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British Medical Bulletin 56:1087-1101 (2000)
© 2000 The British Council

research-article

Provision of allergy care for optimal outcome in the UK

Pamela W Ewan

Allergy and Clinical Immunology Clinic, Addenbrooke's Hospital Cambridge, UK

Correspondence to:Dr Pamela W Ewan, Allergy and Clinical Immunology Clinic, Box 40, Addenbrooke's Hospital, Hills Road, Cambridge CB2 2QQ, UK

Abstract

Allergy is common and the prevalence has increased substantially in the last 2–3 decades. There has been a particular increase in severe allergic diseases, including anaphylaxis, food, drug and latex rubber allergy. Provision of allergy services in the NHS is extermely poor and there is a huge unmet need. Allergy is a full speciality, but there are few consultants and few trainees. Whilst other specialists have a role in the management of allergy, it is no longer adequate to devolve most of allergy care to them adequate standards of care can be achieved. The lack of care leads to morbidity, mortality and substantial cost to the NHS, much of which is avoidable and this requires recognition by Trust Managers, Regional Commissioners and the Department of Health.


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