#WeCYPNs - Wednesday 11th October 2017 8pm (GMT Standard Time) Children and Young People's Transition to Adult Services

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Hosted by WeCYPnurses using #WeCYPNs


‘Transition’ describes the process of planning, preparing and handing over care from familiar children’s services to adult services.

The majority of young people will move from children’s services to adult services between the ages of 16 and 18, though the exact timing varies from person to person and can depend on the adult services available.

The overall aim is that children’s and adult services should work together to ensure that transition is a smooth as possible to ensure good engagement, a continuity of care and better outcomes for young people.

Resources for pre-reading:

http://www.mefirst.org.uk/resource/transition-to-adult-care-ready-steady-go/

https://www.nice.org.uk/guidance/ng43/chapter/Recommendations#overarching-principles

https://www.qni.org.uk/2016/08/17/yptp/





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 Chat Summary

 

Chat Summary

Thank you to everyone who took part in the chat. It was very thought provoking and dynamic with lots of engagement.

Question 1: What are the main differences between CYP and adult services?

  • Open visiting on children’s wards (@cdodd09)
  • Knowledge and skills, lack of parent support, young people facilities (@hardcastle76)
  • The holistic, family-centred care that children’s services offer, whereas adults focus on the patient (@robbradley01)
  • There’s no generalist co-ordination other than GP. All services are disease specific (@hepworth_becky)
  • Adult services are patient-centred, but not in the same way. Adultsstruggle with the QOL-focus (@LucyAlexandria)
  • CYP services are patient-centred, ‘whole person’ care, far more supportand family-feel. Adult services you’re a drop in the ocean (@LucyAlexandria)
  • Adults understanding the whole picture and allowing carers to support more. Taking the time to discover young people’s goals and not just their medical needs would be a way to help (@LucyAlexandria)
  • Heard positive example today in Nottingham; children and adult cont careworking together 16 onwards (@hardcastle76)
  • I feel a burden in adult services, never felt that in paeds. I haveamazing teams who work with me, help me achieve desired QOL (@LucyAlexandria)

Question 2: How can families and nursing staff help a young person feel ready for the change to adult services?

  • Discuss with the YP what it’s goingto be like, paeds nurses the patient knows going with them to 1/2 adult serviceappointments (@robbradley01)
  • Prepare as early as possible. Involving YP in care and decisions. Working on skills, build up confidence. Show them they have a voice (@LucyAlexandria)
  • Prepare them for the change, explain, educate (in language or communication methods suitable for that YP), ensure they’re ready (@LucyAlexandria)
  • Everyone needs guidance and support and someone to signpost when needed (@cdodd09)
  • Discuss with theYP what it’s going to be like, paeds nurses the patient knows going with them (@jmc_julie)
  • Work with the adult side to explain needs so nurses aren’t so worried. Map pathways so YP know who to contact for what (@NinaHeighington)
  • We work through‘Ready, steady go’ questionnaire, starting at age 14 to prepare them and encourage independence (ROHNHSFT) (@cpea88)
  • Start early,encouraging YP to take more responsibility and involve GP (@hepworth_becky)
  • Self-advocacy is a skill to be learnt. Confidence is slowly gained. Independence takes time and support (@LucyAlexandria)

Question 3: What are some of the main difficulties and concerns that families face during transition?

  • Very difficult for parents to let go when they have managed care needs for a long time (@hepworth_becky)
  • YP needs to be empowered to have control in appointments (@MissLucyMay)
  • YP struggle to say to parents they don’t want them there, fear of arguments or upset (@MissLucyMay)
  • Have met YP who take meds ‘because that’s what they’re told to do.’ No idea why (@MissLucyMay)
  • Fear of the unknown, change to a different environment, potentially less contact from the team (bradley_juliet)
  • Surgery after 18 was on adult wards and was a lot different (@robbradley01)
  • Move from familiar and trusted professionals and ‘where will I be admitted when I’m ill?’ (@hepworth_becky)
  • Picking up the phone and networking with adult colleagues helps and making the case for how things need to change (@NinaHeighington)
  • I don’t remember any conversations with me around going to adult services (@robbradley01)

Question 4: What are some ways that you have encouraged a young person to become independent and involved in their health care?

