- RAG rating
- n/a
- Document type
- Clinical pathways
- Place
- Hertfordshire and West Essex ICB
- Output type
- Clinical Pathways
- Pathway
- Seasonal Allergic Rhinitis (Hay Fever)V2 26 March 2026
Seasonal Allergic Rhinitis (Hay Fever)
Pathway published: March 2026
Next review date: March 2028
Treat in accordance with NICE CKS https://cks.nice.org.uk/allergic-rhinitis
Refer to ENT if there is uncertainty about the diagnosis or any of the following are present:
- nasal perforation, ulceration, or collapse
- anatomical obstruction
- periorbital cellulitis – refer urgently
- unilateral symptoms
- pain
- bloodstained discharge
- isolated rhinorrhoea
- polyps
- severe crusting within the nasal cavity
- recurrent infection
- severe sleep problems
Refer to an allergist:
- if it has not been possible to confirm the responsible allergen and further testing is needed
- for consideration of allergen-specific immunotherapy/desensitisation