. There is a professional body – the Professional Association for Childcare & Early Years (formerly the National Childminding Association), which "Promotes and supports quality child-minding expertise" and provides information for Childminders and parents. London has greater pressures on childcare provision than other English regions. A recent study by London's Poverty Profile found the level of childcare provision in London is lower than the England average. In London, there are 4.4 children aged under 8 per childcare place, compared to the England average of 3.9.