  • Let them lead discussions regarding future of care on their terms (@hepworth_becky)
  • I have encouraged a YP to begin doing their own repeat prescriptions for their medications. One small step (@MissLucyMay)

Question 5: what are the key words that you associate with a successful transition?

  • Communication, preparation early on, support YP and their family through the transition (@robbradley01)
  • Empowered (@MissLucyMay)
  • That the young person has been ‘involved’(@MissCherBear)
  • Start early and gently (@hepworth_becky)




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 #WeCYPNs transcript

 
@WeCYPnurses
11 October 2017 20:00
Good Evening, all! Who is joining us tonight? #wecypns
@MissLucyMay
11 October 2017 20:01
@WeCYPnurses Me!!! #wecypns
@robbradley01
11 October 2017 20:01
@WeCYPnurses Hello Rob here charge nurse #wecypns
@LucyAlexandria
11 October 2017 20:01
Who's joining us? @WeCYPnurses #TransitionToAdulthood tweetchat starting now! #transition #WeCYPNs https://t.co/K0ppRUPZL4
@cdodd09
11 October 2017 20:01
@WeCYPnurses Caroline here - ward sister on a gen paeds ward #wecypns
@LucyAlexandria
11 October 2017 20:02
Who's joining us? @WeCYPnurses #TransitionToAdulthood tweetchat starting now! #transition #WeCYPNs. https://t.co/KpFgyVNLVy
@MissLucyMay
11 October 2017 20:02
RT @WeCYPnurses: 30 minute warning for our #wecypns chat tonight https://t.co/s0DAYtLN6y
@WeCYPnurses
11 October 2017 20:02
@MissLucyMay *waves #wecypns
@hepworth_becky
11 October 2017 20:03
I’m in! Just! Rather sweaty and wet from a quick run! #wecypns
@LucyAlexandria
11 October 2017 20:03
@WeCYPnurses Me! As a young person/patient who does work to improve #transition. Excited to join in. Sorry forgot hashtag #WeCYPNs
@WeCYPnurses
11 October 2017 20:04
@LucyAlexandria Fantastic! Great to have you involved, Lucy! #WeCYPNs
@MissLucyMay
11 October 2017 20:05
@WeCYPnurses *waving back* in my lead lined isolation room! Student CYP nurse #wecypns https://t.co/MIihBJXMTp
@hepworth_becky
11 October 2017 20:05
@LucyAlexandria @WeCYPnurses Yay! So glad you could join us Lucy #wecypns
@DannGooding
11 October 2017 20:05
@WeCYPnurses Evening :) #WeCYPNs
@WeCYPnurses
11 October 2017 20:06
@hepworth_becky Hope you have a cup of tea to warm up, Becky! #WeCYPNs
@hepworth_becky
11 October 2017 20:06
@MissLucyMay @WeCYPnurses Bless you! #wecypns https://t.co/PCPQZa2386
@hepworth_becky
11 October 2017 20:07
@WeCYPnurses Just snuggled in my dressing gown! #wecypns
@MissLucyMay
11 October 2017 20:07
@hepworth_becky @WeCYPnurses Help me break free! And bring the bacon and pain relief with you! #wecypns
@cdodd09
11 October 2017 20:08
@hepworth_becky @WeCYPnurses i've got my pjs on - good job twitter doesn't have web cams! #wecypns
@MissLucyMay
11 October 2017 20:08
@DannGooding @WeCYPnurses Fancy seeing you here Fiancé #wecypns
@LucyAlexandria
11 October 2017 20:10
#AssistanceDog #MollyDog watching over my participation ?? #WeCYPNs https://t.co/gwYzt3ik9n
@WeCYPnurses
11 October 2017 20:10
@MissLucyMay @DannGooding Twitter date night for Lucy and Dann (and the rest of us)! #wecypns
@hepworth_becky
11 October 2017 20:10
@cdodd09 @WeCYPnurses Very good job tonight! Certainly not looking my best! #wecypns
@hardcastle76
11 October 2017 20:10
#wecypns I’m here
@WeCYPnurses
11 October 2017 20:11
To start us off, what do you think are the main differences between CYP and adult services? #WeCYPNs
@MissLucyMay
11 October 2017 20:11
@WeCYPnurses @DannGooding Date night from different parts of the country haha! :) #wecypns
@DannGooding
11 October 2017 20:11
