Children and adult services must work together with local primary and community care providers, local authority and other appropriate organisations to ensure consistent and integrate person centres transitional care for CYP and their families. There must be Coordination and effective communication between children’s and adult services. All services/organisations should provide an appropriate and accessible environment for young people. Health partners have to consider how they will manage the transition of young people from paediatric to adult services. Measures should be put in place and clearly explained to both the young person with SEN or disabilities and their parents to ensure as smooth a transition as possible. Primary care providers will provide consistency across key transition points. Primary care: The GP is as a key professional who should be acknowledged, involved and informed during transition, particularly for YP with complex needs and may require continuing care from other health or social care services. Primary care: Care pathways must be shared with primary care to ensure GPs have relevant information to support young people and parents during transition. Primary care: All Children and young people with a long term condition(s) have named GP/Nurse Practitioner during transition. Primary Care: The GP is often a constant figure as young people transition between services. To ensure young people with SEND don’t fall through the gaps they should be included on the GP register of learning disability, where appropriate. This means they are automatically called for an annual health check from the age of 14. Guidance and Protocols Transition policy covering services for people (13 -25) developed, implemented and reviewed annually. Organisational framework in place for Transition agreed by the practice / organisation Board, Children's and Adult Services. Compliance with ' Young People Friendly’ Quality Standards and/or benchmarking Risk management procedures and effective follow up process in place. Quality, Data, Performance and outcomes (including CHYP Service experience measures) Ensuring all services have access to up to date information and data on young people’s health and development including; needs assessment for all CYP involved in transition Conduct regular service experience surveys and feedback with children, young people, parent and carers. CYP and Parents are invited to share their views on services annually Communication and Information There should be local networks available through which services can share information and documentation and where possible this should be electronic protocols should be agreed by the – network to enable this. Clear and effective communication pathways between services and specialties must be in place.
Children and adult services must work together with local primary and community care providers, local authority and other appropriate organisations to ensure consistent and integrate person centres transitional care for CYP and their families. There must be Coordination and effective communication between children’s and adult services. All services/organisations should provide an appropriate and accessible environment for young people. Health partners have to consider how they will manage the transition of young people from paediatric to adult services. Measures should be put in place and clearly explained to both the young person with SEN or disabilities and their parents to ensure as smooth a transition as possible. Primary care providers will provide consistency across key transition points. Primary care: The GP is as a key professional who should be acknowledged, involved and informed during transition, particularly for YP with complex needs and may require continuing care from other health or social care services. Primary care: Care pathways must be shared with primary care to ensure GPs have relevant information to support young people and parents during transition. Primary care: All Children and young people with a long term condition(s) have named GP/Nurse Practitioner during transition. Primary Care: The GP is often a constant figure as young people transition between services. To ensure young people with SEND don’t fall through the gaps they should be included on the GP register of learning disability, where appropriate. This means they are automatically called for an annual health check from the age of 14. Guidance and Protocols Transition policy covering services for people (13 -25) developed, implemented and reviewed annually. Organisational framework in place for Transition agreed by the practice / organisation Board, Children's and Adult Services. Compliance with ' Young People Friendly’ Quality Standards and/or benchmarking Risk management procedures and effective follow up process in place. Quality, Data, Performance and outcomes (including CHYP Service experience measures) Ensuring all services have access to up to date information and data on young people’s health and development including; needs assessment for all CYP involved in transition Conduct regular service experience surveys and feedback with children, young people, parent and carers. CYP and Parents are invited to share their views on services annually Communication and Information There should be local networks available through which services can share information and documentation and where possible this should be electronic – protocols should be agreed by the network to enable this. Clear and effective communication pathways between services and specialties must be in place.
YH%20Key%20Recommendations%20for%20Transition%20Final.docx