Date post: | 22-May-2015 |
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Health & Medicine |
Upload: | nhs-improving-quality |
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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