Review decision date: February 2014

Review decision: 

Following consultation with stakeholders this guideline has now been placed on the static list.

Next review date: TBC

The advice in the NICE guideline covers:

  • Children and young people up to their 19th birthday who have symptoms or signs that could suggest food allergy.
  • Children and young people who are at greater risk of developing a food allergy. For example, they may already have another condition linked with allergies such as asthma, atopic eczema (an allergy-related type of eczema that tends to run in families) or allergic rhinitis (a type of allergy that includes hay fever). Alternatively, they may have a parent, brother or sister with a food allergy or allergy-related condition.

It does not specifically look at:

  • Children and young people who have a reaction to a food that is not caused by the immune system (for example, an intolerance to lactose, the main sugar found in dairy products).

This guideline was previously called food allergy in children and young people: Diagnosis and assessment of food allergy in children and young people in primary care and community settings.

Your responsibility

The recommendations in this guideline represent the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, professionals are expected to take this guideline fully into account, alongside the individual needs, preferences and values of their patients or service users. The application of the recommendations in this guideline is not mandatory and the guideline does not override the responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or their carer or guardian.

Local commissioners and/or providers have a responsibility to enable the guideline to be applied when individual health professionals and their patients or service users wish to use it. They should do so in the context of local and national priorities for funding and developing services, and in light of their duties to have due regard to the need to eliminate unlawful discrimination, to advance equality of opportunity and to reduce health inequalities. Nothing in this guideline should be interpreted in a way that would be inconsistent with compliance with those duties.

Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible.

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