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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.
New & Updated Guidelines - October/November/December 2020
​
Viral Induced Wheeze and Acute Asthma Treatment
  • Full Guideline
​Management of Neonates Born to Mothers with Thyroid Disease
  • Full Guideline
​Management of Suspected Meningitis in Children
  • Full Guideline
Updated Healthier Together Resources
  • New sections added - ENT, Orthopaedics, Ophthalmology
  • Pathways, Safety Netting Documents and Parent Information Documents added to speciality tabs
Management of a Child with Suspected Paediatric Inflammatory Multisystem Syndrome - Temporarily Associated with SARS-CoV2 (PIMS-TS)
  • Full Guideline
​Use of Humidified High Flow in Children
  • Full Guideline

Current number of
​PIER Guidelines
A-Z

A

Abdominal Pain
  • Healthier Together Pathway
  • Healthier Together Safety Netting and Parent Information
Acute Kidney Injury - Prevention & Recognition
  • Flow Chart
  • NICE Guideline
​​Acute Asthma
  • PIER Guideline
  • SORT Guideline​
  • Healthier Together Pathway
  • Healthier Together Safety Netting and Parent Information
Adrenal Crisis (new presentation or pre-existing adrenal insufficiency)
  • Full Guideline
Ambiguous Genitalia (Initial Management of a Baby)
  • Full Guideline
Anaphylaxis
  • Management Proforma
​​Arrhythmia - Tachyarrhythmia with a Pulse
  • SORT Guideline​​
Autosomal Dominant Poly Cystic Kidney Disease
  • National Guideline​

B

Bruising Protocol
  • Hampshire, IoW, Portsmouth and Southampton (HIPS) Guideline
​​Burns
  • ​SORT Guideline
​​Bronchiolitis
  • SORT Guideline
  • ​Healthier Together Pathway
  • Healthier Together Safety Netting and Parent Information

C

Ceftriaxone Administration in Children
  • Full Guideline
  • Statement Regarding Dosing Intervals & Rate of Infusions
Central Venous Access Devices
  • Blocked Central Venous Devices Flow Chart
  • Full Guideline
​Cellulitis
  • Healthier Together Pathway
  • Healthier Together Safety Netting and Parent Information
Chemotherapy Induced Nausea and Vomiting
  • Full Guideline
Child Protection Policies and Procedures (Hampshire, Isle of Wight, Portsmouth and Southampton)
  • Hampshire, IoW, Portsmouth and Southampton (HIPS) Guideline
​Child Protection Companion
  • RCPCH Child Protection Companion
  • RCPCH Child Protection Evidence
​​Child Death
  • ​Multi-agency guidelines on the management of Child Deaths
  • ​Child Death electronic reporting form
  • Government Statutory Guidance on Child Deaths
CMV (Congenital)
  • Full Guideline
Congenital Hypothyroidism (and raised neonatal bloodspot TSH)
  • Full Guideline
Conjunctivitis in Children
  • Healthier Together Safety Netting Documents
Constipation 
  • Healthier Together Safety Netting Documents
Coughs and Colds
  • Healthier Together Safety Netting Documents
Croup
  • Healthier Together Pathway
  • Healthier Together Safety Netting and Parent Information
Cyanosed Infant with Systemic to Pulmonary Shunt (Blalock-Taussig or Sano shunt)
  • Full Guideline

D

​​Decreased Conscious Level RCPCH Guidelines
  • Flow Chart​
Dermatology
  • See Dermatology section
​​Dextrocardia
  • Full Guideline
Diabetes
  • Care of the Well Child with Newly Diagnosed Diabetes (ACDC Guideline)
  • Care of Children Under 18 Undergoing Surgery (ACDC Guideline)
  • Management of Hypoglycaemia in Children with Type 1 Diabetes (ACDC Guideline)
Diabetic Ketoacidosis
  • ​​Integrated Care Pathway
  • Full Guideline
​​Diarrhoea and Vomiting
  • Healthier Together Pathway
  • Healthier Together Safety Netting and Parent Information
Drowning
  • SORT Guideline

