Guidelines

SPARN has developed a number of guidelines, protocols and pathways to support clinicians with the care of a patient with a rheumatological condition. Additional guidelines are being developed in 2024/25. Please check back soon for updates.

SPARN GuidelinesReview date
‘COVID digits’ 03/2025
Initial Diagnosis of Macrophage Activation Syndrome03/2025
Flu statement03/2025
Pamidronate ProtocolUnder review
Rituximab Guideline06/2026
Iloprost Guideline06/2025
CNO Guideline05/2025
Infliximab Guideline06/2025
NSAIDs Guideline07/2026
Methotrexate Guideline07/2027
Kawasaki Guideline07/2027
Scleroderma Guideline07/2027
Use of Janus kinase inhibitors01/2028

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External Guidelines
BSR – Guidance Management Symptomatic Hypermobility
WHO – Guidance for the Management of Chronic Pain in Children
NICE – Vitamin D deficiency in children Guideline

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Pathways & Resources
Checklist for clinical guideline development
SPARN Standard for Paediatric Rheumatology Clinics
Raynaud’s Advice sheet
Raynaud’s holiday advice
https://www.nn.nhs.scot/sparn/wp-content/uploads/sites/18/2024/10/Network-JI-Request-form-v1.doc
Joint Injection Request Proforma
Referral Pathway for Children with Joint Hypermobility
Standards of care for children and young people with JIA