Quality statement 2: Annual meeting

Quality statement

Young people who will move from children's to adults' services have an annual meeting to review transition planning.

Rationale

Transition is a lengthy process that starts early, by school year 9 (aged 13 to 14 years), and continues past the point of transfer. Regular review of transition planning ensures that a young person's changing needs are taken into account. Transition planning should be reviewed at least annually, but for some young people the meetings may need to be more frequent, depending on their individual needs.

Quality measures

Structure

Evidence of local arrangements to ensure that young people who will move from children's to adults' services have an annual meeting to review transition planning.

Data source: Local data collection.

Process

Proportion of young people, older than school year 9, who will move from children's to adults' services who have had a meeting in the previous 12 months to review transition planning.

Numerator – the number in the denominator who have had a meeting in the previous 12 months to review transition planning.

Denominator – the number of young people older than school year 9 who will move from children's to adults' services.

Data source: Local data collection.

Outcome

a) Satisfaction with planning for transition and transfer as reported by young people and their carers.

Data source: Local data collection.

b) Proportion of young people attending adults' services after transfer from children's services who continue to engage with services (for measurement purposes this could be engagement at 1-year after transfer).

Data source: Local data collection.

c) Proportion of young people who have transferred from children's services, who do not attend their first meeting or appointment with each adults' service.

Data source: Local data collection.

What the quality statement means for different audiences

Service providers (children's and adults' health, mental health and social care providers) ensure that systems are in place for young people who will move from children's to adults' services to have an annual meeting to review transition planning.

Health and social care practitioners supporting transition (such as the lead clinician, care coordinator or named worker) take part in an annual meeting to review transition planning for young people who will move from children's to adults' services.

Commissioners (clinical commissioning groups, local authorities and NHS England) ensure that they commission services that arrange an annual meeting to review transition planning for young people who will move from children's to adults' services.

Young people who will move from children's to adults' services have a meeting each year to talk about planning for the move and check that the plans are still suitable for them. The meeting should involve practitioners supporting the young person, and parents and carers.

Parents and carers of young people who will move from children's to adults' services are involved in a meeting each year to review planning for the move. The meeting ensures that parents and carers feel involved and know about future changes to services and care that the young person will receive.

Source guidance

Transition from children's to adults' services for young people using health or social care services (2016) NICE guideline NG43, recommendation 1.2.4

Definitions of terms used in this quality statement

Annual meeting

The annual meeting should involve the young person, their parents or carers and input from the lead practitioners providing support.

The meeting can take place either in person or via teleconferencing or video.

The meeting should identify what is working well in the transition planning and what can be improved. The young person should be treated as an equal partner and their views taken into account. At the meeting there should be a review of the young person's current:

  • clinical needs

  • psychological status

  • social and personal circumstances

  • caring responsibilities

  • educational and vocational needs

  • cognitive abilities, and

  • communication needs.

[NICE's guideline on transition from children's to adults' services for young people using health or social care services, recommendations 1.1.2, 1.1.4, 1.2.4 and expert opinion]