RT @WeCYPnurses: To start us off, what do you think are the main differences between CYP and adult services? #WeCYPNs
@cdodd09
11 October 2017 20:12
@WeCYPnurses open visiting on children's wards a big one #wecypns
@WeCYPnurses
11 October 2017 20:13
RT @cdodd09: @WeCYPnurses open visiting on children's wards a big one #wecypns
@hardcastle76
11 October 2017 20:14
@WeCYPnurses #WeCYPNs knowledge and skills, lack of parent support, young people facilities ,
@DannGooding
11 October 2017 20:14
@WeCYPnurses Oh, @MissLucyMay and I did a section on this while curating WeNurses!! This was our plan... #WeCYPNs https://t.co/Uoli84TE0i
@robbradley01
11 October 2017 20:14
@WeCYPnurses #wecypns the holistic family centred care that children's services offer where as adults focus on the patient
@WeCYPnurses
11 October 2017 20:14
RT @robbradley01: @WeCYPnurses #wecypns the holistic family centred care that children's services offer where as adults focus on the patient
@hardcastle76
11 October 2017 20:14
RT @DannGooding: @WeCYPnurses Oh, @MissLucyMay and I did a section on this while curating WeNurses!! This was our plan... #WeCYPNs https://…
@WeCYPnurses
11 October 2017 20:14
RT @hardcastle76: @WeCYPnurses #WeCYPNs knowledge and skills, lack of parent support, young people facilities ,
@cdodd09
11 October 2017 20:15
@LucyAlexandria how can we make adult services more like this Lucy, Is it possible? #wecypns
@hepworth_becky
11 October 2017 20:15
@WeCYPnurses There’s no generalist co-ordination other than GP. All services are disease specific #WeCYPNs
@LucyAlexandria
11 October 2017 20:15
A1: Not saying adult services aren't patient-centred but not in same way. Ive got #complexneeds & adults struggle w/ the QoL focus #WeCYPNs
@LucyAlexandria
11 October 2017 20:16
@cdodd09 #WeCYPNs Adults understanding the whole picture. Allowing carers to support more. Taking time to discover… https://twitter.com/i/web/status/918193560775725056
@cdodd09
11 October 2017 20:16
@LucyAlexandria was talking to a YP yesterday who said she felt abandoned when she left paed services at 19 yrs #wecypns
@DannGooding
11 October 2017 20:17
RT @cdodd09: @WeCYPnurses open visiting on children's wards a big one #wecypns
@DannGooding
11 October 2017 20:17
RT @MissLucyMay: @DannGooding @WeCYPnurses Fancy seeing you here Fiancé #wecypns
@DannGooding
11 October 2017 20:18
RT @WeCYPnurses: @MissLucyMay @DannGooding Twitter date night for Lucy and Dann (and the rest of us)! #wecypns
@DannGooding
11 October 2017 20:18
RT @MissLucyMay: @WeCYPnurses @DannGooding Date night from different parts of the country haha! :) #wecypns
@LucyAlexandria
11 October 2017 20:18
@cdodd09 #WeCYPNs I feel a burden in adult services, never felt that in paeds. Fort. I have amazing teams who work… https://twitter.com/i/web/status/918194032865669120
@LucyAlexandria
11 October 2017 20:18
@cdodd09 #WeCYPNs team share their desired outcomes, I say mine, we work together to achieve them. They allow me to… https://twitter.com/i/web/status/918194230216089601
@jmc_julie
11 October 2017 20:20
RT @LucyAlexandria: @cdodd09 #WeCYPNs Adults understanding the whole picture. Allowing carers to support more. Taking time to discover…
@hardcastle76
11 October 2017 20:21
RT @LucyAlexandria: @cdodd09 #WeCYPNs Adults understanding the whole picture. Allowing carers to support more. Taking time to discover…
@LucyAlexandria
11 October 2017 20:21
RT @hardcastle76: @WeCYPnurses #WeCYPNs knowledge and skills, lack of parent support, young people facilities ,
@WeCYPnurses
11 October 2017 20:21
@cdodd09 @LucyAlexandria That’s so sad to hear! #WeCYPNs
