• 17Feb

    Supporting self management highlighted as best practice for transition services

    NHS England has published a non-mandatory diabetes transition service specification that sets out a best practice provision model for services for children and young people with diabetes.

    The document is intended to support commissioners in improving outcomes and has been developed to support improvements to existing children and young people’s and adult diabetes services to ensure that they take account of the needs of people up to the age of 25.

    An integrated and person centered approach to care planning is set out in the specification, that places emphasis on valuing the assets and expertise of the individual in managing their condition and, supports them to take an active role in planning health services appropriate to their own needs.

    The document specifies that planning for transition should begin early and involve the young person. It includes a care planning template to support this process.

    It addresses the provision of information support, recommending that it must be clear, jargon free and in plain English, and take into account the health literacy of the intended audience.

    It recommends that services should make use of social media, apps, email, texts and Skype to reduce disengagement and promote uptake of services.

    The document also highlights the financial cost of not properly supporting young people in their transition to adult services.

    Eighty per cent of NHS spending on diabetes goes on managing complications, much of which could be prevented. The presence of diabetic complications increases by five the chance of a person needing hospital admission.

    The document highlights that, whilst the point of transfer between services is recognised as a potential risk escalator, it can also be a key opportunity to support self-management and engagement.

    The full document can be read here.