Paediatric Immunology, Infectious Disease and Allergy

Infectious diseases account for around 50% of all paediatric admissions and nearly 40% of children have an allergic diagnosis, so the sub-specialty of Immunology, Infectious Diseases and Allergy is an important area of paediatrics.

What makes a Specialist in Paediatric Allergy, Immunology and Infectious Diseases?

An Allergy, Immunology and Infectious Diseases Paediatrician is a doctor who works with all specialties, across all age groups to investigate, diagnose and manage infectious, immunological and allergic disorders. They work in both in-and outpatient settings and with acute and chronic presentation of disease and provide specialist regional advice in a model of shared care. Most specialists will have one primary area of interest but will have some training in all three areas. PIIAD paediatricians usually practice in centres with co-located supporting tertiary services (immunology, microbiology and virology laboratories).

At tertiary level they have developed a detailed knowledge of the developing immune system and its role in infection and allergic disease in children, interpretation of microbiological and immunological investigations and have had laboratory experience in a tertiary centre. They will be involved in the treatment of primary and secondary immunodeficiency, HIV, infection in the immunocompromised host and administration of allergen specific immunotherapy.

Training routes

There are three routes for training in this sub-specialty:

  • with an emphasis in Paediatric Immunology (PIM)
  • with an emphasis in Paediatric Infectious Diseases and Immunology (PID)
  • with an emphasis in Paediatric Allergy and Immunology (PAI).

All lead to the award of GMC sub-specialist accreditation in Paedaitric Immunology, Infectious Diseases and Allergy. All three areas are listed on the CCT (Certificate of Completion of Training) documentation regardless of the emphasis of training.

The competencies acquired during training reflect the clinical interests of each trainee and the areas in which they wish to practice as consultants.

Although the trainee may have an interest in one area, and should achieve all the competences in that area, their training may encompass other parts of the curriculum.

We advocate as broad as possible exposure to the diversity of this sub-specialty, with particular attention to a solid foundation in the science of immunology.

Curriculum documents

IID Curriculum (PDF, 5.12MB, 181 pages)

IID Guidance Checklist (MS Doc, 206KB, 6 pages)

PAIID Further Assessment Guidance (PDF, 31KB, 6 Pages)

CSAC membership 

Role Name Email address


Dr Scott Hackett

Training Advisor (Allergy)

Dr Sian Ludman

Training Advisor (IMM/ID)

 Dr Kirsty Le Doare 
Quality Advisor Dr Elizabeth Whittaker

Assessment Advisor Dr Gary Stiefel

Trainee Representative (Allergy)

  Dr Nandinee PatelDr Nandinee Patel Dr Nandinee Patel 

Trainee Representative (IMM/ID)

Dr Charlene Rodrigues  

Academic Rep (Allergy)

Dr Paul Turner
Academic Rep (IMM/ID)

Prof Sophie Hambleton Prof Sophie Hambleton  Prof Sophie Hambleton


Dr Stephane Paulus

CSAC members - access committee papers and updates (you will need to sign in to your RCPCH online account)

Related links

British Paediatric Allergy, Immunology and Infection Group

British Society for Allergy and Clinical Immunology

RCPCH Care Pathways (Allergy) 

British Society for Immunology

UK Primary Immunodeficiency Network

European Society for Immunodeficiencies

European Society for Paediatric Infectious Diseases

World Society for Paedaitric Infectious Diseases

World Allergy Organisation