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.