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3.11.2 Transition Protocol

This chapter is currently under review.


Contents

  1. Transition Protocol
  2. The Need for Transition Planning
  3. Panel Referral Criteria
  4. Making a Referral
  5. Process
  6. Resolving Disagreement


1. Transition Protocol

1.1 This Protocol sets out the administrative procedures for providing transition services for young people from age 14 years, who are Looked After or, who are about to leave care.
1.2 Crucial to the transition process will be the work of the transition panel which is the forum for referring young people, at age 14 years, who may be eligible for services in adulthood. The panel makes an administrative decision regarding eligibility for service but does not make specific decisions on individual plans related to the health, social care needs or aspirations of individual young people. For children who are looked after and for those who are about to leave care these decisions are made through the LAC Review process and through the Pathway Plan.
1.3 Young people who have been identified as requiring continuing support and possibly Care Management into adulthood should be presented to the Adult Transition Panel at the earliest possible opportunity, ideally, at 14 years, but as soon as possible after the young person becomes known to the Adolescent and After Care Service.
1.4 Involvement in the transition planning process is not a guarantee of service in adulthood as the eligibility criteria of each adult agency will need to be met, but all partners will work together to ensure that the young person and their family and carers will receive the most appropriate service to meet identified need.
1.5 The Transition Panel are ultimately responsible for ensuring that the young persons choice, views aspirations and potential for independence is taken into account. Therefore the level and type of support may not be as intense or have the same approach to the management of risk as was appropriate when the young person was under the age of 18.


2. The Need for Transition Planning

2.1

A young person may require transition planning if it is apparent that they have specialist health and/or social care needs into adulthood. Transition planning must take into account 'future risk' to a young person. Risk assessments should be part of the assessment process to determine if a young person is able to live without support and still achieve their goals and aspirations. Transition planning will be necessary where there is the possibility that without appropriate support the young person may not achieve the key factors of:

  • Independent living;
  • Appropriate housing;
  • Employment and financial stability;
  • Education and personal development;
  • Social inclusion, citizenship and relationships;
  • Optimum health and well being.

Not every young person with complex needs going through transition will need to be referred to the Panel. Young people who should be considered for referral include:

  • Young people who are very likely/certain to require services when they turn 18 years.
  • Young people whose needs are likely to change but may not require a service at 18 years. A decision will be made by the Service Manager and the Team Manager about whether to refer to Panel. If they are not referred, they will be given comprehensive written information about adult's services, and information about who to contact if their needs change.


3. Panel Referral Criteria

3.1

A Looked After young person aged 14, or as soon as possible after they become known to the Adolescent and After Care Service, must be referred to the Transition Panel when they meet one or more of the following criteria.

When they;

  • Are likely to require support and/or ongoing involvement from a specialist adult team at age 18 years, such as learning disability, mental health, or physical disability teams, continuing care service, specialist health or therapy services, or sign posting to other adult services;
  • Require a consistent strategic approach from a range of services in order to manage a potential risk, including safeguarding issues.
  • Require a proactive approach from services in order to maximise the young persons potential for independence;
  • Require support to access specialist services, for example, secondary healthcare;
  • Have a high degree of dependence on others for personal care or other needs;
  • Are part of a family that is in receipt of multiple services other than education and school health services;
  • Are placed 'out of borough' in a specialist education placement.


4. Making a Referral

A Social Worker or Personal Advisor should complete the Referral form. If a Service based Connexions Advisor, Specialist Employment Advisor or Teacher, have concerns about a young person they should discuss them with the identified worker and their Manager.

The referral must be discussed and agreed in supervision. The referral checklist, on page 2 of the Referral form, sets out the information that will need to be provided for Panel.

The Panel will determine when the young person should return to Panel for monitoring and further discussion about progress.


5. Process

5.1 The referrer should electronically send the referral and supporting information to the adults transition manager at least 10 working days before the next panel meeting. The transition manager will screen and check the referral and will contact the referrer if necessary, regarding any queries.
5.2 The Panel is held bi-monthly and could last up to 3 hours depending on the number of referrals. The Transition Manager will inform of the venue and time of the meeting.
5.3 The Worker and their Manager should attend the Panel.
5.4 At Panel a verbal presentation supports the documentation, which has already been submitted. Following discussion, a provisional decision is made regarding which Adult Team will take responsibility for Case Work from the age of 18 years.
5.5 The Panel will make a decision about which team or service should be the lead service for ongoing work related to the transition of the young person into adult services. Depending on where the young person is in the transition process this could be an adult service or the Adolescent and Aftercare service.
5.6 If the lead service considers that the work would more appropriately be dealt with by another service, then that decision, together with the reasons must be reported back to Panel. The Panel has the final decision regarding these cases with chair escalating the matter if necessary.
5.7 From this point the Adolescent and After Care Service will work jointly with the identified Adult Team to further assess and identify the likely needs and services which will be put in place when the young person reaches 18years. The Pathway Plan will be developed to reflect that adult service route and actions will be identified for along the Pathway.


6. Resolving Disagreement

6.1 If differences regarding a young person's eligibility for an Adult Service cannot be resolved at Panel then the Team Manager who is responsible for the case should bring the matter to the attention of the Service Manager. The Head of CLA Services will consider escalation to the Assistant Director of Specialist Children's Services and Safeguarding and to the Director of Health and Social Care Provider Services for a decision.

End