@LucyAlexandria
11 October 2017 20:21
RT @hepworth_becky: @WeCYPnurses There’s no generalist co-ordination other than GP. All services are disease specific #WeCYPNs
@hepworth_becky
11 October 2017 20:21
@LucyAlexandria @cdodd09 No one seems to offer that ‘case worker’ co-ordination role. #WeCYPNs
@WeCYPnurses
11 October 2017 20:22
RT @hepworth_becky: @WeCYPnurses There’s no generalist co-ordination other than GP. All services are disease specific #WeCYPNs
@WeCYPnurses
11 October 2017 20:22
RT @LucyAlexandria: @cdodd09 #WeCYPNs I feel a burden in adult services, never felt that in paeds. Fort. I have amazing teams who work…
@WeCYPnurses
11 October 2017 20:22
RT @LucyAlexandria: @cdodd09 #WeCYPNs team share their desired outcomes, I say mine, we work together to achieve them. They allow me to…
@WeCYPnurses
11 October 2017 20:23
#WeCYPNs https://twitter.com/FranMCampion/status/918195023728005120
@DannGooding
11 October 2017 20:23
RT @hardcastle76: @WeCYPnurses #WeCYPNs knowledge and skills, lack of parent support, young people facilities ,
@DannGooding
11 October 2017 20:23
RT @hepworth_becky: @WeCYPnurses There’s no generalist co-ordination other than GP. All services are disease specific #WeCYPNs
@hardcastle76
11 October 2017 20:23
#WeCYPNs @WeCYPnurses heard positive example today in Nottingham children and adult cont care working together 16 onwards
@DannGooding
11 October 2017 20:23
RT @LucyAlexandria: @cdodd09 #WeCYPNs I feel a burden in adult services, never felt that in paeds. Fort. I have amazing teams who work…
@DannGooding
11 October 2017 20:24
RT @LucyAlexandria: @cdodd09 #WeCYPNs team share their desired outcomes, I say mine, we work together to achieve them. They allow me to…
@LucyAlexandria
11 October 2017 20:24
@cdodd09 @hepworth_becky #WeCYPNs I'm setting up a charity for young adults w/ complex needs & disabilities. Hope t… https://twitter.com/i/web/status/918195577493573632
@WeCYPnurses
11 October 2017 20:24
Next question! How can families and nursing staff help a young person feel ready for the change to adult services? #WeCYPNs
@DannGooding
11 October 2017 20:25
RT @hardcastle76: #WeCYPNs @WeCYPnurses heard positive example today in Nottingham children and adult cont care working together 16 onwards
@DannGooding
11 October 2017 20:25
RT @LucyAlexandria: @cdodd09 @hepworth_becky #WeCYPNs I'm setting up a charity for young adults w/ complex needs & disabilities. Hope t…
@LucyAlexandria
11 October 2017 20:25
#WeCYPNs TCT is amazing. I wish every adult service had a TCT ward/unit & dedicated Young adult staff https://t.co/fIDYJdRgA0
@cdodd09
11 October 2017 20:26
@LucyAlexandria @hepworth_becky sounds fab and much needed Lucy #wecypns
@robbradley01
11 October 2017 20:26
@WeCYPnurses #WeCYPNs discuss with the YP what it's going to be like, Peads nurses the patient knows going with the… https://t.co/xFZHUv9KAN
@hepworth_becky
11 October 2017 20:26
@LucyAlexandria @cdodd09 And feel that we ‘mollycoddle’ families.... #wecypns
@LucyAlexandria
11 October 2017 20:27
A2 #WeCYPNs prepare as early as poss. Involving YP in care & decisions. Working on skills. Build up confidence. Sho… https://twitter.com/i/web/status/918196262951931909
@hardcastle76
11 October 2017 20:27
#WeCYPNs @WeCYPnurses Leicester keyworker Service trialled expansion of service up to 25 years
@LucyAlexandria
11 October 2017 20:27
#WeCYPNs prepare them for the change, explain, educate (in language or communication methods suitable for that YP), ensure they're ready.
@cdodd09
11 October 2017 20:28
@hepworth_becky @LucyAlexandria everyone needs guidance and support and someone to signpost when needed #wecypns
