This page is always a work in progress.  There are some good paediatric primary and urgent care guidelines here, listed alphabetically as a quick reference for relevant clinicians.  They do go out of date so make sure you check whether the source has any newer versions.

Please leave suggestions below if there is anything you particularly want listed or indeed if you want a long guideline you like condensed down to one page.

• Abdominal pain
  • NHS Luton’s care pathway
  • NHS Luton’s parental advice sheet
  • CYP chronic abdominal pain
  • West Suffolk on chronic abdominal pain
• Allergic rhinitis
  • British Society of Allergy and Clinical Immunology (BSACI) 1 page algorithm on rhinitis
• Allergy plans for individualising from BSACI (http://www.bsaci.org/about/pag-allergy-action-plans-for-children)
• Anaphylaxis
  • West Suffolk’s guide to anaphylaxis and after care.  Please note that pathways will be different in different regions.  Recognised paediatric allergy clinics are all listed at www.bsaci.org
• Assessment of a sick child
  • University of Southampton’s guide with normal observation values by age group
• Asthma
  • NHS Bradford and Airedale acute wheeze and asthma in under 5s
  • NHS Bradford and Airedale acute asthma in over 5s
  • NHS Bradford and Airedale wheeze management plan to fill in for parents
  • UCLH annual assessment proforma
  • child’s log book plus lots of child friendly information about their inhalers, spacer, peak flow meter etc. Devised in Luton I think.
  • West Suffolk’s management of asthma and wheeze in the under 2s
  • West Suffolk’s management of asthma and wheeze in the over 2s
  • West Suffolk’s asthma management plan – family held notes
  • Asthma UK paediatric plans to personalise
  • Height related PEFR centiles
  • BTS/SIGN steps in asthma management for children aged 5-12 years
  • BTS/SIGN steps in asthma management for children under 5 years of age
• Autism
• Blood pressure normal ranges in children as per European guidelines:
  • Blood pressure values according to the “Fourth report”
  • Ambulatory Blood Pressure values
• Blood test reference values
  • Whipps Cross reference values – may not be the same as other labs but give a ball park figure for children: http://www.paediatricpearls.co.uk/wp-content/uploads/Blood_test_reference_ranges_for_children.doc
• Breastfeeding
  • Redbridge breastfeeding cafes
• Bronchiolitis
  • West Sussex CYP urgent care network advice sheet
  • West Sussex CYP urgent care network 0-2 year old management in primary care
• Colic
  • West Suffolk on recognition and management of colic
•  Constipation
  • CYP NHS network 1 page guideline for primary care
  • Barnet CCG draft constipation guideline
  • Bristol stool chart for children (sponsored by Movicol)
  • Stool diary leaflet from Movicol
  • NHS Lothian functional constipation guideline (it’s not all about Movicol!)
• Cough
  • Barnet CCG draft guideline on cough (1 page)
• Cows milk protein allergy
  • Re-introducing cows milk at home from Royal London Hospital allergy team
  • West Suffolk’s brief outline to the background and management of CMPA in primary care
  • MAP guideline to managing CMPA in primary care
  • North Somerset’s guideline on milk related problems in children (a bit long but explains difference between lactose intolerance and cows milk protein allergy well and incorporates useful algorithms for both and suggestions of milk substitutes)
  • Suitable milks for use in babies with CMPA in the UK: http://www.paediatricpearls.co.uk/wp-content/uploads/CMPA-milks.pdf
  • Mead Johnson have some good resources for parents on weaning on a dairy free diet:
    • www.nutramigen.co.uk/files/5113/5098/4059/Feeding_tips_for_toddlers_from_1_year_hcp.pdf
    • www.nutramigen.co.uk/files/1913/4978/6004/Weaning_and_up_to_1_year_hcp.pdf
• Dermatological complaints
  • viral exanthems
• Developmental red flags
  • Worcester Speech and Language Therapists’ guidelines on when to refer children of different ages to them
  • Waltham Forest community paediatric developmental reminders and “when to refer”
  • CYP developmental milestones
• Diarrhoea and vomiting
  • Worked examples for enteral rehydration of children with D&V
  • Luton’s out of hospital assessment tool – includes oral fluid challenge form for parents
