{"id":1253,"date":"2020-06-29T13:30:34","date_gmt":"2020-06-29T12:30:34","guid":{"rendered":"https:\/\/www.sparn.scot.nhs.uk\/?page_id=1253"},"modified":"2026-02-06T15:40:50","modified_gmt":"2026-02-06T15:40:50","slug":"guidance","status":"publish","type":"page","link":"https:\/\/www.nn.nhs.scot\/sparn\/professionals\/guidance\/","title":{"rendered":"Guidance"},"content":{"rendered":"\n<p>Here you will find a suite of useful SPARN guidance, pathways, protocols and templates.<\/p>\n\n\n\n<table id=\"tablepress-4\" class=\"tablepress tablepress-id-4\">\n<thead>\n<tr class=\"row-1\">\n\t<th class=\"column-1\">SPARN Guidelines<\/th><th class=\"column-2\">Review date<\/th>\n<\/tr>\n<\/thead>\n<tbody class=\"row-striping row-hover\">\n<tr class=\"row-2\">\n\t<td class=\"column-1\"><a href=\"https:\/\/www.nn.nhs.scot\/sparn\/wp-content\/uploads\/sites\/18\/2025\/08\/NSD610-013.19-SPARN-Bisphosphonate-protocol-V1.pdf\" rel=\"noopener\" target=\"_blank\">Bisphosphonate protocol <\/a><\/td><td class=\"column-2\">08\/2028<\/td>\n<\/tr>\n<tr class=\"row-3\">\n\t<td class=\"column-1\"><a href=\"https:\/\/www.nn.nhs.scot\/sparn\/wp-content\/uploads\/sites\/18\/2025\/08\/NSD610-013.11-SPARN-Chickenpox-pathway-V1.pdf\" rel=\"noopener\" target=\"_blank\">Chickenpox pathway <\/a><\/td><td class=\"column-2\">03\/2028<\/td>\n<\/tr>\n<tr class=\"row-4\">\n\t<td class=\"column-1\"><a href=\"https:\/\/www.sparn.scot.nhs.uk\/wp-content\/uploads\/sites\/18\/2022\/06\/NSD610-013.12-SPARN-Diagnosis-investigation-and-management-of-acutely-swollen-fingers-and-toes-\u2018COVID-digits.pdf\" rel=\"noopener\" target=\"_blank\">\u2018COVID digits&#8217; <\/a><\/td><td class=\"column-2\">03\/2025<\/td>\n<\/tr>\n<tr class=\"row-5\">\n\t<td class=\"column-1\"><a href=\"https:\/\/www.sparn.scot.nhs.uk\/wp-content\/uploads\/sites\/18\/2022\/06\/NSD610-013.05-SPARN-Initial-diagnosis-of-Macrophage-Activation-Syndrome.pdf\" rel=\"noopener\" target=\"_blank\">Initial Diagnosis of Macrophage Activation Syndrome<\/a><\/td><td class=\"column-2\">03\/2025<\/td>\n<\/tr>\n<tr class=\"row-6\">\n\t<td class=\"column-1\"><a href=\"https:\/\/www.nn.nhs.scot\/sparn\/wp-content\/uploads\/sites\/18\/2024\/07\/NSD610-013.01-SPARN-Flu-vaccination-statement.pdf\" rel=\"noopener\" target=\"_blank\">Flu statement<\/a><\/td><td class=\"column-2\">03\/2025<\/td>\n<\/tr>\n<tr class=\"row-7\">\n\t<td class=\"column-1\"><a href=\"https:\/\/www.sparn.scot.nhs.uk\/wp-content\/uploads\/sites\/18\/2023\/09\/2023-09-05-SPARN-Iloprost-guideline-v1.docx\" rel=\"noopener\" target=\"_blank\">Iloprost Guideline<\/a><\/td><td class=\"column-2\">06\/2025<\/td>\n<\/tr>\n<tr class=\"row-8\">\n\t<td class=\"column-1\"><a href=\"https:\/\/www.sparn.scot.nhs.uk\/wp-content\/uploads\/sites\/18\/2023\/09\/2023-09-05-SPARN-CNO-guideline-v1.docx\" rel=\"noopener\" target=\"_blank\">CNO Guideline<\/a><\/td><td class=\"column-2\">05\/2025<\/td>\n<\/tr>\n<tr class=\"row-9\">\n\t<td class=\"column-1\"><a href=\"https:\/\/www.sparn.scot.nhs.uk\/wp-content\/uploads\/sites\/18\/2023\/09\/2023-05-25-SPARN-Infliximab-guideline-v1.docx\" rel=\"noopener\" target=\"_blank\">Infliximab Guideline<\/a><\/td><td class=\"column-2\">06\/2025<\/td>\n<\/tr>\n<tr class=\"row-10\">\n\t<td class=\"column-1\"><a href=\"https:\/\/www.nn.nhs.scot\/sparn\/wp-content\/uploads\/sites\/18\/2025\/02\/NSD610-013.17-SPARN-Kawasaki-guideline.pdf\" rel=\"noopener\" target=\"_blank\">Kawasaki Guideline<\/a><\/td><td class=\"column-2\">07\/2027<\/td>\n<\/tr>\n<tr class=\"row-11\">\n\t<td class=\"column-1\"><a