@hepworth_becky
11 October 2017 20:28
@MissLucyMay @LucyAlexandria @cdodd09 Cancer services have got it right in most areas. Lots more money invested... #wecypns
@jmc_julie
11 October 2017 20:28
RT @robbradley01: @WeCYPnurses #WeCYPNs discuss with the YP what it's going to be like, Peads nurses the patient knows going with the…
@WeCYPnurses
11 October 2017 20:28
RT @LucyAlexandria: #WeCYPNs TCT is amazing. I wish every adult service had a TCT ward/unit & dedicated Young adult staff https://t.co/fIDY…
@LucyAlexandria
11 October 2017 20:28
@hepworth_becky @cdodd09 #WeCYPNs yes but even we can benefit from 24hr support, ppl to turn to, general profession… https://twitter.com/i/web/status/918196718080086016
@hepworth_becky
11 October 2017 20:29
@LucyAlexandria @cdodd09 Absolutely. #wecypns
@LucyAlexandria
11 October 2017 20:29
RT @hardcastle76: #WeCYPNs @WeCYPnurses heard positive example today in Nottingham children and adult cont care working together 16 onwards
@MissLucyMay
11 October 2017 20:30
@LucyAlexandria @WeCYPnurses Me too! I struggle when I'm sick anywhere that isnt on a TCT ward! #wecypns
@DannGooding
11 October 2017 20:30
RT @WeCYPnurses: Next question! How can families and nursing staff help a young person feel ready for the change to adult services? #WeCYPNs
@jmc_julie
11 October 2017 20:30
RT @LucyAlexandria: A2 #WeCYPNs prepare as early as poss. Involving YP in care & decisions. Working on skills. Build up confidence. Sho…
@hardcastle76
11 October 2017 20:30
@hepworth_becky @LucyAlexandria @cdodd09 @WeCYPnurses #WeCYPNs I wonder how much Children’s Services are to blame t… https://twitter.com/i/web/status/918197127314100225
@NinaHeighington
11 October 2017 20:30
Work with adult side to explain needs so nurses aren’t so worried. Map pathways so yp know who to contact for what #WeCYPNs
@DannGooding
11 October 2017 20:30
RT @robbradley01: @WeCYPnurses #WeCYPNs discuss with the YP what it's going to be like, Peads nurses the patient knows going with the…
@LucyAlexandria
11 October 2017 20:30
RT @hardcastle76: @hepworth_becky @LucyAlexandria @cdodd09 @WeCYPnurses #WeCYPNs I wonder how much Children’s Services are to blame t…
@DannGooding
11 October 2017 20:30
RT @LucyAlexandria: A2 #WeCYPNs prepare as early as poss. Involving YP in care & decisions. Working on skills. Build up confidence. Sho…
@hepworth_becky
11 October 2017 20:30
@hardcastle76 @WeCYPnurses Any results? #wecypns
@MissLucyMay
11 October 2017 20:31
@hepworth_becky @LucyAlexandria @cdodd09 Agreed! #wecypns
@WeCYPnurses
11 October 2017 20:31
#WeCYPNs https://twitter.com/FranMCampion/status/918196379058626560
@WeCYPnurses
11 October 2017 20:31
RT @LucyAlexandria: #WeCYPNs prepare them for the change, explain, educate (in language or communication methods suitable for that YP), ens…
@hardcastle76
11 October 2017 20:31
@hepworth_becky @LucyAlexandria @cdodd09 @WeCYPnurses #WeCYPNs to understand what services are available in adults,… https://twitter.com/i/web/status/918197342444146689
@LucyAlexandria
11 October 2017 20:31
RT @hardcastle76: @hepworth_becky @LucyAlexandria @cdodd09 @WeCYPnurses #WeCYPNs to understand what services are available in adults,…
@DannGooding
11 October 2017 20:31
RT @LucyAlexandria: @hepworth_becky @cdodd09 #WeCYPNs yes but even we can benefit from 24hr support, ppl to turn to, general profession…
@DannGooding
11 October 2017 20:31
RT @hardcastle76: @hepworth_becky @LucyAlexandria @cdodd09 @WeCYPnurses #WeCYPNs I wonder how much Children’s Services are to blame t…
@WeCYPnurses
