GPFR

Many children will have been seen only once or twice at the hospital for diagnosis of their allergy. The GP will provide day to day care and medical advice. The GP will have access to the hospital out patient letters and should be able to confirm whether the child has one or more allergies, what the child is allergic to and whether that child is at risk of anaphylaxis or has had an anaphylactic reaction

The GP may not provide details of how the allergy was diagnosed. However, if the GP confirms an allergy is present and is prescribing adrenaline autoinjectors, it is likely that there is a risk of anaphylaxis.

Hospital FR

The allergy specialist is likely to be able to confirm the presence of allergy because they will have access to the hospital records containing records of the allergy tests performed. They are likely to be able to confirm whether there is a risk of anaphylaxis. They are also likely to be able to give a reasonable description of the effects of the allergy on the child and their family even if they have not seen them for several years. An allergy specialist will be able to diagnose and define the risk of anaphylaxis for conditions where allergy tests would normally be negative e.g. chronic urticaria or food and exercise induced anaphylaxis.

If the allergy has got worse and is now causing multiple problems that are being managed by the GP the HFR is unlikely to reflect this.