Quality statement 4: Introduction to adults' services

Quality statement

Young people who will move from children's to adults' services meet a practitioner from each adults' service they will move to before they transfer.

Rationale

Young people may feel unsure about moving to adults' services, especially if they have been with children's services for a while. Meeting a practitioner who will take a lead role in their future care, at least once, from each of the adults' services they will move to can help build a young person's confidence, reduce their concerns and increase their willingness to have new practitioners involved in their care. This can lead to a smoother transition for the young person and more regular attendance at appointments in adults' services, with better outcomes.

Quality measures

Structure

Evidence of local arrangements to ensure that young people who will move from children's to adults' services meet a practitioner from each adults' service they will move to before they transfer.

Data source: Local data collection.

Process

Proportion of young people who moved from children's to adults' services who met a practitioner from each adults' service they moved to before they transferred.

Numerator – the number in the denominator who met a practitioner from each adults' service they moved to before they transferred.

Denominator – the number of young people who moved 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' service managers) ensure there are systems in place for young people to meet a practitioner from each adults' service they will move to before they transfer from children's to adults' services. These may include joint appointments, joint clinics, and pairing of a practitioner from adults' services with one from children's services.

Health and social care practitioners from adults' services (such as hospital consultants, nurses, social workers and mental health workers) meet the young people who will move into their service before they transfer.

Commissioners (clinical commissioning groups, local authorities and NHS England) ensure that they commission adults' services in which practitioners meet young people before they transfer from children's services.

Young people who will move from children's to adults' services meet someone from each of their new adults' services before they transfer, to help them feel more confident about the move.

Source guidance

Transition from children's to adults' services for young people using health or social care services (2016) NICE guideline NG43, recommendation 1.3.1