11 October 2017 20:32
Fantastic. #wecypns https://twitter.com/NinaHeighington/status/918197132716322816
@WeCYPnurses
11 October 2017 20:32
RT @hardcastle76: @hepworth_becky @LucyAlexandria @cdodd09 @WeCYPnurses #WeCYPNs to understand what services are available in adults,…
@cpea88
11 October 2017 20:34
@WeCYPnurses @ROHNHSFT we work through 'ready, steady, go' q'aire starting from age 14 to prepare them and encourage independence #weCYPNs
@hepworth_becky
11 October 2017 20:35
@WeCYPnurses Start early! Encouraging YP to take more responsibility and involve GP. #wecypns
@LucyAlexandria
11 October 2017 20:35
@AmyFrounks @WeCYPnurses Self-advocacy is a skill to be learnt. Confidence is slowly gained. Independence takes time & support. #WeCYPNs
@LucyAlexandria
11 October 2017 20:36
RT @hepworth_becky: @WeCYPnurses Start early! Encouraging YP to take more responsibility and involve GP. #wecypns
@hepworth_becky
11 October 2017 20:36
@MissLucyMay @WeCYPnurses Very difficult for parents to let go when they have managed care needs for a long time #wecypns
@hepworth_becky
11 October 2017 20:36
RT @WeCYPnurses: Next question! How can families and nursing staff help a young person feel ready for the change to adult services? #WeCYPNs
@WeCYPnurses
11 October 2017 20:37
What are some of the main difficulties and concerns that families face during transition? #weCYPNs
@hardcastle76
11 October 2017 20:38
@cdodd09 @hepworth_becky @LucyAlexandria @WeCYPnurses @WeCYPnurses #WeCYPNs they need for children’s professionals… https://t.co/8gtUyD9SI3
@MissLucyMay
11 October 2017 20:38
@hepworth_becky @WeCYPnurses Agreed, however, YP needs to be empowered to have control in appointments. #wecypns
@DannGooding
11 October 2017 20:38
RT @WeCYPnurses: Fantastic. #wecypns https://twitter.com/NinaHeighington/status/918197132716322816
@LucyAlexandria
11 October 2017 20:38
RT @hardcastle76: @cdodd09 @hepworth_becky @LucyAlexandria @WeCYPnurses @WeCYPnurses #WeCYPNs they need for children’s professionals to inv…
@DannGooding
11 October 2017 20:39
RT @WeCYPnurses: What are some of the main difficulties and concerns that families face during transition? #weCYPNs
@DannGooding
11 October 2017 20:39
RT @MissLucyMay: @hepworth_becky @WeCYPnurses Agreed, however, YP needs to be empowered to have control in appointments. #wecypns
@LucyAlexandria
11 October 2017 20:39
RT @MissLucyMay: @hepworth_becky @WeCYPnurses Agreed, however, YP needs to be empowered to have control in appointments. #wecypns
@MissLucyMay
11 October 2017 20:39
@hepworth_becky @WeCYPnurses YP struggle to say to parents they dont want them there is fear of arguments or upset. #wecypns
@hepworth_becky
11 October 2017 20:39
@cpea88 @WeCYPnurses @ROHNHSFT We do too! Love it with most YP but doesn’t necessarily meet needs of YP with learning disabilities #wecypns
@MissLucyMay
11 October 2017 20:40
@NinaHeighington @WeCYPnurses Agreed. Have met YP who take meds "because thats what their told to do" no idea why. #wecypns
@MissLucyMay
11 October 2017 20:41
RT @WeCYPnurses: What are some of the main difficulties and concerns that families face during transition? #weCYPNs
@hepworth_becky
11 October 2017 20:41
@LucyAlexandria @NinaHeighington @hardcastle76 @cdodd09 @WeCYPnurses That sounds tough #wecypns
@bradley_juliet
11 October 2017 20:41
@WeCYPnurses Fear of the unknown, change to a different environment, potentially less contact from the team #wecypns
@WeCYPnurses
11 October 2017 20:41
@AmyFrounks @LucyAlexandria Do you think it would have helped if you’d had a ‘practice’ appointment on your own? #WeCYPNs
@LucyAlexandria
