An updated version of the NENC Shared Care Protocol – Methylphenidate for patients within children’s services has been published at: https://ntag.nhs.uk/shared-care-guidelines/

Updates are as follows:

  • Changes to wording in the introduction to provide place of methylphenidate in giggle incontinence
  • Updated recommended initiation and maintenance doses in giggle incontinence
  • Updated information on regular review by the specialist team for the indication of giggle incontinence
  • Change from paediatric nephrology specialist to paediatric bladder and bowel specialist service throughout with reference to the indication of giggle incontinence