E

​Eczema
  • Healthier Together Pathway​
Electrolyte Replacement
  • SORT Guideline​
  • Hypokalaemia Flow Chart
  • Hypomagnesaemia Flow Chart
  • Hyponatraemia Flow Chart
  • ​Hypercalcaemia Flow Chart
  • Hypophosphataemia Flow Chart
Empyema
  • ​SORT Guideline
Encephalitis
  • Flow Chart
  • Full Guideline​
Extravasation
  • ​SORT Guideline​​
  • Chemotherapy Extravasation Guideline

F

Fabricated and Induced Illness
  • Hampshire, IoW, Portsmouth and Southampton (HIPS) Protocol
​​​Facial Nerve Palsy
  • ​Full Guideline
Febrile Neutropaenia
  • Flow Chart
  • Full Guideline​
  • Vancomycin Dosing​
  • Other Antibiotic Dosing
​Fever
  • Healthier Together Pathway
  • Healthier Together Safety Netting and Parent Information
First Afebrile Seizure
  • ​Flow Chart
  • ​Full Guideline​
  • Healthier Together Safety Netting and Parent Information
​First Line Antibiotic Therapy for Specific Childhood Infections
  • Full Guideline

G

Gastroesophageal Reflux
  • Healthier Together Pathway​
Gentamicin Dosing in Children
  • Full Guideline
​GCSF: The Use of Haematopoietic Growth Factors in Paediatric Oncology and Haematology Patients
  • Full Guideline

H

Head Injury
  • Healthier Together Pathway
  • Healthier Together Safety Netting and Parent Information
HSP in Children
  • Full Guideline
HSV (Neonatal)
  • Full Guideline
Humidified High Flow
  • Full Guideline​
Hypercyanotic Spells in Tetralogy of Fallot
  • Full Guideline
  • Flow Chart
Hypertension (Oncology)
  • Full Guideline
  • Flow Chart
Hypertension (Non-Oncology)
  • Flow Chart
Hypocalcaemia
  • Full Guideline
Hypoglycaemia
  • Full Guideline

I

Infant Feeding Guidelines​
  • See full section for complete guideline
  • Healthier Together Pathway
  • Healthier Together Safety Netting Documents
​​Influenza
  • Flow Chart
  • ​Full Guideline
Investigation of New Oncology Patients
  • Full Guideline
  • Essential Blood Tests

J

Jaundice in Babies
  • Healthier Together Safety Netting and Parent Information

K

Kawasaki Disease
  • Full Guideline

L

Limp
  • Healthier Together Pathway
  • Healthier Together Safety Netting and Parent Information
​Lymphadenopathy
  • Healthier Together Pathway
  • Healthier Together Safety Netting and Parent Information
Lymphadenitis
  • Healthier Together Safety Netting and Parent Information

M

Malaria in Children
  • Full Guideline
Mastoiditis
  • ​Healthier Together Safety Netting and Parent Information
Meningitis
  • Full Guideline
Metabolic Emergencies
  • British Inherited Metabolic Diseases Group
Mucositis
  • Full Guideline

N

​​Nasal Humidified Oxygen (High Flow)
  • Flow Chart
  • Full Guideline
Nasojejunal Tube Placement and Basic Care
  • ​Full Guideline
​​Nausea and Vomiting Management (Oncology)
  • Full Guideline
Neonatal Collapse
  • ​SORT Guideline
​Neonatal Guidelines
  • Neonatal Network Guidelines
Nephrotic Syndrome
  • Full Guideline
  • Flow Chart
  • ​Patient Record Book
Nutrition (Oncology)
  • Full Guideline

O

Obesity
  • Full Guideline
Off Treatment Oncology Surveillance
  • Acute Lymphoblastic Leukaemia (ALL) Full Guideline
Oncology Emergencies
  • Anaphylaxis
  • Tumour Lysis Syndrome Flow Chart
  • ​Hyperleucocytosis Flow Chart
  • Typhlitis Flow Chart​
  • Spinal Cord Compression Flow Chart
Oral Steroids - Sick Day Telephone Advice
  • Full Guideline
Otitis Media
  • ​Healthier Together Safety Netting and Parent Information


