Standards of Care Committee
In 2004 BSACI
set up the Standards of Care Committee to develop guidelines for use in
secondary care by both adult physicians and paediatricians practising
allergy. SOCC also leads on national allergy audits and is involved in the development of SOPs. The committee's chair is Dr Andrew Clark. The committee currently consists of 16 members including allergy specialists, paediatric allergists and immunologists and is supported by Dr. Maryam Shayeghi the BSACI research officer who is a staff member of BSACI head office. SOCC also interacts with and supports the BSACI primary care working group in the development of allergy guidelines for primary care. The constitution of the Standards of Care Committee can be downloaded here (31kb). To learn more about the present members of the Standards of Care Committee please scroll down the page.
Published guidelines are freely accessible to BSACI members via the guidelines webpage. All guidelines since 2007 have also been made freely available on the Clinical and Experimental Allergy website.
Members of the Standards of Care Committee take it in turns to make recommendations on recent published articles, studies and guidelines relating to the latest BSACI guideline. The current entry on Food allergy can be found here: SOCC recommends...
The committee is open to suggestions for future guidelines and nominations from interested BSACI members who may wish to participate in the process of future guideline development. Please address any enquiries or suggestions to firstname.lastname@example.org
All suggestions and nominations will be discussed by the SOCC. Present members are: Andrew Clark (chair), Liz Angier, Nicola Brathwaite, Tina Dixon, Stephen Durham, Pamela Ewan, Sophie Farooque, Anthony Frew, Rubaiyat Haque, Thirumala Krishna, Susan Leech, David Luyt, Rita Mirakian, Shuaib Nasser, Richard Powell, Helen Smith, Steven Till.
SOCC meets four times a year, the final meeting date for 2016 is:
Standards of Care Committee members
Dr Andrew Clark - Chair
Andrew Clark is a
consultant in paediatric allergy at Addenbrooke's Hospital in Cambridge.
His research portfolio explores the underlying mechanisms of food
allergy resolution, clinical and epidemiological features of food
allergy, use of diagnostic tests and the impact of a comprehensive
management approach on food allergy outcome. More recently he has led
translational studies of desensitisation for children with severe food
allergy. Dr Clark is chair of the Standards of Care Committee of the
British Society for Allergy and Clinical Immunology.
Dr Liz Angier
Liz Angier is currently a
GP working in the community and in hospital at an Allergy unit in
Sheffield. She has an interest in Health Policy and Service Improvement
having just been made a Clinical Fellow at the National Leadership
She joined SOCC in 2013 and has also done Map of Medicine
pathways and is a member of the RCGP Clinical Expert group and her local
CCG Clinical Reference Group. She has an interest in multidisciplinary
working and translating secondary care guidelines. She recently joined
the NHS England Quality and Safety G Teaching Faculty.
Dr Nicola Brathwaite
Nicola Brathwaite FRCPCH,
FCPaed(SA) is a consultant paediatric allergist at Kings College
Hospital, London, since 2005. She completed her paediatric and allergy
training in South Africa. She is a former editor of BSACI Allergy Update
and former BSACI council member and chair of the BSACI Communications
committee and a current member of the BSACI Standards of Care Committee.
She represented the RCPCH on the NICE Pharmalgen Venom Immunotherapy
technology appraisal and was the lead for the Latex allergy pathway in
the RCPCH Allergy Pathways project. She has an interest in clinical
education and leads the Respiratory and Allergy module of the KCL
Advanced Paediatrics MSc and is College Tutor for Paediatrics at Kings.
