TY - JOUR T1 - NICE food allergy and anaphylaxis quality standards: a review of the 2016 quality standards JF - British Journal of General Practice JO - Br J Gen Pract SP - 138 LP - 139 DO - 10.3399/bjgp17X689833 VL - 67 IS - 656 AU - Joanne Walsh Y1 - 2017/03/01 UR - http://bjgp.org/content/67/656/138.abstract N2 - The National Institute for Health and Care Excellence (NICE) has in the last 5 years published guidance on several aspects of clinical allergy. In March 2016 they published quality standards on food allergy (QS 118)1 and anaphylaxis (QS 119).2Despite the recent increase in allergy guidance, not only from NICE but also in the form of a Department of Health Commissioned Pathway Project with the Royal College of Paediatrics and Child Health (RCPCH),3 and several NICE-accredited guidelines from the British Society for Allergy and Clinical Immunology (BSACI), inconsistencies remain in the management of food allergy and anaphylaxis. The National Review of Asthma Deaths highlights that some deaths may have been prevented had there been better management of those with asthma and allergies. Recognition that in uncontrolled asthma, allergic triggers such as food allergy should be considered and also acknowledging that having asthma increases the risk of life-threatening reactions in, for example, those with food allergies, may have prevented some of the deaths.4It is hoped that these quality standards, accompanied by their performance measures, may drive a further awareness of ideal care of those with suspected food allergy and/or anaphylaxis.The quality standards are divided into six statements for food allergy and four for anaphylaxis. They are based on the corresponding NICE guidelines.Quality statement 1: historyIdentifying the possibility of food allergy comes from taking what NICE terms an allergy-focused clinical history. … ER -