P

​​Parent Held Oncology Records
  • Full Resources
Palliative Care and Symptom Management
  • Full Guideline
Preorbital Cellulitis
  • Healthier Together Safety Netting and Parent Information
Perioperative Fasting Guidelines
  • Flow Chart
  • Full Guideline
  • ​Advice for Parents/Patients
Pneumonia
  • Healthier Together Safety Netting and Parent Information
Post-exposure prophylaxis (PEP) guidelines for children and adolescents potentially exposed to blood-borne viruses
  • Children's HIV Association Guideline
​​Pseudomonas Treatment
  • Flow Chart
​Psychology​​
  • Local/National Links
  • Book Suggestions
Pyelonephritis
  • ​Healthier Together Safety Netting and Parent Information
Pyloric Stenosis
  • Full Guideline

R

​​Rapid Tranquillisation & the Management of Aggressive and Violent Paediatric Patients
  • Full Guideline
  • ​Flow Chart
Rash with a Fever
  • Healthier Together Pathway
  • Healthier Together Safety Netting and Parent Information
Return of Spontaneous Circulation (ROSC) Management in Children
  • SORT Guideline

S

Sepsis
  • ​SORT Guideline​
  • Healthier Together Pathway
  • Healthier Together Safety Netting and Parent Information
Sickle Cell Crisis
  • Painful Crisis Flow Chart
  • Acute Chest Crisis
    • ​PIER flow chart
    • ​SORT flow chart
Sickle Cell Disease
  • ​Full Guideline
​​​Seizure
  • ​SORT Guideline
Spinal Cord Compression
  • Flow Chart
​Starting TPN (Oncology)
  • Flow Chart
​​​Steroids in Surgery for Children with Adrenal Suppression
  • Full Guideline
Stones (Nephrolithiasis & Nephrocalcinosis)
  • Full Guideline
Stroke
  • RCPCH Guideline
Swollen Joints in Children
  • Full Guideline
  • ​Flow Chart
​Syphilis​ (Congenital)
  • Full Guideline

T

​​TB Testing in Children on Biologics
  • Full Guideline
Tonsillitis
  • ​Healthier Together Safety Netting and Parent Information
Neonates Born to Mothers with Thyroid Disease
  • Full Guideline
Transfusion and Coagulation (Oncology)
  • Full Guideline
  • Flow Chart
Trauma Guideline
  • Full Guideline
Traumatic Brain Injury
  • ​SORT Guideline
​Raised TSH on Neonatal Bloodspot (and initial management of congenital hypothyroidism)
  • Full Guideline
Typhilitis (Oncology)
  • Flow Chart

U

​Undescended Testes
  • ​Full Guideline
Unsettled Baby
  • Healthier Together Pathway
  • Healthier Together Safety Netting and Parent Information
UTI
  • Healthier Together Pathway
  • Healthier Together Safety Netting and Parent Information

V

Vaccinations For Paediatric Patients Treated With Standard-Dose Chemotherapy And Haemopoietic Stem Cell Transplantation Recipients
  • CCLG Guideline
Re-Vaccination Schedule for Patients After Completion of Standard Dose Chemotherapy
  • Full Guideline
Vancomycin 
Dosing in Children
  • Full Guidelines
Veno-Occlusive Disease (Oncology)
  • Full Guideline
Ventricular Shunt Problems
  • Full Guideline
Viral Infections, Viral Prophylaxis and Vaccinations (Oncology)
  • ​Full Guideline
  • Re-Vaccination Schedule for Patients Beginning 6 months After Completion of Standard-Dose Chemotherapy
  • Varicella Contact Flow Chart​
Vitamin D
  • National Osteoporosis Society Guideline (scroll down the page to find guideline 'Vitamin D & Bone Health in Children')

W

Viral Induced Wheeze and Acute Asthma Treatment
  • Full Guideline
Allergy
New Anaphylaxis
  • Management Proforma​
Food Labeling and 'May Contain' Products
  • ​Patient Information Leaflet 
​
​National Links
  • ​​​Anaphylaxis Campaign
  • ​The British Society for Allergy and Clinical Immunology Guidelines
    • BSACI patient Information Leaflets​​
  • Food Allergy Research & Education
  • Itchy Sneezy Wheezy
  • ​MediBand - Medical Alert Bracelets
  • MedicAlert - Medical Alert Bracelets
  • Spare Pens in Schools
  • Preventing Food Allergy in Higher Risk Infants - BSACI Early Feeding Guidance
​The Wessex Allergy Network
Cardiology
Arrhythmia - Tachyarrhythmia with a Pulse
  • SORT Guideline
Dextrocardia
  • Full Guideline
Management of a cyanosed Infant with systemic- to- pulmonary shunt (Blalock-Taussig or Sano shunt)
  • Full Guideline
Hypercyanotic Spells in Tetralogy of Fallot
  • Full Guideline
  • Flow Chart
Kawasaki Disease
  • Full Guideline

​National Links
  • Caring for a Child with a Heart Condition Information Leaflet
  • Discharge Advice for Babies with Uncorrected Tetralogy of Fallot (TOF) Information Leaflet
  • Endocardial Pacemaker Information Leaflet
  • ​Having an Ablation Information Leaflet
  • Hearts4Teens
  • Ocean Ward (Paediatric Cardiology Ward at Southampton Children's Hospital)
  • Support for Families with a Cardiac Diagnosis Information Leaflet
  • ​Your Child's Cardiac Reveal Device Information Leaflet
Child Safeguarding & Child Protection
  • ​Child Protection Policies and Procedures (Hampshire, Isle of Wight, Portsmouth and Southampton)
  • Bruising Protocol
  • ​Fabricated and Induced Illness Protocol
  • RCPCH Child Protection Companion
  • RCPCH Child Protection Evidence
  • GMC Protecting Children and Young People
  • Competency and Training Documents
    • RCPCH
    • Intercollegiate
Child Death
  • Government Statutory Guidance on Child Deaths
  • ​Multi-agency guidelines on the management of Child Deaths
  • ​Child Death electronic reporting form​
Dermatology
British Association of Dermatology Adult & Paediatric Handbook for Junior Doctors
  • Essential Skills
  • Background Knowledge
  • Emergency Dermatology
  • ​Skin Infections & Infestations
  • Skin Cancer
  • Inflammatory Skin Conditions
  • Blistering Disorders
  • Common Important Problems
  • Management
  • Practical Skills​
Cellulitis
  • Healthier Together Pathway
  • Healthier Together Safety Netting and Parent Information
​​Rash with a Fever
  • Healthier Together Pathway
  • Healthier Together Safety Netting and Parent Information

​National Links
  • Health Talk - Eczema
  • ​Itchy Sneezy Wheezy
  • The Birth Mark Support Group
Emergency Medicine
​Burns
  • ​SORT Guideline
​Drowning
  • SORT Guideline
Extravasation
  • ​SORT Guideline​​
​Head Injury
  • Healthier Together Pathway
  • Healthier Together Safety Netting and Parent Information
Use of Humidified High Flow in Children
  • Full Guideline
Return of Spontaneous Circulation (ROSC) Management in Children
  • SORT Guideline
Traumatic Brain Injury
  • ​SORT Guideline
Wessex Children's Major Trauma Guideline
  • Full Guideline
Endocrinology
Steroids in Surgery for Children with Adrenal Suppression
  • Full Guideline
Adrenal Crisis (new presentation or pre-existing adrenal insufficiency)
  • Full Guideline
Acute Hypocalcaemia
  • Full Guideline
Atypical or Ambiguous Genitalia
  • Full Guideline​
Congenital Hypothyroidism (and raised neonatal bloodspot TSH)
  • Full Guideline
Diabetes
  • Care of the Well Child with Newly Diagnosed Diabetes (ACDC Guideline)
  • Care of Children Under 18 Undergoing Surgery (ACDC Guideline)
  • Management of Hypoglycaemia in Children with Type 1 Diabetes (ACDC Guideline)
Diabetic Ketoacidosis
  • ​​Integrated Care Pathway
  • Full Guideline
​ ​Electrolyte Replacement
  • SORT Guideline
  • ​Also see Electrolyte Replacement section of Oncology Guidelines
Hypoglycaemia
  • Full Guideline
Low Vitamin D
  • National Osteoporosis Society Guideline (scroll down the page to find guideline 'Vitamin D & Bone Health in Children')
Obesity in Children and Young People
  • Full Guideline
Sick Day Telephone Advice for Children Taking Regular Oral Steroids
  • Full Guideline
​​Management of Neonates Born to Mothers with Thyroid Disease
  • Full Guideline

