TY - JOUR
AU - P. J. Turner
AU - E. Angier
AU - K. Brunas
AU - S. Burrell
AU - M. Chisholm
AU - E. Derrick
AU - M. Doyle
AU - C. Drummond
AU - H. Evans-Howells
AU - A. Fox
AU - M. Gopi
AU - N. Khan
AU - S. Leech
AU - S. Ludman
AU - N. Makwana
AU - T. Marrs
AU - K. Montagni
AU - S. Padua
AU - N. Patel
AU - G. Raptis
AU - E. Stoneham
AU - D. Vyas
AU - A. Warner
AU - S. Williams
AU - K. Cowan
A1 - 
AB - BACKGROUND: Demand for paediatric allergy services has risen significantly over the past 20 years. National health datasets suggest almost 40% of children have an allergy diagnosis. Existing service standards from the Royal College of Paediatrics and Child Health (RCPCH) have focused on specific disease care pathways and the interface between primary and secondary care services. Given strategic changes to NHS children and young people's services, we undertook a collaborative project between RCPCH and the British Society of Allergy and Clinical Immunology (BSACI) to define service priorities for Paediatric Allergy Care accreditation in the UK. METHODS: A BSACI working group developed 29 potential service standards. A consultation was then undertaken amongst BSACI members to identify indicative priorities. Potential standards were then prioritised using methodology adapted from the James Lind Alliance, by 24 stakeholders representing patients/patient groups (9), commissioners (2) and healthcare professionals (13). RESULTS: Seventeen strategic priorities were identified, under the following 6 themes: service delivery, prevention, diagnostics, management, communication, maintaining standards/education. These included: setting a minimum staffing mix for multidisciplinary teams providing paediatric allergy care (medical specialist(s), specialist nurse, dietitian, health psychologist); prompt recognition and management of complex, multisystem allergic disease; working within a regional network to ensure access to specialist paediatric allergy services; use of integrated care pathways and supporting primary care accordingly; supporting early access to interventions proven to reduce the risk of atopic disease (with consideration to potential barriers to access, including language, cultural, socioeconomic factors and other communication barriers); offering a referral pathway for disease-modifying treatment where appropriate and effective transitioning to adult care. CONCLUSIONS: These priorities form a basis for the delivery of high-quality care to children and young people affected by allergic disease.
AD - Imperial College Healthcare NHS Trust/Imperial College London, London, UK.; Portfolio GP and Research Student, Primary Care, Population Sciences and Medical Education, University of Southampton, Southampton, UK.; Patient Representative, C/O BSACI, London, UK.; Lewisham and Greenwich NHS Trust, London, UK.; Island Medical Centre, St Helier, Jersey.; Dr Helen Allergy, Ringwood, UK.; Guy's and St Thomas' NHS Foundation Trust, London, UK.; National Allergy Strategy Group, C/O BSACI, London, UK.; Macclesfield District General Hospital/East Cheshire NHS Trust, Macclesfield, UK.; University Hospitals of Leicester NHS Trust, Leicester, UK.; Royal College of Physicians-Improving Quality in Allergy Services (IQAS), London, UK.; British Society for Allergy & Clinical Immunology, London, UK.; Royal Devon University Healthcare NHS Foundation Trust, Exeter, UK.; Sandwell and West Birmingham NHS Trust, Birmingham, UK.; Royal Hospital for Children, Glasgow, UK.; West Hertfordshire Teaching Hospitals NHS Trust, Watford, UK.; Allergy UK, Crayford, UK.; Anaphylaxis UK, Surrey, UK.; Katherine Cowan Consulting, East Sussex, UK.
AN - 41242881
BT - Clin Exp Allergy
C5 - Education & Workforce; Healthcare Disparities
CP - 1
DA - Jan
DO - 10.1111/cea.70176
DP - NLM
ET - 20251116
IS - 1
JF - Clin Exp Allergy
LA - eng
N2 - BACKGROUND: Demand for paediatric allergy services has risen significantly over the past 20 years. National health datasets suggest almost 40% of children have an allergy diagnosis. Existing service standards from the Royal College of Paediatrics and Child Health (RCPCH) have focused on specific disease care pathways and the interface between primary and secondary care services. Given strategic changes to NHS children and young people's services, we undertook a collaborative project between RCPCH and the British Society of Allergy and Clinical Immunology (BSACI) to define service priorities for Paediatric Allergy Care accreditation in the UK. METHODS: A BSACI working group developed 29 potential service standards. A consultation was then undertaken amongst BSACI members to identify indicative priorities. Potential standards were then prioritised using methodology adapted from the James Lind Alliance, by 24 stakeholders representing patients/patient groups (9), commissioners (2) and healthcare professionals (13). RESULTS: Seventeen strategic priorities were identified, under the following 6 themes: service delivery, prevention, diagnostics, management, communication, maintaining standards/education. These included: setting a minimum staffing mix for multidisciplinary teams providing paediatric allergy care (medical specialist(s), specialist nurse, dietitian, health psychologist); prompt recognition and management of complex, multisystem allergic disease; working within a regional network to ensure access to specialist paediatric allergy services; use of integrated care pathways and supporting primary care accordingly; supporting early access to interventions proven to reduce the risk of atopic disease (with consideration to potential barriers to access, including language, cultural, socioeconomic factors and other communication barriers); offering a referral pathway for disease-modifying treatment where appropriate and effective transitioning to adult care. CONCLUSIONS: These priorities form a basis for the delivery of high-quality care to children and young people affected by allergic disease.
PY - 2026
SN - 0954-7894 (Print); 0954-7894
SP - 7
EP - 14+
ST - Identifying and Prioritising BSACI Service Standards for Paediatric Allergy in the United Kingdom
T1 - Identifying and Prioritising BSACI Service Standards for Paediatric Allergy in the United Kingdom
T2 - Clin Exp Allergy
TI - Identifying and Prioritising BSACI Service Standards for Paediatric Allergy in the United Kingdom
U1 - Education & Workforce; Healthcare Disparities
U3 - 10.1111/cea.70176
VL - 56
VO - 0954-7894 (Print); 0954-7894
Y1 - 2026
ER -