Making an Allergy Management Plan

It has been shown that allergy management plans lead to fewer patients having further reactions, and when reactions do happen, they are mostly mild. Importantly, the patient should be educated on measures to avoid the allergen in the future. In food anaphylaxis, it is essential that a dietitian is involved in developing the management plan.


Families and carers, including school staff, must be able to recognise the signs of an allergic reaction and how to administer adrenaline. Follow-up with the parent and child is important to ensure regular re-training and assessment of allergy status.

For Patients with Asthma

If a patient with a serious allergy also has asthma this must be considered a significant risk factor. It is vital to assess their asthma control regularly and take appropriate action to achieve and maintain control of their asthma. This could include adjustment of medication dose, the addition of medication, or a change in inhaler device.


An asthma action plan should be agreed between the patient and their doctor. There is evidence that these improve asthma control, reduce exacerbations and reduce hospital admissions.

Example Care Pathways

The RCPCH Allergy care pathway for anaphylaxis can be implemented locally by a multidisciplinary team. It is focused on creating networks between staff in primary and community health care, social care, education and hospital-based practice to improve services for children with allergic conditions.


The BSACI has produced new Allergy Actions Plans for children at risk of anaphylaxis.

Healthcare Professional Websites

You can find further prescribing information and FAQs designed for healthcare professionals on the manufacturers’ websites: