Severe sialorrhoea (drooling) in children and young people with chronic neurological disorders: oral glycopyrronium bromide

NICE Evidence Summary, February 2017

Glycopyrronium bromide (Sialanar) is an antimuscarinic (anticholinergic) medicine licensed in September 2016 for the symptomatic treatment of severe sialorrhoea (chronic pathological drooling) in children and adolescents aged 3 years and older with chronic neurological disorders. Sialanar is licensed for short-term intermittent use and is only licensed in children. There is limited clinical trial evidence on the use of glycopyrronium in adults with sialorrhoea. Sialanar 320 micrograms/ml oral solution is the first formulation of glycopyrronium bromide licensed for this indication in the UK.

Link to NICE Evidence Summary


Improving outcomes for children and families in the early years: a key role for health visiting services


In 2015 health visiting was brought into the local government fold for the first time since 1974.

As with so much of public health, the move into local government offers fresh opportunities. By integrating health visiting with other services, such as children’s centres, early help, safeguarding and public health teams, we can provide better support to children and their families.

These case studies demonstrate examples of innovation. But there have also been challenges. Concerns have been raised that in some areas health visitor posts are being cut as a consequence of the reductions to local government funding.

The cuts to local authority public health budgets make it more important than ever for health visitors and commissioners to work together to monitor and evaluate the impact of the service.

Link to document pdf here

State of Child Health – RCPCH, 2017


This is a comprehensive list of 25 measures of the health of UK children, ranging from specific conditions such as asthma, diabetes and epilepsy, risk factors for poor health such as obesity and a low rate of breastfeeding, to child deaths. The data provide an “across the board” snapshot of child health and wellbeing in the UK.

Link to report here

These are our children: a review by Dame Christine Lenehan


Lenehan review into care of children with learning disabilities

Dame Christine Lenehan was asked by the Department of Health to take a strategic overview and recommend what practical action can be taken to co-ordinate care, support and treatment for children and young people with complex needs (and behaviour that challenges) involving mental health problems and learning disabilities and/or autism.

Dame Christine has spoken to many different organisations and individuals, including young people and their families. Her report makes 11 recommendations for government departments and partners at a national level on how to improve the system.

Link to report here

School-based education programmes for the prevention of unintentional injuries in children and young people

Baby's Healthcare

The aim of this Cochrane Review was to assess the effects of school-based educational programmes for the prevention of injuries in children, evaluate their impact on improving children’s safety skills, behaviour and practices, and knowledge, and assess their cost-effectiveness.

Cochrane Library, December 2016