Actions supported by evidence from good systematic reviews, randomised controlled trials or good evidence from another appropriate type of study
| Category | Actions | Actions (n) | References |
|---|---|---|---|
| Prescriptions4-150 | Alarm for enuresis | 2 | 10 |
| Changing insulin regimens to improve diabetic control | 3 | 11 | |
| Treatment of asthma (via spacer devices, atrovent, and pulmicort) | 2 | 12,13 | |
| Rhinocort for rhinitis | 1 | 14 | |
| Calpol for toddler temperature control | 2 | 15 | |
| Epilim effective treatment for epilepsy | 4 | 16 | |
| Methyl phenidate in attention deficit disorder | 1 | 17 | |
| Hyoscine to reduce drooling in cerebral palsy | 1 | 18 | |
| Child health promotion | Efficacy and safety of immunisations | 118 | 19-26 |
| Growth screening (height) | 6 | 27, 28 | |
| Examination for congenital heart disease, congenital dislocation of the hip, and testicular descent | 42 | 29-32 | |
| Neurodevelopmental assessment at school entry as predictor for learning difficulties | 48 | 33 | |
| Counselling/advice | 0 | ||
| Referrals | Referral for specialist visual testing in developmental delay | 7 | 34 |
| Investigations | Tympanometry and detection of glue ear/hearing loss | 4 | 35 |
| Hip x ray in diagnosing subluxation/dislocation of hip in cerebral palsy | 4 | 36 | |
| Thyroid function tests in asymptomatic children with Down’s syndrome | 2 | 37 | |
| Clinical evaluation | Dyspraxia | 4 | 33 |
↵4-150 In addition there was convincing non-experimental evidence for the use of thyroxine in congenital hypothyroidism, and protective helmets for children with problematic epilepsy. There was good evidence of ineffectiveness in prescribing paracetamol to reduce recurrence of febrile fits.