These guidelines have been developed to support primary care 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 clinical and cost effective prescribing.

Quick Reference Algorithms for Primary Care Clinicians

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.

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.

Clinician resources and useful websites

These resources can support clinicians in diagnosing and managing Cow’s Milk Allergy

Useful resources for dietetic teams

Useful websites for parents / carers

SEL cow’s milk allergy management video

South East London Integrated Care System

Visit ICS Website

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