SPEG Guidelines for Clinical Practice are developed guidelines to assist healthcare professionals in medical decision-making for specific clinical conditions. You are welcome to use these guidelines as part of your clinical decision making process. They are not a substitute for clinical judgment and should not be considered medical advice. Most of the content of the guidelines are based on a combination of best clinical practice and literature reviews.
A Full Selection of Adrenal Insufficiency Guidelines can be found here:
List of Adrenal Insufficiency Guidelines
Clinical Guidelines
| Guidelines | Review Date | Category | Who is this guideline aimed at? |
|---|---|---|---|
| Investigation of early (precocious) and late (delayed) puberty in girls and boys | February 2027 | Puberty | Paediatricians, Paediatric Endocrinologists, Adult Endocrinologists |
| Secondary Care Management of Obesity in Children and Young People | July 2026 | Obesity | Paediatricians, Paediatric Endocrinologists |
| Adrenarche | February 2025 | Puberty | General Practitioners, Paediatricians, Paediatric Endocrinologists |
| Thyroid Dysfunction in patient’s with Down’s Syndrome | September 2026 | Thyroid | Community Paediatricians, General Paediatricians, Paediatricians with an interest in paediatric endocrinology, Paediatric Endocrinologists |
| Medical Management of Children with Thyrotoxicosis | January 2024 | Thyroid | Paediatricians, Paediatric Endocrinologists |
| Management of Infants Born to Mothers with Graves Disease and at Risk of Thyrotoxicosis | May 2024 | Thyroid | General Paediatricians, Neonatologists, Paediatric Endocrinologists, Midwifery Staff, Neonatal Unit Staff , Fetal Medicine Teams |
| Guidelines for the Management of Congenital Hypothryroidism in Scotland | February 2025 | Thyroid | General Paediatricians, Neonatologists, Paediatricians with an interest in paediatric endocrinology, Paediatric Endocrinologists |
| VINCYP/SPEG Optic Nerve Hypoplasia Guideline | May 2025 | General | Community Paediatricians, General Paediatricians, Paediatricians with an interest in paediatric endocrinology, Paediatric Endocrinologists |
| Dynamic Function Tests for use in Paediatric Endocrinology | August 2026 | Test | Paediatric Endocrinologists, General Paediatricians with an interest in paediatric endocrinology, Paediatric Endocrine Nurses, Paediatric Nurses, Clinical Biochemists – not intended for use in primary care to be used in discussion with local endocrinologists |
| Position Statement on the Investigation and Treatment of Growth Hormone Deficiency in Transition | December 2026 | Growth | Paediatricians, Paediatric Endocrinologists, Adult Endocrinologists |
| Guidelines for Management of Nutritional Vitamin D Deficiency in Children and Adolescents | August 2026 | Bone | Paediatricians, Paediatric Endocrinologists, Primary Care Clinicians |
| Hypoglycaemia Guideline | February 2027 | Test | Paediatricians, Emergency Medicine Clinicians, Paediatric Endocrinologists |
| Short Stature Guideline | August 2026 | Stature | Primary care and general paediatrics |
| SPEG Guidance on the Use of Growth Hormone Devices for Children & Adults | December 2023 | Test | Paediatric Endocrinologists, General Paediatricians with an interest in paediatric endocrinology, Paediatric Endocrine Nurses, Paediatric Nurses |
Clinical Documents
Congenital Hypothyroidism
- Covering Letter
- CHT Database Information for Parents
- CHT Collection Form 2018
- CHT Consent Form for Parents
Genetic Obesity Testing
- Referral Form for Genetic Obesity Testing by NGS (PDF Version)
- Referral Form for Genetic Obesity Testing by NGS (MSWord Version)
These guidelines are working documents that reflect the state of the field at the time of publication. Because rapid changes in this area are expected, periodic revisions are inevitable. We encourage medical professionals to use this information in conjunction with, and not a replacement for, their best clinical judgment. The presented recommendations may not be appropriate in all situations. Any decision by practitioners to apply these guidelines must be made in light of local resources and individual patient circumstances.