PAEDIATRIC INNOVATION, EDUCATION & RESEARCH NETWORK
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guidelines & Tools

Regional Guidelines

The PIER tools and guidelines have been created to reduce the variation of care for paediatric conditions throughout the region. They have been created by multidisciplinary clinicians from throughout the region, with input from tertiary consultants, regional speciality networks and accepted national guidance. Our resources also include useful signposting websites for children and young people with chronic health conditions.
Search all the PIER, SORT and Healthier Together Guidelines
New & Updated Guidelines - September 2025
​​
​​
  • Recommendations for the Prevention and Management of Oral Complication in Children and Young People with Cancer (CCLG)​
  • CCLG Guideline for Vaccinations for Paediatric Patients Treated with Standard Dose Chemotherapy and Haemopoeitic Stem Cell Transplants​​
  • Re-vaccination Schedule for Patients Beginning 3 months After Completion of Standard Dose Chemotherapy
Guidelines Coming Soon
​​
  • ​Tics
  • Community Acquired Pneumonia​
  • Infantile Spasms​​
  • Management of Paediatric Haemangiomas
  • Use of Intravenous Iron in the Treatment of Iron Deficiency Anaemia in Children​
  • Diagnosis of Coeliac Disease
  • Penicillin Allergy
  • Children's Cancer Referral Pathway into Southampton Principle Treatment Centre (PTC)
Important
​
New STOPP form now available from the Paediatric Critical Care Network


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Disclaimer

The PIER guidelines have been created collaboratively with ratification through the relevant regional speciality clinical network. They represent the views of the relevant speciality clinical network and have been produced after consideration of the available evidence in conjunction with local expertise.

Guidance does not override the responsibility of healthcare professionals to make decisions appropriate to the individual circumstances of their patients.

Governance and ratification of the PIER Guidelines is kindly performed by the Child Health Governance group at University Hospital Southampton. Overall management of the guidelines is performed by the PIER team.

PIER guidelines are subject to a 3 year review process which takes into account any changes in management or new research. Some guidelines may have reached or passed this review date. These guidelines are still available for use in clinical practice but should be used at the clinicians discretion with appropriate review of any new national guidelines that may be available. PIER does not hold any responsibility for the outcomes of the use for guidelines used outside of their review process.

​Resources contained within the Resource Hub as provided from Trusts within the Wessex and Thames Valley region for free use within the Network's Trusts. These resources are available for local adaptation and are not checked of ratified using the Guidelines governance procedures. Please use these resources at your discretion and with local governance protocols.

PIER Contact

[email protected]

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  • Home
    • PIER Contacts
    • Our Partners
    • Register with PIER
    • News & Updates
    • Funding Application
  • Guidelines
    • Guidelines & Tools
    • Guideline Creation and Governance
    • Child Health Information & Leaflet Directory (CHILD)
    • Guidelines Management
  • Innovation
    • PIER Innovation and Improvement
    • Patient Safety First Projects
    • Innovation & Improvement Resources
    • Contact
  • Education
    • Study Days & Courses
    • STAR Simulation App
    • Podcasts
    • SORT PICU app
    • Southampton Sleep >
      • Southampton Sleep Training
      • Sleep for Health in Hospital
    • Faculty Resources
    • Videos >
      • Gastrostomy Videos
      • EPPIC Critical Care Videos
      • Study Day Recordings >
        • Medical Update Virtual Study Day 2021
        • Moving on up Together 2021
    • Respiratory Videos (High flow, Tracheostomies, Chest drains, and sleep studies)
    • Speciality Training Resources
    • Paediatric Long Term Ventilation Team
    • Life Support Resources
    • #PedsCards Against Humanity
    • Bronchiolitis Surge Resources
    • Other Educational Opportunities
  • Research
    • Regional Research
  • Conference
    • 2025
    • 2024
    • 2023
    • 2022
    • 2021
    • 2020
    • 2019
    • 2018
    • 2017
    • 2016
  • Training
    • Trainee Noticeboard
    • Welcome to Wessex
    • Trainee Rotations & Placement Guide
    • Paediatric Regional Education Programme
    • PREP 1 >
      • PREP 1 Information
      • PREP 1 Resources
    • PREP 2/3 >
      • PREP 2/3 Timetables
      • PREP 2/3 Timetable Upload
      • PREP 2/3 Resources
    • PREP 4/5 >
      • PREP 4/5 Timetables
      • PREP 4/5 Timetable Upload
      • PREP 4/5 Resources
    • PREP 6/7 >
      • PREP 6/7 Timetables
      • PREP 6/7 Timetable Upload
      • PREP 6/7 Resources
    • Mentoring
    • PAFTAs >
      • PAFTAs 2025
      • PAFTAs 2024
      • PAFTAs 2023
      • PAFTAs 2022
      • PAFTAs 2021
      • PAFTAs 2020
      • PAFTAs 2019
      • PAFTAs 2018
    • MRCPCH Exam Guide
    • EPPIC Videos
    • Step Up/Step Back
  • Preceptorships
    • Nursing Preceptorship Programmes
    • Neonatal >
      • Neonatal Preceptorship/Foundation Programme
      • Neonatal Qualified in Speciality (QIS)
    • Paediatric >
      • About
      • Programme Overview
      • Study Days
      • Resources
      • Next Steps
      • Contact
  • Networks
    • Wessex Paediatric Respiratory Network
    • Wessex Children's and Young Adults' Palliative Care Network
    • PREMIER - Paediatric Regional Emergency Medicine Innovation, Education & Research Network
    • Wessex Allergy Network
    • Wessex Paediatric Endocrine Network
    • Wessex Paediatric Antimicrobal Stewardship Network
    • Wessex Diabetes Network
    • Clinical Ethics >
      • Clinical Ethics
    • TV and Wessex Neonatal ODN
    • Regional Referrals to Specialist Services >
      • Wessex Paediatric Neurology Referrals
      • Southampton Sleep Disorders Service Referrals
  • Search