The following guidelines have been created by a group of North West London GPs and paediatricians. Click on the bars to expand.
These guidelines address the ‘top 10’ common paediatric presentations that often, due to lack of guidance, result in a secondary care referral. It was felt that by creating easy to use guidelines, GPs can help by managing these conditions in the community where possible, improving quick access to appropriate investigations for children and increasing GP confidence in when and where to refer.
We would really value your feedback on the guidelines, each time you use them, and welcome suggestions for future guidelines that will support you and your patients. See the survey link here.
NW London guideline - management of abdominal pain
Chronic abdominal pain - guideline resources
Recurrent abdominal pain - Patient UK (for doctors)
Evelina A4 guidelines - management of chronic abdominal pain
Chronic abdominal pain - summary of current evidence
Acute abdominal pain - guidelines resources
Acute abdominal pain - Patient UK (for doctors)
Acute abdominal pain management - Healthier London
Lower abdominal pain - Patient UK (for doctor)
Abdominal pain - clinic resources
Abdominal pain - parent and child resources
Recurrent Abdominal Pain Leaflet for Patients or Parents - Patient UK
NW London guideline - management of constipation
Guideline resources
Idiopathic Constipation in Children - Clinical Practice Guidelines - ADC March 2015
Constipation in Children, Remedies and Help.for doctors Patient
Evelina Guidelines - Management of Constipation
Clinic resources
Movicol Leaflet - Stool Diary, Stool Chart, Medication Info
Parent and child resources
For Children - ERIC Constipation advice sheet.
Parents Guide to Disimpaction - ERIC
Constipation in Children - Patient UK (for parents and children)
NW London guideline - management of bedwetting (enuresis)
Guideline resources
Resource for Dr - Patient UK Nocturnal Enuresis in Children
Resource - CKS guidelines on enuresis
Clinic resources
Eric Toileting Reward chart for parents
Eric Parent Toileting Assessment Chart
Parent and child resources
Bedwetting (Nocturnal Enuresis) - Symptoms, Tips & Treatment
Referral Pathway for Specialist Service for Children and Young People with Gender Incongruence
From September 2024: new referrals from Primary Care into Children and Young people’s Gender Services must be first directed to either:
- Children and Young people’s Mental Health services; or
- to Community or Hospital Paediatric services.
National Referral Support Services (only accept referrals from specialist services)
NHS Arden and GEM manage all referrals to NHS Children and Young People’s (CYP) Gender Services on behalf of NHS England and the CYP Gender Service Providers.
CYP Gender Identity Referral Flow Chart
Medical records - safety update
Useful resources
- NHS webpage on gender incongruence and gender dysphoria
- NHS website for young people and families who are referred to the NHS Children and Young People’s Gender Service
- Websites for the NHS Children and Young People’s Gender Services in London and the North West
- eLearning resources have been published by MindED addressing gender and sexual orientation in relation to children and young people. The modules are intended for professionals in healthcare and education settings, and for parents and carers.
- The final report of the independent Cass Review (April 2024)
- The Royal College of Psychiatrists’ Supporting Transgender and Gender Diverse People
- NSPCC Gender Identity: Advice To Help You Understand What Gender Identity Is And How To Support A Child
- NHS England’s service specification for Children and Young People’s Gender Services (June 2023)
NW London guideline - management of headaches
Guideline resources
Migraine in Children - Patient UK (for doctors)
Headaches - Patient UK (for doctors)
Link to NICE guidelines - Headaches in over 12s
Evelina A4 Guidelines - Management of headache
Clinic resources
Headache diary - The Migraine Trust
Parent and children resources
Migraine leaflet - Patient UK (for patient or parent)
Medication overuse headaches - Patient UK (for patient or parent)
Migraine Medication Information Leaflet - Patient UK (for patient or parent)
Headache leaflet - Patient UK (for patient, parent)
Healthy babies & children leaflet
Healthy primary school children leafet
The Ealing Care Experienced Child and Young Person Charter was co-designed by care experienced young people and local GPs to set out GP Practice's commitment to Children Looked After and Care Leavers living in the borough. The charter forms part of the Ealing Healthy Child Local Enhanced Service.
NW London guideline - management of young people who are overweight and obese
Guideline resources
Brent childhood obesity data - 2019-20
NICE - Obesity in CYP (Prevention Guidelines 2015)
Link to NICE guideline CYP Obesity
Clinic resources
BMI calculators (apps and website)
Parent and child resources
NW London guideline - management of urinary tract infection
Guideline resources
NICE Feverish Illness in Children Traffic Light System
Imaging of the Urinary Tract - Patient UK (for doctors)
Evelina Guidelines - Management of UTI
Urinary Tract Obstruction - Patient UK (for doctors)
Childhood UTI - Patient UK (for doctors)
Investigation of Children with UTI
Parent and child resources
What do kidneys do - Kidneys and Urinary Tract Anatomy - Patient.