11 October 2017 20:41
RT @MissLucyMay: @NinaHeighington @WeCYPnurses Agreed. Have met YP who take meds "because thats what their told to do" no idea why. #wecypns
@mynameisAndyJ
11 October 2017 20:42
#wecypns Sorry for 'peering' in this is as always a great chat
@WeCYPnurses
11 October 2017 20:43
RT @bradley_juliet: @WeCYPnurses Fear of the unknown, change to a different environment, potentially less contact from the team #wecypns
@LucyAlexandria
11 October 2017 20:43
@WeCYPnurses @AmyFrounks Definitely. If I'd had the opportunity & support, & practise runs, it'd have made a big difference #WeCYPNs
@robbradley01
11 October 2017 20:44
I suppose I went through transition with my care from cleft lip and palate service however same consultant so that was ok 1/2 #wecypns
@hepworth_becky
11 October 2017 20:44
@LucyAlexandria @WeCYPnurses @AmyFrounks This is great idea ?? #WeCYPNs
@jadelouise299
11 October 2017 20:44
RT @WeCYPnurses: Next question! How can families and nursing staff help a young person feel ready for the change to adult services? #WeCYPNs
@MissLucyMay
11 October 2017 20:45
RT @WeCYPnurses: @AmyFrounks @LucyAlexandria Do you think it would have helped if you’d had a ‘practice’ appointment on your own? #WeCYPNs
@hepworth_becky
11 October 2017 20:45
#WeCYPNs https://twitter.com/ninaheighington/status/918200632640770048
@DannGooding
11 October 2017 20:45
RT @MissLucyMay: @NinaHeighington @WeCYPnurses Agreed. Have met YP who take meds "because thats what their told to do" no idea why. #wecypns
@cdodd09
11 October 2017 20:45
@mynameisAndyJ you don't have to apologise Andy, you're more than welcome #wecypns
@WeCYPnurses
11 October 2017 20:45
#weCYPNs https://twitter.com/ninaheighington/status/918200632640770048
@DannGooding
11 October 2017 20:45
RT @WeCYPnurses: @AmyFrounks @LucyAlexandria Do you think it would have helped if you’d had a ‘practice’ appointment on your own? #WeCYPNs
@robbradley01
11 October 2017 20:45
2/2 just that any surgery after I was 18 was on adult wards, that was a lot different #wecypns
@MissLucyMay
11 October 2017 20:46
#wecypns https://twitter.com/ninaheighington/status/918200632640770048
@DannGooding
11 October 2017 20:46
RT @WeCYPnurses: #weCYPNs https://twitter.com/ninaheighington/status/918200632640770048
@DannGooding
11 October 2017 20:46
RT @robbradley01: 2/2 just that any surgery after I was 18 was on adult wards, that was a lot different #wecypns
@hepworth_becky
11 October 2017 20:47
@WeCYPnurses Move from familiar and trusted professionals and ‘where will I be admitted when I’m ill?’ #WeCYPNs
@KirstyLiddiard1
11 October 2017 20:47
RT @hardcastle76: #WeCYPNs @WeCYPnurses heard positive example today in Nottingham children and adult cont care working together 16 onwards
@NinaHeighington
11 October 2017 20:47
#weCYPNs picking up the phone and networking with adult colleagues helps, and making the case for how things need to change.
@robbradley01
11 October 2017 20:47
I don't remember any conversations with me around going to adult services #wecypns
@WeCYPnurses
11 October 2017 20:48
What are some of the ways you have encouraged a young person to be more independent and involved in their health care? #weCYPNs
@LucyAlexandria
11 October 2017 20:48
RT @hepworth_becky: @WeCYPnurses Move from familiar and trusted professionals and ‘where will I be admitted when I’m ill?’ #WeCYPNs
@NinaHeighington
11 October 2017 20:48
Sorry first twitter chat keep forgetting hashtag! #WeCYPNs
@LucyAlexandria
11 October 2017 20:48
RT @NinaHeighington: #weCYPNs picking up the phone and networking with adult colleagues helps, and making the case for how things need to c…