​National Links
  • Health Talk - Type 1 Diabetes
ENT
​Lymphadenopathy
  • Healthier Together Pathway
  • Healthier Together Safety Netting and Parent Information
Lymphadenitis
  • Healthier Together Safety Netting and Parent Information
Mastoiditis
  • ​Healthier Together Safety Netting and Parent Information
​Otitis Media
  • ​Healthier Together Safety Netting and Parent Information
​Tonsillitis
  • ​Healthier Together Safety Netting and Parent Information
Gastroenterology
Constipation 
  • Healthier Together Safety Netting Documents
​​​Diarrhoea and Vomiting
  • Healthier Together Pathway
  • Healthier Together Safety Netting and Parent Information
Gastroesophageal Reflux
  • Healthier Together Pathway​
Nasojejunal Tube Placement and Basic Care
  • ​Full Guideline

​National Links
  • Coeliac UK - Information for Teenagers & Young Adults
  • Crohns & Colitis UK​​
Haematology
Sickle Cell Crisis
  • Painful Crisis Flow Chart
  • Acute Chest Crisis Flow Chart
  • SORT Guideline
Sickle Cell Disease
  • ​Full Guideline
​
​
National Links
  • ​The Haemophilia Society
  • ​Sickle Cell Society
  • ​UK Thalassaemia Society
  • ​The Haemophilia Society
  • Southern Haemophillia Network
Infant Feeding Guidelines
Wessex Infant Feeding Guidelines​
  • Introduction
  • Dietitians' Contacts in Wessex
  • Notes on Breast Feeding
  • Infant Formula Prescribing Guide
  • Managing the Unsettled Baby
  • References and Acknowledgements
​Infant Pathways
  • Cow's Milk Protein Allergy
  • ​Allergy-Focused History
  • Gastro-Oesophageal Reflux in Infancy
  • Preterm Infants
  • Faltering Growth in Infants
  • Secondary Lactose Intolerance
  • Infant Colic
Appendices​
  • Milk-Free Diet for Breast Feeding Mothers
  • Milk-Free Diet for Babies
  • Milk and Soya-Free Diet for Babies
  • Lactose-Free Diet for Babies
  • ​Milk-Free Recipes
  • Home Milk Challenge to Confirm CMPA
  • The Milk Ladder
  • What Can I Do If My Child Won't Eat?
  • High Energy Diet For Babies​
Infectious Disease
Ceftriaxone Administration in Children
  • Full Guideline
  • Statement Regarding Dosing Intervals & Rate of Infusions
First Line Antibiotic Therapy for Specific Childhood Infections
  • Full Guideline
Management of Congenital CMV
  • Full Guideline
Gentamicin Dosing in Children
  • Full Guideline
Kawasaki Disease
  • See Cardiology section
​​​Management of Neonatal HSV
  • Full Guideline
Management of Paediatric Influenza
  • Flow Chart
  • ​Full Guideline
Management of Malaria in Children
  • Full Guideline
​Management of Suspected Meningitis
  • Full Guideline​
​Management of Infants at Risk of Congenital Syphilis​
  • Full Guideline
Management of Sepsis
  • ​SORT Guideline​
  • Healthier Together Pathway
  • Healthier Together Safety Netting and Parent Information
​​Post-exposure prophylaxis (PEP) guidelines for children and adolescents potentially exposed to blood-borne viruses
  • Children's HIV Association Guideline
TB Testing in Children on Biologics
  • Full Guideline
Vancomycin Dosing in Children
  • Full Guidelines
​
​
National Links
  • Body & Soul - HIV Support
  • PID UK - Primary Immunodeficiency Support​
  • Meningitis Research Foundation
Mental Health
Rapid Tranquillisation & the Management of Aggressive and Violent Paediatric Patients
  • Full Guideline
  • ​Flow Chart
Self Help Websites for Parents/Patients
  • Local/National Links
  • Book Suggestions
​
​National Links
  • Young Minds​
Metabolic Disorders
Electrolyte Replacement
  • SORT Guideline
  • ​Also see Electrolyte Replacement section of Oncology Guidelines
Metabolic Emergencies
  • British Inherited Metabolic Diseases Group
​
​
National Links
  • Climb
Neonatology
Neonatal Collapse
  • ​SORT Guideline
​Nursing Guidelines (from Neonatal ODN website)
  • ​Mouth Care
  • Spiritual Care
  • Therapeutic Cooling
  • Wound Care
  • Discharge Planning
  • Light Levels
  • Neonatal Palliative Care 
  • Noise Levels
  • Non Nutritive Sucking 
    • Parents Information Leaflet
  • Nursing Care of CPAP or Bi Phasic CPAP
  • Neonatal Behavioural Cues
  • Phototherapy
  • Positioning and Handling on the Neonatal Unit
  • Positive Touch
  • Skin Integrity
  • Suction
  • Taste & Smell
    • Parent’s Information
  • Umbilical Cord Care
​​​Clinical Guidelines (from Neonatal ODN website)
  • ROP Care
  • Cardiac Care
  • Surgical Care
  • Surfactant
  • Neonatal Alcohol Syndrome
  • Bilious Vomiting
  • Nutritional Care of Infants
  • Wessex Postnatal Ward Guidelines
​Congenital Hypothyroidism (and raised neonatal bloodspot TSH)
  • Full Guideline
​Initial Management of a Baby with Atypical or Ambiguous Genitalia
  • Full Guideline
​Management of Congenital CMV
  • See Infectious Disease
Nephrology
COVID-19 Specialty Information

