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Paediatric Sickle Cell & Thalassaemia

Checked: 07-08-2024 by Vicky Ryan Next Review: 06-08-2026

Nurse support

UHBW provides a dedicated haemoglobinopathy service based at Bristol Royal Hospital for Children to offer care and support to patients with sickle cell and thalassemia and their parents/carers.

Refer by contacting:

Paediatric Benign Haematology CNS Team on 0117 342 8721 or mobile 07920545620 / 07747004996 (Monday to Friday, 9am to 5pm)  

For non-urgent advice you can also email: paedbenignhaemcns@uhbw.nhs.uk

Haemoglobinopathy Guidelines

Affected patients:

Patients with known Sickling disorders or thalassaemia who have moved to the area should be referred to a specialist haemoglobinopathy clinic. This clinic provides comprehensive multidisciplinary care for patients with:

  • Sickle cell disease (HbSS, HbSC, HbS/Beta thalassaemia and other compound heterozygotes)
  • Beta thalassaemia major
  • Βeta thalassaemia intermedia
  • HbH disease (most commonly 3 gene deletion α thalassaemia)

The clinic also sees children with other rare inherited anaemias:

  • Diamond Blackfan anaemia
  • Congenital Sideroblastic anaemia
  • Congenital Dyserythropoetic anaemia
  • Red cell membrane (eg Hereditary Spherocytosis)
  • Enzyme disorders (eg Pyruvate Kinase deficiency)

Please refer via eRS.

Alternatively, you can request non-urgent Haemoglobinopathy advice via email or above telephone number.

Urgent advice can also be obtained from the CNS team on the number above or from the benign haematology SpR on 07880163927.

Unaffected carriers of haemoglobinopathies:

Carrier status may be suspected because of family history, ethnicity, or FBC abnormalities. National screening is routinely done for neonates and pregnant women.

Unaffected carriers do not usually need to be seen in the paediatric haemoglobinopathy clinic.

Primary Care information on Sickle Cell Disease

Please see the attached primary care information on sickle cell.

This includes information on:

  • risk of infection
  • managing pain
  • complication
  • sexual health and contraception

Primary Care information on Thalassaemia & RIA

Please see the attached Primary care information on Thalassaemia and RIA.

This includes information on:

  • regular transfusions
  • iron overload
  • complications
  • sexual health and contraception


Efforts are made to ensure the accuracy and agreement of these guidelines, including any content uploaded, referred to or linked to from the system. However, BNSSG ICB cannot guarantee this. This guidance does not override the individual responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or guardian or carer, in accordance with the mental capacity act, and informed by the summary of product characteristics of any drugs they are considering. Practitioners are required to perform their duties in accordance with the law and their regulators and nothing in this guidance should be interpreted in a way that would be inconsistent with compliance with those duties.

Information provided through Remedy is continually updated so please be aware any printed copies may quickly become out of date.