Dr Tina Dixon
Tina Dixon has been a Consultant allergist at the
Royal Liverpool and Broadgreen University Hospital and Alder Hey
Children’s Hospital since 1987 with a particular interest in
Immunotherapy and General Anaesthetic Allergy. She is a Fellow of the
Royal College of Physicians and Member of the British Society for
Allergy and Clinical Immunology and of the European Academy for Allergy
and Clinical Immunology. As a founder member of the North West Allergy Network and former Chair of the adult group she is
still an active member of both the adult and paediatric allergy working
groups. Tina Dixon is the Local Senate Area representative for
Merseyside and Cheshire on the Allergy and Clinical Immunology Clinical
Reference Group for NHS England and she is also a member of the
Specialist Advisory Committee of the RCP for Allergy and Clinical
Immunology. She still also does 5 clinics a week, sometimes 6. She has been a member of the Standard of Care Committee of the BSACI for over 10 years and is delighted to say that she still learns at least as much as she contributes.
Professor Stephen Durham
Stephen Durham is Head of the Section of Allergy and Clinical Immunology at the National Heart and Lung Institute, Imperial College and Royal Brompton Hospital London. He is current President of the British Society of Allergy and Clinical immunology and a member of the Allergy Panel of the Steering Committee of the Immune Tolerance network, USA. His clinical and research interests include difficult asthma, allergic rhinitis, allergen immunotherapy and the regulation of IgE in tissues.
Dr Pamela Ewan
Pam Ewan is a consultant Allergist at Addenbrookes Hospital, University of Cambridge Clinical School and set up the Cambridge allergy service. Before this she was Senior Lecturer, Hon Consultant and head of the Allergy Department at St Mary's Hospital, London. She is interested in all aspects of clinical allergy. Her research in nut allergy, anaphylaxis and venom allergy has led to improvements in patient care. More recently, with Andrew Clark, she has developed a programme or oral immunotherapy for peanut allergy. In various national roles she worked to highlight the need to improve NHS allergy services, for which she was awarded the CBE. She is chair of the National Allergy Strategy Group and a past President of the BSACI.
Dr Sophie Farooque
Sophie Farooque was the
first National Trainee in Allergy and completed her specialist training
in allergy at Guy’s and St Thomas’ NHS Trust in 2006. At the end of her
training she was awarded a Clinical Research Fellowship by the MRC to
read for a PhD in the mechanisms of Aspirin-Exacerbated Respiratory
Disease at King’s College London. In 2008, she was runner-up in the MRC
Max Perutz essay competition and her article describing
aspirin-exacerbated respiratory disease “The Cold That Never Goes Away”
was published in the Guardian and in 2010 she received an international
travel scholarship by the AAAAI to present her research. She started work as Clinical Lead in Adult Allergy at Imperial
College Healthcare NHS Trust in May 2010. Her clinical interests
include drug allergy, the diagnosis and investigation of anaphylaxis,
allergen immunotherapy and nasal polyposis and aspirin-exacerbated
respiratory disease. She is a long-standing member of the BSACI’s
Standards of Care Committee and is a member of the BSACI Council. Since
commencing at St Mary’s Hospital, Sophie has focused on developing the
drug allergy and immunotherapy services. In 2010, she also produced a
docu-film celebrating the life of Dr Bill Frankland, the “grandfather”
of UK allergy who worked at St Mary’s until his retirement and after
whom the allergy clinic at St Mary’s Hospital is named.
Dr Rubaiyat Haque
Rubaiyat Haque is a
Consultant Allergist at Guy’s and St Thomas’ Hospital. He studied
medicine at Cambridge University followed by clinical training at Barts
and The London. He returned to Cambridge for specialist training in
allergy before taking up his current consultant post. His main clinical
interest is drug allergy and his drug allergy service is the largest of
its kind in the UK. In addition to his role on the Standards of Care Committee, he
sits on the BSACI Council, Allergy and Immunology Clinical Reference
Group, IQAS (Improving Quality in Allergy Services) Steering Group and
is a Regional Specialty Advisor to the Royal College of Physicians.
