Quality statement 3: Named worker

Quality statement

Young people who are moving from children's to adults' services have a named worker to coordinate care and support before, during and after transfer.

Rationale

Transition can be a difficult time for young people and their families, because it is a lengthy process and involves various professionals and services. A single point of contact – preferably a person that the young person knows and trusts – can coordinate care and signpost to appropriate support. This can increase attendance in adult services and lead to a better experience of care and better outcomes.

Quality measures

Structure

Evidence of local arrangements to ensure that all young people who are moving from children's to adults' services have a named worker to coordinate care and support before, during and after transfer.

Data source: Local data collection.

Process

Proportion of young people who are moving from children's to adults' services who have a named worker to coordinate care and support before, during and after transfer.

Numerator – the number in the denominator who have a named worker to coordinate care and support before, during and after transfer.

Denominator – the number of young people who are moving 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 are moving from children's to adults' services to have a named worker to coordinate care and support before, during and after transfer.

Health and social care practitioners (such as hospital consultants, nurses, youth workers, social workers, mental health workers and transition workers) work with the young person who is moving from children's to adults' services to identify a named worker and then work with this practitioner to coordinate care and support before, during and after transfer.

Commissioners (clinical commissioning groups, local authorities and NHS England) ensure that they commission services that work with young people who are moving from children's to adults' services to identify a named worker to coordinate care and support before, during and after transfer.

Young people who are moving from children's to adults' services should be helped to choose a single worker – preferably someone that they know and trust – to act as a named worker who coordinates care before, during and after transfer. The named worker acts as a link with staff providing support, including the young person's GP. The named worker should arrange appointments, as well as providing support to the young person and their family.

Parents and carers of young people who are moving from children's to adults' services can contact the named worker for information and support for themselves. If appropriate, they can also ask the named worker for extra support for the young person to help with the move.

Source guidance

Transition from children's to adults' services for young people using health or social care services (2016) NICE guideline NG43, recommendations 1.2.5 and 1.2.9

Definitions of terms used in this quality statement

Named worker

The named worker is a role rather than a job title. This should be one of the people from among the group of workers providing care and support to the young person, who has been designated to take a coordinating role. The young person should help decide who this person should be. It could be, for example, a support planner, a nurse, a youth worker, an allied health professional or another health or social care practitioner. It could also be someone who already has the title keyworker, transition worker or personal adviser. The transition process is lengthy and it would be expected that the named worker may change over time.

A named worker should oversee, coordinate and deliver transition support. They should be the main link with other practitioners, particularly if a young person receives care from more than one service. They should arrange appointments for the young person, act as their representative, direct them to other services and sources of support, and support the young person's family if appropriate.

The named worker should be involved throughout transition, supporting the young person before and after transfer until a time agreed with the young person and their family. The named worker should hand over responsibilities to a practitioner in adults' services (if they are based in children's services).

[NICE's guideline on transition from children's to adults' services for young people using health or social care services, recommendations 1.2.5, 1.2.6, 1.2.7 and 1.2.9]