  • ​British Association of Paediatric Nephrology - Update to clarify advice on Social Distancing for Children and Young People
  • Covering letter for Parents

Acute Kidney Injury - Prevention & Recognition
  • Flow Chart
  • ​NICE Guideline
​Autosomal Dominant Poly Cystic Kidney Disease
  • National Guideline
Electrolyte Replacement
  • SORT Guideline
  • ​Also see Electrolyte Replacement section of Oncology Guidelines
Management of HSP in Children
  • Full Guideline
Nephrotic Syndrome
  • Full Guideline
  • Flow Chart
  • ​Patient Record Book
Pyelonephritis
  • ​Healthier Together Safety Netting and Parent Information
Recognition & Follow up of Hypertension
  • Flow Chart
Stones (Nephrolithiasis & Nephrocalcinosis)
  • Full Guideline
​UTI
  • Healthier Together Pathway
  • Healthier Together Safety Netting and Parent Information

​
National Links
  • InfoKid
Neurology & Neurosurgery
Facial Nerve Palsy
  • ​Full Guideline
​​ First Afebrile Seizure
  • ​Flow Chart
  • ​Full Guideline
  • Healthier Together Safety Netting and Parent Information
The Management of Children & Young People with Acute Decreased Conscious Level RCPCH Guidelines
  • Flow Chart​
Management of Hydrocephalus or Blocked Ventricular Shunt
  • Full Guideline
​Management of Suspected Encephalitis
  • Flow Chart
  • Full Guideline​
Prolonged Seizure
  • ​SORT Guideline
​Stroke
  • RCPCH Guideline

​National Links
  • Young Epilepsy
  • ​Epilepsy Action
  • ​Syncope Trust And Reflex Anoxic Seizures (STARS)
  • ​Spina Bifida
  • ​Hydrocephalus
  • ​Neurofibromatosis
  • Tuberous Sclerosis
  • ​Muscular Dystrophy
Oncology
COVID-19 Specialty Information
  • ​Children's Cancer and Leukaemia Group - Guidance for Children and Young People Undergoing Cancer Treatment