Dr M. Thirumala Krishna
Thirumala Krishna (TK) is
lead physician for National Audits and has carried out major projects
for Standards of Care Committee including audits on diagnosis and
management of hymenoptera venom allergy, beta-lactam allergy and survey
of practice and safety of allergen-specific immunotherapy in allergic
rhinitis. He is lead author of BSACI guidelines for hymenoptera venom
allergy and has co-authored guidelines on beta-lactam allergy and
allergen specific immunotherapy for allergic rhinitis. His main
clinical and research interests include characterisation and risk
factors for anaphylaxis, hymenoptera venom allergy, safety aspects of
allergen-specific immunotherapy, drug allergy and innovation of new
cost-effective methods of provision of allergy services in UK. He has
published several papers in peer reviewed journals, contributed to book
chapters and served as sole editor for a text book on Anaphylaxis. He
has represented BSACI and RCP for Multiple Technology Appraisal for NICE
on Venom Immunotherapy and is a co-opted member for NICE drug allergy
guideline development group.
He is member of national Clinical Reference Group for
specialised services in Immunology and Allergy and will be taking over
in 2014 as Chair of National Allergy Services Accreditation Programme.
He is lead Physician for Allergy service in Heart of England NHS
Foundation Trust and Training Programme Director and Chair of Specialist
Training Committee for Immunology and Allergy in West Midlands Deanery.
He is Honorary Senior Lecturer in University of Birmingham and Honorary
Fellow in University of Warwick and is actively engaged in
undergraduate and postgraduate medical education and training.
Dr Susan Leech
Susan Leech is clinical lead
for the paediatric allergy service at Kings College Hospital, London.
She joined the BSACI in 1999 after completing an MSc in medical
immunology. As a member of the BSACI Standards of Care Committee, she
has co-authored guidelines on Immunotherapy, Venom allergy, Rhinitis,
Egg allergy, Beta lactam allergy and Urticaria. She was a board member
of the RCPCH Allergy care pathways and chaired the production of the
Urticaria and angioedema pathway. She chairs the BSACI Paediatric group
and has been involved in the development of service standards for
paediatric allergy in secondary and tertiary care. She chairs the
paediatric allergy specialist services commissioning group and is
committed to developing allergy services across the country. She
represented allergy on the Clinical Expert panel for Paediatric
Pathology Modernisation for NHS London. Previously allergy advisor on
the RCPCH Specialist Committee for Allergy, immunology and infection,
she was involved in the development of the paediatric allergy training
syllabus and competences. She is currently the UK delegate to the
European Training Committee on Paediatric allergology.
Dr David Luyt
David Luyt is a consultant
paediatrician in Leicester. He completed his undergraduate medical and
postgraduate paediatric studies at the University of the Witwatersrand
in Johannesburg, South Africa. After qualifying as a paediatrician he
undertook a research fellowship in Leicester from which he obtained a
Doctor of Medicine from the University of Leicester for his thesis
entitled ‘The prevalence and nature of wheeze in pre-school children: a
He is the lead consultant in the Children’s Allergy Service in
Leicester. Since his appointment in 1996, he has been instrumental in
expanding and further developing the allergy service to provide food
challenge and subcutaneous and sublingual immunotherapy programmes; and
with dietetic colleagues in providing the first milk and egg oral
tolerance induction programmes in the UK. He also runs a paediatric
sleep disordered breathing service and is a consultant in his
institution’s paediatric high dependency and respiratory ward.
David Luyt was the lead author in the development of the BSACI milk
allergy guidelines. He became a member of the SOCC in 2013.
Dr Rita Mirakian
Rita Mirakian is a consultant in allergy at the Addenbrookes' University Hospital (part time) and an Honorary Consultant at the Royal National Throat Nose Ear Hospital/UCLH. She is one of the early members of the SOCC and her main interests relate to the field of drug allergy and rhinology.
