Menu

Transitions

What is the programme and its aims?
Our aim is to reduce unwarranted variation in the level and provision of care during the transition period from children’s to adult services. Transition is at last now accepted as being much more than simply a transfer of care from children's to adult services. It is a process that needs careful planning and preparation with patients and families and needs to start years prior to the actual transition taking place.

Why is the programme required?
There are increasing numbers of children with long term conditions such as asthma, epilepsy and diabetes, and children with life limiting conditions who are surviving into adulthood due to improvements in healthcare. A successful transition from paediatric to adult care means an increased level of independent use of healthcare services, reduction in the need for emergency care in adult services/emergency departments and improved health outcomes as an adult. Failure to do this appropriately risks significant deterioration in chronic health conditions or even loss and disengagement from on-going health provision.

Who are the partners?
  • Clinicians from adult and children’s services (transition leads have been identified in all acute trusts)
  • Commissioners

How are we making a difference?
Prompt cards providing a useful guidance at a glance for anyone caring for young people experiencing transition have been developed and widely circulated to adult and paediatric colleagues. We are supporting the development of national transition benchmarking standards in collaboration with Great Ormond Street Hospital and London South Bank University. We have established a group of senior clinicians with responsibility for transition within their acute organisations and we are using these contacts to share examples of good practice as well as identifying areas needing support. We have completed an audit of GP involvement in transition planning and presented the results at a national conference where it was used to lead a workshop around primary care involvement in transition. We have hosted several transition events where young people were encouraged to speak up about their experiences of transition and gave their ideas on how to improve it.

If you would like to get in touch with the transition lead in your local trust please email This email address is being protected from spambots. You need JavaScript enabled to view it.

What are the key resources?



Who to contact for further information?
This email address is being protected from spambots. You need JavaScript enabled to view it., Network Quality Improvement Coordinator for Maternity and Children’s