In this section, you will find clinical information (guidelines, protocols and toolkits) relevant to Paediatric care. 

The information is in alphabetical order, in two sections covering Clinical and Nursing. 

If you have any suggestions for further documents to be added, please email: 


QR code posters


QR code poster for medicines for heart conditions ( 

QR code poster for CHD teenagers - understanding your heart: a series of booklets from the British Heart Foundation

QR code poster for CHD parents - understanding your child's heart: a series of booklets from the British Heart Foundation 


QR code posters for wellbeing resources for Children and Young People:

QR code posters for wellbeing resources for Parents/Carers: 


Bristol Royal Hospital for Children QR code directory to patient information leaflets for patients/families that relate to the surgical and catheter pathways 



Referral to advanced heart failure and cardiac transplant services

Referral to national pulmonary hypertension service



Hypercyanotic Spell Emergency Management ('Spelling')

PDA: Patent Ductus Arteriosus - Guidance for Referral for Cardiological Assessment and Possible Ligation for Preterm Infants


Dental (also see Dentistry page)

Dental Care Pathways for Children with Congenital Heart Disease 



Pathway for paediatric electrophysiology procedures 



Physical Activity: A Guide for Young People with a Congenital Heart Condition and their Families


Fetal (also see Fetal page)

Fetal cardiology service - arrangements for the early (pre natal) diagnosis of CHD

Fetal cardiology handbook 



Clinician's guide to image sharing

Transfer of echocardiography data to other hospitals



Pathway for interventional paediatric cardiac catheterisation 

PDA guidance for ferral for cardiological assessment and possible ligation for preterm infants 



Warfarin Management for Paediatric Cardiac Patients

Medicines for Heart Conditions QR code poster (Medicines for Children)


Nursing (also see CHD/ACHD Nursing page)

Clinic Patient Resources


Patient - Self-Referral

Management of patients who self refer out of hours


Referrals - Second Opinions

Access to second opinion and referals to other centres/services



Assessment of patients with CHD requiring anaesthesia 

Collaborative arrangements to facilitate joint operating, and mentorship in operating on children

Elective referral and consent pathway for paediatric cardiac surgery



Specific discharge guidance at transition for minor lesions (congenital heart disease) - CHD Network, published October 2023

See more on the transition and young people page. 


Transport - Patient Transfers

Time Critical Transfers - Wales & West Acute Transport for Children (WATCh) (External Link)