How can paediatric epilepsy services best be delivered in secondary care?

OBJECTIVE To produce practical evidence-based guidelines for the management of paediatric epilepsy in secondary care settings. DESIGN Question-specific systematic literature review and local service audit. MAIN OUTCOME MEASURES Grade of recommendation for specific management issues. RESULTS There is little good quality research to support many existing epilepsy guidelines for secondary care. CONCLUSION Practical guidelines for the provision of children's epilepsy services can be evidence influenced but until more relevant research is undertaken, not evidence based.