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Allergy Advice & Guidance

Checked: 05-01-2020 by Vicky Ryan Next Review: 05-03-2020

Overview

Guidelines

Before using advice and guidance please consider existing guidelines which may provide the information you require:

Food Allergy
Milk Related Problems
Use Of Laboratory Allergy Testing In Primary Care pdf (2025)(1) - includes advice on use of the STAR tool for assessment of allergy and specific advice on testing for food, inhalant, drug and bee/wasp venom allergy (adults and children).

Advice and Guidance Service

If advice and guidance is still required then this can be requested via e-RS that allows GPs (Bristol & South Glos) to seek advice from Children’s Allergy Team.

The service will advise on:

The recognition, diagnosis and management of:

Food allergies (both immediate, IgE mediated and delayed, non-IgE mediated allergies)
Aero-allergies (including allergic rhinitis, animal dander allergies and house dust mite allergy)
Drug allergies
Venom allergies (e.g. bee or wasp allergies)Advice about which allergy rescue medications (e.g. adrenaline auto-injectors) are required for children with known or suspected allergies.Provision of appropriate resources such as allergy action plans and parent advice.Advice about the diagnosis, investigation and management of urticaria.
Advice about immunisations in children with suspected or established allergies.
Advice about allergy prevention especially in infants considered to be high risk (e.g. moderate to severe eczema, strong family history of atopy, established food allergy already).
Advice about specialist milk formulas for the treatment of cow’s milk allergy (both immediate, IgE mediated and delayed non-IgE mediated allergies).
Advice about which children require review in allergy clinic, general paediatric clinic and/or dietician review.

Exclusions:

Advice will not be given about children > 16 years
Advice will not be given if a child is already known to another consultant within BRHC from any speciality with the same problem.
Advice will not be given if a child is under the care of a paediatrician in another hospital.
Advice will not be given on patients from the North Somerset locality – these should be referred to the Seashore Centre

Please note, simple non-IgE mediated allergy (e.g. milk and/or soya) should be referred directly to dietetics.

Referral

Please see the Paeds Allergy A&G Steps - UHB (word doc) for instructions on how to complete a request through e-Referral.

Resources

(1) Use Of Laboratory Allergy Testing In Primary Care pdf (2025) (updates available on the RCPath website) - Guideline from the Royal College of Pathologists (recommended by local specialists).

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.