Integrated regional approach involving paediatric and adult services
For optimal outcomes, a structured, multidisciplinary transition programme with a shared regional or network protocol developed by HCP, AYA, and parents/carers may be considered (Grade D).12,13,15,17-19 This could include age-appropriate written information. Several guidelines have suggested that regular meetings may be considered between paediatric and adult HCP improve the effectiveness of the transition programme (Grade D).16,17 If transfer to another clinical service is required, it would be helpful for the AYA to have had a recent comprehensive review of allergic conditions to optimize their management plan and generate an up to date transition report. This would cover the AYA’s medical history, treatments, emergency care plan, follow-up, comorbidities and any other relevant information. Furthermore, an integrated transition programme would be helpful with input from paediatric and adult providers and primary care, ideally as part of the well-coordinated multidisciplinary team. This may be considered to include a period of overlap between these services to help build relationships and establish effective adult care and management (Grade D).12-19 Feedback from the adult to the paediatric clinic and primary care about AYA’s attendance, circumstances and any changes in management is essential for continuity of the medical care and flow of information between all HCPs involved in the individual’s care.