**PLEASE NOTE** : a number of redirect links/hyperlinks that redirect you straight from one document to another, are not currently working. Please be assured that all guideline documents are available.
If you attempt to navigate between documents using hyperlinks embedded within them, and are greeted with a "Document not found" message, please return to the adult or paediatric guidelines homepage, navigate back to the condition in question, and select the required supplementary document from the database.
We apologise for the inconvenience and have new guideline documents pending for imminent release.
Disclaimer:
BIMDG emergency advice documents are produced for registered healthcare professionals. Inherited metabolic disease often has a limited evidence base; recommendations reflect what we believe to be current best practice in the United Kingdom at the date shown. The documents are carefully peer‑reviewed, but errors or omissions may remain and emerging evidence may change recommendations. They are for general guidance only; they do not replace the clinician’s judgement, local policies or individual patient discussions and consent.
Always use the latest version and verify all medicines information (including doses, contraindications and interactions) against current product literature. Responsibility for diagnosis, decisions and care rests with the treating clinician and provider organisation. These documents are developed for the UK context; no guidance is given on use outside the United Kingdom.
To the fullest extent permitted by law, BIMDG and the authors accept no responsibility for loss arising from reliance on the content of these documents.
Our emergency guidelines are intended to be used as templates for new and existing patients living with IMD.
The "child" guidelines are intended for children and adolescents up to end of puberty being managed on paediatric wards. The “adult” guidelines are intended for adult hospitals and wards. Hospitals should use the version of the guidelines they are most familiar with but the “adult” guidelines are suitable for all patients weighing over 40kg.
These guidelines are applicable to most patients but there will be occasions when alternative management is appropriate in consultation with a tertiary metabolic centre
Guidelines Team
| Dr Saikat Santra | Consultant in Clinical IMD Birmingham Women’s and Children’s NHS Foundation Trust |
| Dr Andrew Morris | Consultant Clinical Paediatrician in Inherited Metabolic Medicine and Honorary Senior Lecturer, University of Manchester |
| Dr Anupam Chakrapani | Consultant in Metabolic Medicine Great Ormond Street Hospital NHS Foundation Trust |
| Dr Eve Miller-Hodges | Consultant in Inherited Metabolic Diseases and Renal Medicine Scottish Inherited Metabolic Disorders Service |
| Dr Radha Ramachandran | Consultant in adult Inherited Metabolic Diseases Guy's and St Thomas' NHS Foundation Trust |
| Dr Marjorie Dixon | Clinical Lead for Metabolic Dietetics Great Ormond Street Hospital NHS Foundation Trust |
| Dr Sarah Hulley | Metabolic Consultant, Sheffield Children's Hospital |
| Faiza Adrees | Adult Inherited Metabolic Diseases Pharmacist Salford Royal Foundation Trust |
| Kirsty Darling | Clinical Nurse Specialist |
Use our central contact us form to get in touch with the guidelines team.