Transition

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What is Transition?

In healthcare, we use the word “transition” to describe the process of preparing, planning and moving from children’s to adult services.

Transition is a gradual process that gives you, and everyone involved in your care, time to get you ready to move to adult services and discuss what your healthcare needs as an adult are likely to be. This includes deciding which services are best for you and where you will receive that care.

Transition is about making plans with you – and not about you. We understand that moving away from a team of doctors and nurses that you have been with for many years can be scary but hopefully, by getting involved in the transition process, you will feel more confident and happier about the move.

Why do I have to move?

As you get older, you will find that some of the things you want to discuss or some of the care you might need is not properly provided by our children’s services.

Adult services are used to dealing with all sorts of issues that may arise, such as higher education, travelling, careers and sex. You may also find that you would prefer to be seen in a more grown-up environment, rather than the usual children’s departments or wards.

When do I have to move?

There is no exact time that is right for everyone. Your doctors and nurses may have an idea about when they feel that you might be ready but it is important that you are involved in that decision.

Who can help me get ready?

 Your healthcare team will be able to give you information and support about moving on. They can help you get ready for adult services by:

  • Teaching you about your condition or illness, its treatment and any possible side effects
  • When you are ready, seeing you on your own for part of the clinic appointment and working towards seeing you on your own for the whole clinic appointment
  • Making sure you know when to get help and who to contact in an emergency
  • Helping you understand how your condition or illness might affect your future education and career plans • Making sure you know about the support networks available
  • Making sure you understand the importance of a healthy lifestyle, including exercise, diet, smoking and sex.

Your family

Your parents or carers have been really important in looking after your health and will be able to give you lots of helpful advice. While you are in the process of transitioning, your parents will still be very involved in your care and their role is still important. Try to talk to them and your healthcare team about how you feel about moving on to adult care and any questions or concerns you might have. Also try to discuss practical issues relating to your health, such as getting to appointments, obtaining repeat prescriptions and asking questions in clinic.

While transition is all about you, it is important to realise that your parents may also be finding the process difficult as now they are handing over the responsibility to you. This can be hard for many parents and they may have worries of their own. You may find talking to them about your feelings, and allowing them a chance to tell you how they feel, will help you all through the process.

Emotional wellbeing

Growing up is difficult, but having a chronic condition can make things even more challenging. Sometimes this puts a strain on our emotional well-being. Sometimes, we all need a bit of help. If you are struggling with anxiety, low mood or stress, you might some of the resources below useful.
Local help:
 
Herefordshire and Worcestershire CAMHS have a website with many useful tips and info of where to find support. Take a look at: https://camhs.hacw.nhs.uk
 
If you are struggling with anxiety +/- low mood, Hereford and Worcestershire CAMHS service run “Reach 4 Wellbeing” CBT-based online sessions. If you are 13 or over, you can refer yourself via the form on their website, which can be found at: https://camhs.hacw.nhs.uk/reach4wellbeing
 
Herefordshire and Worcestershire offer support through the Healthy Minds programme for those who are struggling with their mental health. If you are 16y or over, you can refer yourself through their website: www.healthyminds.whct.nhs.uk. If you are under 16, please speak with your GP as a CAMHS referral may be appropriate.
 
Bullying support:
 
Bullying is never acceptable. If you are being bullied, please speak to someone you trust. Further information can be found at:
Self-harm:

Further advice is available on the Ready, Steady, Go website here: www.readysteadygo.net/rsg.html 


Tell us what you think – a short survey

Patients:

If you’re a patient with us, please take our short survey here to tell us what you think!

All answers are confidential, none of your healthcare providers will be aware of your answers.

Open the survey


For Parents/Carers whose young person is unable to fill in the survey themselves:

If you are a parent or carer whose young person is unable to complete themselves (i.e. if they have a learning disability), you can complete the survey for them using the following link: Click to open the parents/carers survey

As above, all answers are confidential so no healthcare providers will be aware of your answers.

Open the survey


Looking for more? Click here for lots of useful links that might help during your Transition to Adult Services