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