Care pathways for children with allergies

Allergic conditions constitute the commonest causes of chronic disease in childhood and affect upwards of 20% of the child population. They seriously impair quality of life and health and occasionally can lead to death. The socio-economic costs are large. The College produced eight care pathways for children with allergies.


The following care pathways for children with allergic conditions are available.


Asthma / rhinitis

Drug allergy


Food allergy

Latex allergy

Urticaria / mastocytosis / angio-oedema

Venom allergy


Information for families - series of leaflets and videos to help children and young people and their families understand what to expect when they get an allergy diagnosis

Information for health professionals - tools to implement the allergy care pathways and educational materials


In 2007 the RCPCH Research Division was commissioned by the Department of Health to scope the development of care pathways for children with allergic symptoms following the DH publication on the review of allergy services (2006). The work began in June 2009, directed by a Project Board chaired by Professor John Warner.  

The pathways underwent a rigorous approval process:

  1. Working group
  2. Project Board
  3. Clinical Standards Team
  4. Other medical colleges co-badging the pathways

The RCPCH Council Readers also ensured that the pathways were fit for a generic audience.

In March 2010 the Department of Health provided additional funding to develop tools to implement the pathways on a local level.

Key publications

Royal College of Physicians (2003). Allergy, the unmet need. RCP

House of Commons Health Committee. The provision of Allergy services. 6th report of session 2003-04. HC696-1

Department of Health (2006). A review of services for allergy: The epidemiology, demand for and provision of treatment and effectiveness of clinical interventions.

House of Lords Science and Technology committee 6th report of session 2006-07. Allergy. HL paper 166-1

Royal College of Physicians (2010). Allergy services: still not meeting the unmet need. RCP



Phone: 020 7092 6165