href=\"https:\/\/www.nn.nhs.scot\/sparn\/wp-content\/uploads\/sites\/18\/2025\/02\/NSD610-013.14-SPARN-Methotrexate-guideline.pdf\" rel=\"noopener\" target=\"_blank\">Methotrexate Guideline<\/a><\/td><td class=\"column-2\">07\/2027<\/td>\n<\/tr>\n<tr class=\"row-12\">\n\t<td class=\"column-1\"><a href=\"https:\/\/www.nn.nhs.scot\/sparn\/wp-content\/uploads\/sites\/18\/2025\/08\/NSD610-013.04-SPARN-Methylprednisolone-guideline-v1.pdf\" rel=\"noopener\" target=\"_blank\">Methylprednisolone guideline<\/a><\/td><td class=\"column-2\">06\/2028<\/td>\n<\/tr>\n<tr class=\"row-13\">\n\t<td class=\"column-1\"><a href=\"https:\/\/www.sparn.scot.nhs.uk\/wp-content\/uploads\/sites\/18\/2023\/09\/2023-07-28-SPARN-NSAIDs-Guideline-v1.docx\" rel=\"noopener\" target=\"_blank\">NSAIDs Guideline<\/a><\/td><td class=\"column-2\">07\/2026<\/td>\n<\/tr>\n<tr class=\"row-14\">\n\t<td class=\"column-1\"><a href=\"https:\/\/www.nn.nhs.scot\/sparn\/wp-content\/uploads\/sites\/18\/2025\/08\/NSD610-013.18-SPARN-Rituximab-guideline-V1.pdf\" rel=\"noopener\" target=\"_blank\">Rituximab guideline<\/a><\/td><td class=\"column-2\">06\/2028<\/td>\n<\/tr>\n<tr class=\"row-15\">\n\t<td class=\"column-1\"><a href=\"https:\/\/www.nn.nhs.scot\/sparn\/wp-content\/uploads\/sites\/18\/2025\/02\/NSD610-013.16-SPARN-Juvenile-Localised-Scleroderma-guideline.pdf\" rel=\"noopener\" target=\"_blank\">Scleroderma Guideline<\/a><\/td><td class=\"column-2\">07\/2027<\/td>\n<\/tr>\n<tr class=\"row-16\">\n\t<td class=\"column-1\"><a href=\"https:\/\/www.nn.nhs.scot\/sparn\/wp-content\/uploads\/sites\/18\/2025\/02\/NSD610-013.15-SPARN-guideline-for-the-use-of-Janus-kinase-inhibitors.pdf\" rel=\"noopener\" target=\"_blank\">Use of Janus kinase inhibitors<\/a><\/td><td class=\"column-2\">01\/2028<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<!-- #tablepress-4 from cache -->\n\n\n<p>_________________<\/p>\n\n\n\n<table id=\"tablepress-5\" class=\"tablepress tablepress-id-5\">\n<thead>\n<tr class=\"row-1\">\n\t<th class=\"column-1\">External Guidelines<\/th>\n<\/tr>\n<\/thead>\n<tbody class=\"row-striping row-hover\">\n<tr class=\"row-2\">\n\t<td class=\"column-1\"><a href=\"https:\/\/www.rheumatology.org.uk\/Portals\/0\/Documents\/Guidelines\/Paediatric%20guidelines\/Guidance_management_symptomatic_hypermobility_CYP_June_2019.pdf?ver=2019-06-24-134243-607\" rel=\"noopener\" target=\"_blank\">BSR &#8211; Guidance Management Symptomatic Hypermobility<\/a><\/td>\n<\/tr>\n<tr class=\"row-3\">\n\t<td class=\"column-1\"><a href=\"https:\/\/www.who.int\/publications\/i\/item\/9789240017870\" rel=\"noopener\" target=\"_blank\">WHO &#8211; Guidance for the Management of Chronic Pain in Children<\/a><\/td>\n<\/tr>\n<tr class=\"row-4\">\n\t<td class=\"column-1\"><a href=\"https:\/\/cks.nice.org.uk\/topics\/vitamin-d-deficiency-in-children\/\" rel=\"noopener\" target=\"_blank\">NICE &#8211; Vitamin D deficiency in children Guideline<\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<!-- #tablepress-5 from cache -->\n\n\n<p>_________________<\/p>\n\n\n\n<table id=\"tablepress-6\" class=\"tablepress tablepress-id-6\">\n<thead>\n<tr class=\"row-1\">\n\t<th class=\"column-1\">Pathways &amp; Resources<\/th>\n<\/tr>\n<\/thead>\n<tbody class=\"row-striping row-hover\">\n<tr class=\"row-2\">\n\t<td class=\"column-1\"><a href=\"https:\/\/www.nn.nhs.scot\/sparn\/wp-content\/uploads\/sites\/18\/2022\/06\/Checklist-for-Writing-a-Guideline.docx \" rel=\"noopener\" target=\"_blank\">Checklist for clinical guideline development<\/a><br \/>\n<\/td>\n<\/tr>\n<tr class=\"row-3\">\n\t<td class=\"column-1\"><a href=\"https:\/\/www.sparn.scot.nhs.uk\/wp-content\/uploads\/sites\/18\/2022\/06\/NSD610-013.13-SPARN-Standard-for-a-Paediatric-Rheumatolgy-Network-Service.pdf\" rel=\"noopener\" target=\"_blank\">SPARN