With allergies affecting about 30% of the adult population, and 40% of children, the need for a skilled primary care service is essential. The Committee, though, found serious problems in provision of such services. To combat this, the Committee recommends; setting up a network of primary care allergy providers; improved incentives for GPs to treat allergies; a system for better training in understanding and dealing with allergies; developing a framework that introduces allergies into the GPs Special Interest programme, so giving their treatment higher priority. Besides the deficiencies highlighted in the primary care services, the Committee also recommends improvements to secondary and tertiary care, and that at least one specialist allergy centre should be located in each of the former NHS regions, serving populations of between 5-7 million, and with a minimum of four allergy consultants. The Committee thinks that in the longer term, allergies should be the focus of a full specialist consultant workforce, with every major teaching hospital having a consultant-led service

provision of allergy Services : Sixth report of session 2003-04, Vol. 2: Oral and written Evidence

Response to the Committee's 6th report, HCP 696-I, session 2003-04 (ISBN 0215020073)

Allergy in the United Kingdom has now reached epidemic proportions. In the UK the incidence of common allergic diseases has trebled in the last twenty years to become one of the highest in the world. Treatment of allergies is a significant cost to the National Health Service. Allergies can have a detrimental impact upon the education of children at school or the performance of adults at work. There is a severe shortage of allergy specialists in the United Kingdom. Problems with data collection mean that statistics are imprecise, and a significant proportion of general practitioners are unable to diagnose and manage allergic disorders, and have nowhere to refer patients with complex allergies. The report recommends that allergy centres led by a full-time allergist should be developed, where various specialists come together to diagnose and manage patients with complex allergic disorders. These allergy centres should be a source of education and training for doctors, nurses and other healthcare workers at every grade. They should also advance research, enabling effective treatments to be developed, and should provide the clinical database required for epidemiological studies. Clinicians within the allergy centre should work together with local schools, employers, charities and others to educate the general public, and particularly patients and their families, on allergy matters. Other recommendations include: maintaining clinical surveillance systems to monitor allergic disease; calling for further research into the ways in which the indoor environment influences allergy development; reviewing how children with hayfever are supported throughout the examination system; assessing the training that teachers receive in dealing with allergic emergencies; assisting individuals with occupational allergies to return to work; amending food labelling legislation to specify the amount of allergens contained within products; analysing the costs and benefits of immunotherapy treatment; and withdrawing advice which recommends peanut avoidance for pregnant women.

One of the greatest challenges facing the food industry isproviding safe food to an ever-increasing number of allergicconsumers through a global supply chain. Approximately 2–4%of western adults and up to 10% of children are currently thoughtto be sensitive to food allergens, and the issue is of majorcommercial significance to food manufacturers. The market for‘free-from’ foods has grown dramatically in recentyears and the demand for gluten- and dairy-free foods shows no signof abating in the foreseeable future. This volume provides an overview of the safe management of foodallergens, aiming to help all those with a vested interest inunderstanding how to protect consumer health through goodmanufacturing practice and clear labelling advice. It examines therisk management systems and practices being adopted by the foodindustry to tackle the growing hypersensitivity of consumers to arange of food proteins. The various aspects of the subject areaddressed from a range of perspectives including that ofresearcher, food manufacturer, enforcement officer, clinician andconsumer. There will be an emphasis on the scientific analysis offood and environmental samples and their use in verifyingin-process controls and finished-product labelling claims. The bookis directed at food scientists and technologists based in industryand research, quality assurance personnel, clinicians and publichealth officials.