  • Luton’s parental advice sheet
  • Nottingham’s parental advice sheet
  • Worcester’s gastro telephone assessment tick sheet
  • Worcester’s one page face to face community assessment of D and V
  • West Suffolk on D&V
• Eating disorders
  • Junior MARSIPAN risk assessment tool
  • Link to RCPsych 2012 Junior MARSIPAN full guideline
•  Eczema
  • CYP eczema management
  • West Suffolk’s 2 page eczema primary care management guideline
  • Dr Sahota’s eczema plan to personalise
• ENT referral pathways from Newcastle upon Tyne originally but incorporated into East and North Hertfordshire guideline which is where this hyperlinks to.
•  Enuresis
  • Barnet CCG draft guideline on enuresis (1 page)
  • CYP basics of enuresis
• Epilepsy
• Faltering growth
• Febrile convulsions
  • Febrile seizure advice sheet from Eastern Paediatric Epilepsy Network
• Fever
  • West Sussex CYP urgent care group’s parental advice sheet
  • West Sussex CYP pathway for children under 5 with fever in primary care
  • Luton’s remote assessment of fever
  • Gloucester’s common assessment fever tool – with tick chart for remote assessment
  • West Suffolk fever algorithm with updated NICE guideline and remote assessment guide
  • NICE 2013 traffic light table
• Food allergy
  • NHS Lothian on lactose intolerance and increasing calcium in diet – parent information leaflet.  NB: lactose intolerance is not an allergy and is fairly rare in children – do not confuse with cows milk protein allergy!
  • NHS Lothian on calcium in a milk free diet.  Includes information for parents about vitamin D.
  • CYP on food allergy
• Fussy eating
  • NHS Lothian’s handout: nutritional advice for young fussy eaters and for older fussy eaters
  • NHS Lothian on increasing dietary iron
  • https://www.infantandtoddlerforum.org/ is run by healthcare professionals and has all you and your patients ever need to know on nutrition, portion sizes, fussy eating tips etc.  Downloadable info sheets.  Highly recommended.
• Gastro-oesophageal reflux
  • CYP NHS Network 1 page guideline for primary care
  • West Suffolk’s guide to management of GOR(D)
• Growth
  • Aide memoire to correcting for gestational age on growth charts
•  Headache
  • CYP one page headache guidance
• Head injury
  • Advice leaflet for parents
  • Brighton’s advice to community staff on management of head injuries – which to refer.
• Healthy Lifestyle
  • 5 page summary of resources and information on aspects of a healthy lifestyle such as sleep, diet, exercise and psychology.
•  Hypermobility
  • Ashford and St Peter’s physiotherapists’ patient information leaflet
• Immunisation
  • East London Integrated Care pathway on MMR in egg allergic children
• Infectious disease notification
  • PHE notification form
  • PHE poster of notifiable diseases
• Jaundice, prolonged
  • Waltham Forest’s prolonged jaundice results sheet
• Limp, atraumatic
  • Whipps Cross algorithm for urgent care services
  • Whipps Cross parent information leaflet
• Lymphadenopathy
  • Barnet CCG draft guideline (1 page)
  • CYP one page lymphadenopathy guideline
• Nutrition and weaning
  • • Leicester dieticians’ website with a wealth of leaflets on weaning, feeding the premature baby, vegetarian baby, Asian diet etc.
  • • British Dietetic Association information on a healthy vegetarian diet.
  • • Other BDA factsheets for adults and children at http://www.bda.uk.com/foodfacts/
  • Redbridge’s Healthy Eating team’s referral form and information on their drop-in groups for children above a healthy weight
• Orthopaedic normal variants
• Pneumonia
• Syncope
• Tonsillectomy referral
• Urinary tract infection
  • Barnet CCG draft guideline on UTI (1 page)
  • Whipps Cross summary of NICE guideline on treatment, imaging and follow up
  • CYP 2 page guide to UTI management
• Vitamin D deficiency
  • Royal London Hospital’s guideline with lower doses than BNF so less risk of toxicity and less need for blood results – bit old now so I have requested the updated protocol
  • Hackney CCG pathways for Vitamin D deficiency in children
  • British Dietetic Association’s food fact sheet on Vitamin D for patients/parents
  • Royal College of Paediatrics and Child Health guideline on vitamin D (2013)

Page last updated:   22nd May 2021