Guidelines
These guidelines have been developed to support clinicians in the diagnosis and management of Cow’s Milk Allergy. They provide guidance on appropriate prescribing of hypoallergenic formula. These guidelines aim to help support best value and equitable prescribing.
- SEL Guidelines for Prescribing of Hypoallergenic Formula – Full Guideline
- Standard Operating Procedure for Private Hypoallergenic Formula Prescription Requests
Quick Reference Algorithms for Primary Care Clinicians
- Algorithm 1: Diagnosis and Management of Cow’s Milk Allergy Quick Reference for GPs
- Algorithm 2: Guide for prescribing hypoallergenic formula for GPs and pharmacists
Product Guidance
In conjunction with the above guidelines a preferred list of hypoallergenic formula and appropriate volumes has been devised. The traffic light status should help to support appropriate prescribing. Green status indicating preferred products to prescribe, amber second line options and red status identifying products that should only be prescribed under specialist, dietetic advice where a green or amber status product is not suitable.
- Guide 1: Hypoallergenic formula and volume guide
- Guide 2: Guide to transition from regular infant formula to hypoallergenic formula
Referring to dietetic and other local services
All children with suspected Cow’s Milk Allergy should be referred for dietetic support. Children in presenting with delayed symptoms (non-IgE) can be referred to the SEL Cow’s Milk Allergy Rapid Access Clinic (which covers Bexley, Bromley, Lambeth, Lewisham and Southwark patients) or a local dietetic service.
- Pathway for Telephone Non-IgE Cow’s Milk Allergy Rapid Access Clinic
- Referral form for Telephone Non IgE-mediated Cow’s Milk Allergy Rapid Access Clinic
- Referring to local services
Clinician resources and useful websites
These resources can support clinicians in diagnosing and managing Cow’s Milk Allergy
- Allergy-focussed clinical history form
- GP infant feeding network (iMAP information)
- First Steps Nutrition Trust
- UNICEF Breastfeeding Resources
Useful resources for dietetic teams
- Letter 1: Dietetic hypoallergenic formula prescription request letter
- Letter 2: Dietetic discharge on hypoallergenic formula letter
