Quality statement 5: Missed first appointments after transfer to adults' services

Quality statement

Young people who have moved from children's to adults' services but do not attend their first meeting or appointment are contacted by adults' services and given further opportunities to engage.

Rationale

Young people need to engage with adults' services so that they continue to receive the care and support they need. When young people disengage from services during transition it can affect their future health, mental health and social care needs.

Quality measures

Structure

Evidence of local protocols in adults' services about follow-up arrangements for young people who have moved from children's to adults' services but do not attend their first meeting or appointment.

Data source: Local data collection.

Process

Proportion of young people who have moved from children's to adults' services but did not attend their first meeting or appointment who were contacted by adults' services and given further opportunities to engage.

Numerator – the number in the denominator who were contacted by adults' services and given further opportunities to engage.

Denominator – the number of young people who have moved from children's to adults' services but did not attend their first meeting or appointment.

Data source: Local data collection.

Outcome

Proportion of young people who have transferred from children's services, who are discharged from each adults' services without attending a meeting or appointment.

Data source: Local data collection.

What the quality statement means for different audiences

Service providers (adult health, mental health and social care services) ensure that systems are in place so they know who is transferring from children's services, and that a young person is contacted and given further opportunities to engage if they do not attend their first meeting or appointment in adults' services.

Health and social care practitioners from adults' services (such as hospital consultants, social workers, mental health workers) ensure that they work with children's services to identify young people who have moved to adults' services but did not attend their first meeting or appointment. They ensure that the young people are contacted and given further opportunities to engage.

Commissioners (clinical commissioning groups, local authorities and NHS England) ensure that they commission adults' services that contactyoung people who have moved to their services but do not attend the first meeting or appointment and give them further opportunities to engage (for example, other appointments).

Young people who have moved from children's to adults' services but do not attend their first meeting or appointment are contacted by someone from adults' services. They will check if the young person's care and support plan is still right and whether they need any other help to get back in touch with the service.

Parents and carers of young people who have moved from children's to adults' services but do not attend their first meeting or appointment are contacted by someone from adults' services to try to help the young person keep in touch with adults' services.

Source guidance

Transition from children's to adults' services for young people using health or social care services (2016) NICE guideline NG43, recommendations 1.4.1 and 1.4.2

Definitions of terms used in this quality statement

Opportunities to engage

If a young person does not attend meetings and appointments in adults' services the adults' service should try to contact them and their family and follow up with the young person, then involve other relevant professionals (including children's services and their GP) if need be. If there is still no contact then the relevant provider should refer back to the named worker with clear guidance on re-referral, if applicable. If the young person does not want to engage in services they should be offered alternative ways to meet their support needs.

[NICE's guideline on transition from children's to adults' services for young people using health or social care services, recommendations 1.4.1, 1.4.2 and 1.4.3].