She has contributed to the preparation of several national guidelines for the managment of allergic conditions and is the lead author of the BSACI guideline on the 'management of drug allergy'. She is currently leading on the preparation of the Guideline for the 'management of allergy to beta lactam''. Her main interest in rhinology is on the management of 'Aspirin Exacerbated Airways disease'. She is presently contributing to the development of reproducible intranasal Lysine Aspirin challenge protocols to test affected patients. She has also contributed to the first edition of the management of rhinitis and rhinosinusitis guidelines and is presently contributing to the revision of the second edition of the guideline on allergic and non allergic rhinitis.
In addition Rita Mirakian has teaching committments; in particular as one of the teachers in the annual BSc course on Immunology, Autoimmity and Transplantation at UCL and as teacher in the annual MSc course in Allergy at Imperial College.
Dr Shuaib Nasser
Shuaib Nasser is a Consultant in Allergy and Asthma at Cambridge University Hospitals NHS Foundation Trust. He trained in medicine, respiratory medicine and allergy in both London and Cambridge. His clinical and research interests are in asthma, drug allergy and immunotherapy. His work on thunderstorm asthma, drug allergy and asthma deaths have improved patient care and led to a DH funded national enquiry into asthma deaths. He has worked in a number of roles to improve the delivery of allergy care and reduce variability in standards. He set up and chaired the BSACI Standards of Care Committee until 2012 leading to the publication of national Allergy guidelines. He was a member of the Resuscitation Council Working Group that published guidelines on the management of anaphylaxis. He sits on the Royal College of Physicians National Review of Asthma Deaths Steering Group and chairs the NICE Drug Allergy Guideline. In 2011 he was awarded the William Frankland BSACI award for outstanding services to Allergy. In 2014 Shuaib Nasser has became President Elect of the BSACI.
Prof Richard Powell
MB, BS, DM, FRCP, FRCPath
Emeritus Professor of Clinical Immunology and Allergy - Nottingham University
Richard Powell was Professor of Clinical Immunology and Allergy at
Nottingham University Hospitals, Queens Medical Centre until 2007. Since
2008, he has worked predominantly in the private sector but continues
to pursue his research interests at Nottingham University related to
autoinflammatory diseases. He has been a member of SOCC since its
inception and has taken the lead in the development of urticaria and
Prof Helen Smith
BMedSci, BM BS, MSc, DM, DCH, FFPHM, MRCGP
Professor of Primary Care, Brighton & Sussex Medical School
Helen Smith is a graduate of
Nottingham University with epidemiology and health services research
training from the London School of Hygiene and Tropical Medicine and the
University of British Columbia. She has dual accreditation in general
practice and public health medicine and has experience of working in
academic, hospital and general practice settings both in the UK and
Dr Stephen Till
Stephen Till has been a HEFCE
Clinical Senior Lecturer Award holder at King’s College London and
Consultant Allergist (Adults) at Guy’s & St Thomas’ Hospitals since
2011. After studying for a science degree at Oxford, he completed his
PhD in Allergy at Barry Kay’s lab and then graduated in medicine as a
postgraduate (UCL). This long path eventually led to specialty training
in Allergy at the Royal Brompton Hospital (2006-11), where he held a
Clinician Scientist Fellowship from The Health Foundation and Academy of
Medical Sciences and received the biennial 2009 World Allergy
Organisation Henning Lowenstein Award for allergy research. His current
research interests include the immune responses to grass pollen
allergens and the effects of immunotherapy, as well respiratory mucosal T
cell responses and more recently food allergy. He is Chief Investigator
of the PollenLITE clinical trial (Pollen Low dose Intradermal Therapy
Evaluation), funded by the MRC and NIHR under the Efficacy &
Mechanism Evaluation Programme, and co-investigator on a NIH-funded 4
year project investigating the immunological responses to sublingual and
injection immunotherapy using Class II tetramers in collaboration with
Professor Stephen Durham at Imperial College London.
The work undertaken by the SOCC, the guideline group
members and the lay person(s) is on an honorary basis although expenses
to attend meetings are funded by the Society. The Society does not seek
external funding for the production of its guidelines.