Allergy care pathways for children - information for health professionals

Allergy care pathways

• Angio-oedema (PDF, 1.7MB, 14 pages)
• Anaphylaxis(PDF, 2MB, 11 pages)
• Asthma/Rhinitis (PDF, 1.7MB, 17 pages)
• Drug Allergy  (PDF, 1.7MB, 8 pages)
• Eczema (PDF, 1.8MB, 12 pages)
• Food allergy (PDF, 1.9MB, 14 pages)
• Latex allergy (PDF, 1.7MB, 8 pages)
• Urticaria (PDF, 1.7MB, 14 pages)
• Mastocytosis (PDF, 1.7MB, 14 pages)
• Venom Allergy (PDF, 1.7MB, 8 pages)

Methodology documents can be downloaded from the condition-specific pages.

Implementation tools

Educational sessions

The key to the implementation phase of the pathways is improving knowledge across all services - the Project Board recommends a multi-disciplinary, multi-professional network approach. In order to achieve this, we have produced a PowerPoint presentation that you can use to introduce your colleagues to the RCPCH allergy care pathways.

• Introduction to four pathways (PPT, 10.2 MB, 35 slides - read only)

Additionally there is an impact measurement survey available for download:

• Baseline impact survey (MS Doc, 85 KB, 2 pages)
• Baseline impact survey (MS Doc, 76 KB, 2 pages)

Educational videos

RCPCH have a series of educational videos for allergy care on the RCPCH channel on YouTube. You can also view them directly here.

Allergy focused clinical history

In developing the RCPCH allergy care pathways the working groups consistently recommended the importance of taking a good clinical history that had an allergy focus. As a result the Project Board decided that a set of questions would be developed to facilitate taking an allergy focused clinical history. A Delphi consensus was conducted to develop the document.

Taking an allergy focused clinical history (PDF, 60KB, 14 pages) 
Delphi consensus results (PDF, 54KB, 7 pages)

Patient Reported Outcome Measure  (PREM)

The Department of Health white paper Equity and Excellence: Liberating the NHS highlighted that the ‘patient experience’ is an important area of patient care. This report suggests that patient experience should be to be measured to ensure that the experiences of the patient, and not just clinical outcomes, are taken into account when assessing the overall quality of care received. 

This tool, developed in partnership with the Picker Institute, allows services to measure the patient experience for children who have allergic conditions.  It is in the form of a two survey instruments and is available for free download from this website. 

The first instrument should be completed by parents/carers of children who are under the age of eight: Parent/Carer Allergy PREM (PDF, 120KB, 6 pages).

The second instrument young person PREM has two sections: section one, to be completed by the young person over the age of eight and section two, to be completed by their parent or carer: Young Person Allergy PREM (PDF, 90KB, 9 pages).

Services wishing to use this document should contact the College on allergy@rcpch.ac.uk to obtain a version that includes your personalised contact details. 

Audit Criteria

With the support of the Project Board each working group developed a set of audit criteria. 

Set of audit criteria (PDF, 66KB, 16 pages)

The RCPCH e-learning resource for conducting clinical audit is available at www.rcpch.ac.uk/clinicalaudit.