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PANS PANDAS Steering Group

The PANS PANDAS Steering Group (PPSG) was convened in 2022, with support from NHS England, to address the variation in care available to children and young people presenting with symptoms of PANS and PANDAS.

The PPSG has representation from the following organisations:

  • British Paediatric Neurology Association
  • PANS PANDAS UK
  • Royal College of Psychiatrists
  • Royal College of Paediatrics and Child Health
  • Royal College of Nursing
  • Royal College of Occupational Therapy
  • British Paediatric Allergy, Infection and Immunology Group
  • Royal College of General Practitioners
  • British Association of Social Workers

The PPSG works hard to improve standards of care for people affected with PANS and PANDAS in the UK. The group collaborate with key stakeholders to produce clinical guidelines, distribute guidance for education, social care and health professionals, expedite UK research and develop a treatment pathway and service model. 

To find more information on the PPSG, its members and its four working groups please visit www.theppsg.org.uk

Key Publications:

International Guidelines
Whilst work continues to develop UK clinical guidelines, the PPSG signpost clinicians to the two international peer-reviewed treatment guidelines for PANS and PANDAS.

2025 Letter to NHS Chief Executives
The PANS PANDAS Steering Group has written to every NHS Trust Chief Executive, across all four nations, highlighting that care and treatment for those affected by PANS and PANDAS varies significantly across the UK.

2024 Statement Update
This update informs clinicians of the establishment of the PANS Guideline Development Group, signposts to the recommendations made in the earlier statement, and provides an important reminder that clinicians should be aware that the absence of a multidisciplinary team service should not lead to referrals of these patients being rejected, nor that clinicians should be prevented from exercising their own proficiency and judgement.

2023 Statement
This statement is relevant to primary and secondary care physical and mental health NHs services that may come into contact with children and young people presenting with acute onset neuropsychiatric symptoms.

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Glossary

  • ADHD
    Attention Deficit Hyperactivity Disorder
  • AE
    Auto-immune Encephalitis
  • ARFID
    Avoidant Restrictive Food Intake Disorder
  • ASD
    Autism Spectrum Disorder
  • CAMHS
    Child and Adolescent Mental Health Service
  • CBT
    Cognitive Behavioural Therapy
  • Dysgraphia
    difficulty writing by hand
  • EHCP
    Education, Health and Care Plan
  • Emotional Lability
    Rapid, and dramatic changes in mood (for example uncontrollable laughter to crying)
  • Enuresis
    wetting
  • GAS
    Group A Streptococcal infection
  • NHSE
    NHS England
  • NICE
    National Institute for Health and Care Excellence
  • OCD
    Obsessive Compulsive Disorder
  • PP
    PANS PANDAS
  • PPUK
    PANS PANDAS UK
  • PPN
    PANS Physicians Network
  • PPSG
    PANS PANDAS Steering Group
  • SENCo
    Special Educational Needs Coordinator
  • SIGN
    Scottish Intercollegiate Guidelines Network to the glossary
  • Tic
    Sudden repetitive movement (motor tic) or sound (vocal tic) which is difficult or impossible to control