The Central London Community Healthcare Barnet Appropriate Prescribing service is a non-clinical service that assess the appropriateness of specialist infant formula or Oral Nutritional Supplements (ONS).

Eligibility Criteria

Inclusions

The service will only accept referrals for children who need specialist nutritional support and meet specific criteria.

• under 1 years old and has a confirmed cow's milk protein allergy and has been prescribed a specialist formula
• under 18 years old and has been prescribed oral nutritional supplements
• registered with a Barnet GP.

Exclusions

• registered with a GP outside Barnet
• no specialist formula or nutritional supplement has been prescribed
• child is on a specialist infant formula, but non-IgE CMPA is not confirmed (re-challenge of cow's milk must be completed prior to referral)
• infants exclusively breast fed, and mother is excluding dairy
• child is over 1 year old, is still taking specialist formula, is otherwise healthy and growing well, with no concerns growth (In these cases, the specialist formula should be stopped unless a healthcare professional advises otherwise)
• have been prescribed formula feeds that can be bought over the counter, including:
  • anti-reflux formulas
  • lactose-free formulas
  • comfort formulas
  • hungry baby formulas
• condition that falls outside the referral criteria:
  • Obesity
  • Avoidant/Restrictive Food Intake Disorder (ARFID)
  • Faltering growth
  • Immediate (IgE-mediated) allergies, which should be referred to an allergy clinic instead.

How to Refer