Work continues apace on development of clinical guidelines

Date Published: 02/05/2025

The absence of widely adopted, UK clinical guidelines for PANS and PANDAS has long been a barrier for people with the conditions, hindering access to prompt, accurate assessment, diagnosis and treatment and creating a postcode lottery for patients.

The latest meeting of the Guideline Development Group was a reminder of how incredibly proud we are to be part of the process of removing this barrier, working closely with experts and patient representatives and with the support of NHS England and the Department of Health and Social Care. With unfaltering guidance and support from the Royal College of Paediatrics and Child Health (RCPCH) Guidelines team, we anticipate publication in 2026.

We thank all those involved who are giving so generously of their time and knowledge to improve experiences and outcomes for the PANS and PANDAS community. We look forward to sharing further information as it becomes available.

– Katy Hindson, Health Lead, PANS PANDAS UK

The process to develop guidelines which will be endorsed by RCPCH is rigorous and requires time and dedication by all involved. It is an effort which will be well worth it to ensure that the publication of guidelines marks the end of the current lack of clarity which is challenging for clinicians and hugely distressing for patients and their families


The PANS PANDAS Steering Group (PPSG) is a multidisciplinary group convened to address the variation in care available to children and young people presenting with symptoms of PANS and PANDAS in the UK.

The Group comprises four sub-working groups, including the PANs Clinical Guideline Development Group.

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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