Table of groups for transition from children’s to adult services – early and comprehensive identification

Groups of people that need to be identified, as named in the Care Act 2014

Those with degenerative conditions

Possible roles and organisations to establish links with  

• Children’s community nurses
• Local hospice offering specialist palliative care and support to children and young people who have life-limiting or life-threatening illnesses
• Specialist schools
• Other schools with children with care and support needs
• Clinical commissioning groups
• GPs

Existing forums/meetings

• Multidisciplinary meetings in hospitals or in community settings
• Existing transition forums

Those detained in the youth justice system

Possible roles and organisations to establish links with  

• Youth justice
• Youth support
• Regional offender manager

Existing forums/meetings

• Transition meetings (youth custodial services to adult services)
• Transition forums for young people recently released from young offender institutions

Young carers whose parents have needs below the local authority eligibility threshold

Possible roles and organisations to establish links with  

• Schools
• Young carers’ groups
• Adult social care

Existing forums/meetings

• Transition forums
• Carers forums

Young people and young carers receiving CAMHS

Possible roles and organisations to establish links with  

• GP
• Systemic psychotherapists
• Clinical psychologists
• Adult mental health (depends on local arrangements)

Existing forums/meetings

• Existing multidisciplinary meetings
• Existing forums

Those whose needs have been largely met by their educational institution, but who, once they leave, will require their needs to be met in some other way (e.g. those with autism)

Possible roles and organisations to establish links with  

• Schools
• Special educational establishments locally
• Audit files as per effective mental health recommendations

Existing forums/meetings

• Existing reviews
• Transition forums