​Care and Management of Central Venous Access Devices
  • Blocked Central Venous Devices Flow Chart
  • Full Guideline
​Chemotherapy Induced Nausea and Vomiting
  • Full Guideline
Electrolyte Replacement
  • Hypokalaemia Flow Chart
  • Hypomagnesaemia Flow Chart
  • Hyponatraemia Flow Chart
  • ​Hypercalcaemia Flow Chart
  • Hypophosphataemia Flow Chart
Extravasation of Chemotherapy
  • Full Guideline​
Febrile Neutropaenia
  • Flow Chart
  • Full Guideline​
  • Vancomycin Dosing​
  • Other Antibiotic Dosing
​GCSF: The Use of Haematopoietic Growth Factors in Paediatric Oncology and Haematology Patients
  • Full Guideline
Hypertension
  • Full Guideline
  • Flow Chart
Investigation of New Patients
  • Full Guideline
  • Essential Blood Tests
Mucositis
  • Full Guideline
Nausea and Vomiting Management
  • Full Guideline
Nutrition
  • Full Guideline
Off Treatment Surveillance
  • Acute Lymphoblastic Leukaemia (ALL) Full Guideline
Oncology Emergencies
  • Anaphylaxis
  • Tumour Lysis Syndrome Flow Chart
  • ​Hyperleucocytosis Flow Chart
  • Typhlitis Flow Chart​
  • Spinal Cord Compression Flow Chart
Parent Held Oncology Records
  • Full Resources
Palliative Care and Symptom Management
  • Full Guideline
​Spinal Cord Compression
  • Flow Chart
​Starting TPN
  • Flow Chart
Transfusion and Coagulation 
  • Full Guideline
  • Flow Chart
Typhilitis
  • Flow Chart
Vaccinations For Paediatric Patients Treated With Standard-Dose Chemotherapy And Haemopoietic Stem Cell Transplantation Recipients
  • CCLG Guideline
Re-Vaccination Schedule for Patients After Completion of Standard Dose Chemotherapy
  • Full Guideline
Viral Infections, Viral Prophylaxis and Vaccinations
  • ​Full Guideline
  • Re-Vaccination Schedule for Patients Beginning 6 months After Completion of Standard-Dose Chemotherapy
  • Varicella Contact Flow Chart
  • Post Exposure Prophylaxis for Varicella and Shingles
​Veno-Occlusive Disease
  • Full Guideline
​
​
National Links
  • ​Macmillan Teen & Young Adult Support
  • Teenage Cancer Trust
  • ​The Brain Tumour Charity
  • CLIC Sargent
  • Children's Cancer & Leukaemia Group
Ophthalmology
Preorbital Cellulitis
  • Healthier Together Safety Netting and Parent Information
Orthopaedics
Limp
  • Healthier Together Pathway
  • Healthier Together Safety Netting and Parent Information​
Rheumatology
Kawasaki Disease
  • Full Guideline
Swollen Joints in Children
  • Full Guideline
  • ​Flow Chart
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National Links
  • Children's Chronic Arthritis Association
  • ​Health Talk - Arthritis
Respiratory
Acute Asthma
  • PIER Guideline
  • SORT Guideline​
  • ​Healthier Together Pathway
  • Healthier Together Safety Netting and Parent Information
​Bronchiolitis
  • SORT Guideline
  • Healthier Together Pathway
  • Healthier Together Safety Netting and Parent Information
Croup
  • Healthier Together Pathway
  • Healthier Together Safety Netting and Parent Information
Empyema
  • ​SORT Guideline
Nasal Humidified Oxygen (High Flow)
  • Full Guideline
​​ Pneumonia
  • Healthier Together Safety Netting and Parent Information​
Pseudomonas Treatment
  • Flow Chart
Viral Induced Wheeze and Acute Asthma Treatment
  • Full Guideline​​

​National Links
  • Asthma UK - Living with Asthma
  • ​Cystic Fibrosis Trust