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”

1. Implementing Transition
Ready Steady Go
Dr Arvind Nagra
Consultant Paediatric Nephrologist

2. 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

3. 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

4. Ready Steady Go: Transition Plan
• Knowledge
• Self advocacy
• Health + lifestyle
• Education/future
• Psychosocial issues
• Transition

5. Ready Steady Go: What’s involved?

6. 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

7. 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?
All – No
Comments?
Time issues
Relevance of some questions
especially in patients with
learning disabilities

8. Ready Steady Go: What’s Hot ?
•
•
•
•
All specialities signed up to it
Documentation well received
Hierarchy support
Other Trusts across the country and subspecialities are adopting the programme

9. Ready Steady Go: What’s not?
Issue
Solution
Time issue : It’s new!!
Information video for patients
+carers
Information video for professionals
Psycho-social support
Youth worker
Joint business cases between subspecialities for both – sharing
resources
Young persons clinic week bookings
Managers involved :
monthly updates + team briefs

10. 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?

11. Ready Steady Go: Key lessons
• A generic programme can work across subspecialities + 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