Standard for Paediatric Rheumatology Clinics<\/a><\/td>\n<\/tr>\n<tr class=\"row-4\">\n\t<td class=\"column-1\"><a href=\"https:\/\/www.nn.nhs.scot\/sparn\/wp-content\/uploads\/sites\/18\/2024\/05\/NSD610-013.08-SPARN-Raynauds-Advice-Sheet-1.pdf\">Raynaud&#8217;s Advice sheet<\/a><\/td>\n<\/tr>\n<tr class=\"row-5\">\n\t<td class=\"column-1\"><a href=\"https:\/\/www.sparn.scot.nhs.uk\/wp-content\/uploads\/sites\/18\/2021\/08\/Raynauds-holiday-advice.pdf\" rel=\"noopener\" target=\"_blank\">Raynaud&#8217;s holiday advice<\/a><\/td>\n<\/tr>\n<tr class=\"row-6\">\n\t<td class=\"column-1\">https:\/\/www.nn.nhs.scot\/sparn\/wp-content\/uploads\/sites\/18\/2024\/10\/Network-JI-Request-form-v1.doc<\/td>\n<\/tr>\n<tr class=\"row-7\">\n\t<td class=\"column-1\"><a href=\"https:\/\/www.nn.nhs.scot\/sparn\/wp-content\/uploads\/sites\/18\/2024\/10\/Network-JI-Request-form-v1-1.doc\" rel=\"noopener\" target=\"_blank\">Joint Injection Request Proforma<\/a><\/td>\n<\/tr>\n<tr class=\"row-8\">\n\t<td class=\"column-1\"><a href=\"https:\/\/www.sparn.scot.nhs.uk\/wp-content\/uploads\/sites\/18\/2016\/11\/Hypermob-Pathway-final.pdf\" rel=\"noopener\" target=\"_blank\">Referral Pathway for Children with Joint Hypermobility<\/a><\/td>\n<\/tr>\n<tr class=\"row-9\">\n\t<td class=\"column-1\"><a href=\"https:\/\/www.rheumatology.org.uk\/Portals\/0\/Documents\/Guidelines\/Paediatric%20guidelines\/Juvenile_Idiopathic_Arthritis_ARMA_BSR.pdf?ver=2019-02-06-161134-330\">Standards of care for children and young people with JIA<\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<!-- #tablepress-6 from cache -->\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p class=\"nhsuk-card__description\">Here you will find a suite of useful SPARN guidance, pathways, protocols and templates. _________________ _________________<\/p>\n","protected":false},"author":4,"featured_media":0,"parent":2434,"menu_order":1,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_price":"","_stock":"","_tribe_ticket_header":"","_tribe_default_ticket_provider":"","_tribe_ticket_capacity":"0","_ticket_start_date":"","_ticket_end_date":"","_tribe_ticket_show_description":"","_tribe_ticket_show_not_going":false,"_tribe_ticket_use_global_stock":"","_tribe_ticket_global_stock_level":"","_global_stock_mode":"","_global_stock_cap":"","_tribe_rsvp_for_event":"","_tribe_ticket_going_count":"","_tribe_ticket_not_going_count":"","_tribe_tickets_list":"[]","_tribe_ticket_has_attendee_info_fields":false,"footnotes":"","_tec_slr_enabled":"","_tec_slr_layout":""},"class_list":["post-1253","page","type-page","status-publish","hentry"],"ticketed":false,"_links":{"self":[{"href":"https:\/\/www.nn.nhs.scot\/sparn\/wp-json\/wp\/v2\/pages\/1253","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.nn.nhs.scot\/sparn\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.nn.nhs.scot\/sparn\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.nn.nhs.scot\/sparn\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/www.nn.nhs.scot\/sparn\/wp-json\/wp\/v2\/comments?post=1253"}],"version-history":[{"count":32,"href":"https:\/\/www.nn.nhs.scot\/sparn\/wp-json\/wp\/v2\/pages\/1253\/revisions"}],"predecessor-version":[{"id":2729,"href":"https:\/\/www.nn.nhs.scot\/sparn\/wp-json\/wp\/v2\/pages\/1253\/revisions\/2729"}],"up":[{"embeddable":true,"href":"https:\/\/www.nn.nhs.scot\/sparn\/wp-json\/wp\/v2\/pages\/2434"}],"wp:attachment":[{"href":"https:\/\/www.nn.nhs.scot\/sparn\/wp-json\/wp\/v2\/media?parent=1253"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}