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Implementing Transition - Ready Steady Go Dr Arvind Nagra, Consultant Paediatric Nephrologist, Southampton Children's Hospital, University Hospitals of Southampton NHS Improving Quality held an event in London on 31 July 2013 to progress the children and young people transition to adult services work with a focus on turning the rhetoric into practice entitled “Working to Define a Generic Service Specification for Transition”
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Implementing TransitionReady Steady Go
Dr Arvind NagraConsultant Paediatric Nephrologist
Ready Steady Go: The beginning
• Literature search• Experience from other hospitals - UK , Canada,
Australia• Discussed with other sub-specialities• Transition Steering Group
– Cardiac, nephrology, respiratory, community, diabetes, rheumatology, haematology and oncology
Ready Steady Go: Transition Programme
• What? • A purposeful, planned process for adolescents with chronic physical and medical conditions as they move from child-centred to adult orientated health care.
• Why?• Reduce morbidity and mortality• Ensure vocational success
• Who? • Adolescents >11yrs with chronic condition
• How?• Ready, Steady, Go programme
Ready Steady Go: Transition Plan
• Knowledge
• Self advocacy
• Health + lifestyle
• Education/future
• Psychosocial issues
• Transition www.uhs.nhs.uk/readysteadygo
Ready Steady Go: What’s involved?
Ready Steady Go: Making it happen
• Ready Steady Go (RSG) documentation• Information campaign
– From briefing Trust Board to Poster campaign
• Young persons clinic weeks 4 x year– Promotes transition
• MDT, patients and parents
– Share resources– Young person friendly environment
Ready Steady Go: Snapshot Feedback Questions Responses
The “Transition: moving into adult care ” helped patients +family understand why they are starting RSG
All agree
The questionnaires were easy to understand
All strongly agree/agree
RSG questionnaires helped focus clinic appt + address difficult issues
All agree (2/92 disagreed)
RSG helps ease the process of transition All strongly agree/agree
Any questions that would help improve transition?
Comments?
All – No
Time issuesRelevance of some questions especially in patients with learning disabilities
Ready Steady Go: What’s Hot ?
• All specialities signed up to it• Documentation well received• Hierarchy support• Other Trusts across the country and sub-
specialities are adopting the programme
Ready Steady Go: What’s not?
Issue Solution
Time issue : It’s new!!
Information video for patients +carersInformation video for professionals
Psycho-social support Youth worker
Joint business cases between sub-specialities for both – sharing resources
Young persons clinic week bookings Managers involved : monthly updates + team briefs
Ready Steady Go: Next steps
• Transition website + App– Generic + sub-speciality links
• ‘Hello’ for transfer to adults• Large scale audit on long-term outcomes of
Ready Steady Go• Young adult cohorted clinics until 25 yrs of age• NHS buy in?
Ready Steady Go: Key lessons
• A generic programme can work across sub-specialities + make implementation easier
• Shifting emphasis to empowering the young person is proving effective
• RSG succeeds because:– The staged ‘traffic light system’ is appealing, it’s
simple to use, easy to implement and has minimal costs