@hepworth_becky
11 October 2017 20:50
@WeCYPnurses Let them lead discussions regarding future of care on their terms... #wecypns
@MissLucyMay
11 October 2017 20:50
@WeCYPnurses I have encouraged a YP to begin doing their own repeat prescriptions for their medications... one small step.. #wecypns
@MissLucyMay
11 October 2017 20:50
RT @hepworth_becky: @WeCYPnurses Let them lead discussions regarding future of care on their terms... #wecypns
@MissCherBear
11 October 2017 20:50
Just catching the tail end of this chat #wecypns
@MissCherBear
11 October 2017 20:51
RT @hardcastle76: #WeCYPNs @WeCYPnurses heard positive example today in Nottingham children and adult cont care working together 16 onwards
@WeCYPnurses
11 October 2017 20:51
So happy that this is your first twitter chat! Welcome! :) #WeCYPNs https://twitter.com/NinaHeighington/status/918201771935354880
@hepworth_becky
11 October 2017 20:51
@LucyAlexandria @robbradley01 Really...?! #weCYPNs
@robbradley01
11 October 2017 20:51
Sorry I forgot the #WeCYPNs naughty step for me! https://twitter.com/robbradley01/status/918202087976169473
@cdodd09
11 October 2017 20:52
@LucyAlexandria @robbradley01 so sad :-( #wecypns
@WeCYPnurses
11 October 2017 20:52
@MissLucyMay Excellent work, Lucy! #inspiration #WeCYPNs
@DannGooding
11 October 2017 20:52
RT @robbradley01: I don't remember any conversations with me around going to adult services #wecypns
@WeCYPnurses
11 October 2017 20:53
#WeCYPNs https://twitter.com/mynameisAndyJ/status/918202666760704000
@hepworth_becky
11 October 2017 20:53
@NinaHeighington You are doing fine! No naughty step yet! #wecypns
@DannGooding
11 October 2017 20:53
@WeCYPnurses Really informative discussion tonight. Learning a lot on a topic that I don’t know much about? #WeCYPNs
@hepworth_becky
11 October 2017 20:55
@LucyAlexandria @robbradley01 @cdodd09 Not a great experience #wecypns
@WeCYPnurses
11 October 2017 20:55
Last question! What are the key words that you would associate with a successful transition? #weCYPNs
@LucyAlexandria
11 October 2017 20:55
RT @hepworth_becky: @WeCYPnurses Let them lead discussions regarding future of care on their terms... #wecypns
@jadelouise299
11 October 2017 20:56
RT @hepworth_becky: @ReadySteadyGo3 @AmyFrounks @WeDistrictNurse @TheQNI @candpel would be great if you could join us? #wecypns https://t.c…
@hardcastle76
11 October 2017 20:56
@NinaHeighington @cdodd09 @WeCYPnurses #weCYPNs also identified transition leads for cyp and adult acute services across East Midlands
@robbradley01
11 October 2017 20:56
Communication, preparation early on, support YP and their family through the transition #weCYPNs
@MissLucyMay
11 October 2017 20:56
@WeCYPnurses Empowered #wecypns
@MissCherBear
11 October 2017 20:57
That the young person has been 'involved' #weCYPNs
@mynameisAndyJ
11 October 2017 20:57
RT @hardcastle76: @NinaHeighington @cdodd09 @WeCYPnurses #weCYPNs also identified transition leads for cyp and adult acute services across…
@hepworth_becky
11 October 2017 20:57
@WeCYPnurses Start early and gently #WeCYPNs
@WeCYPnurses
11 October 2017 20:57
RT @MissCherBear: That the young person has been 'involved' #weCYPNs
@WeCYPnurses
11 October 2017 20:57
RT @MissLucyMay: @WeCYPnurses Empowered #wecypns
@WeCYPnurses
11 October 2017 20:57
RT @robbradley01: Communication, preparation early on, support YP and their family through the transition #weCYPNs
@WeCYPnurses
11 October 2017 20:58
RT @hepworth_becky: @WeCYPnurses Start early and gently #WeCYPNs
@hepworth_becky
11 October 2017 20:58
@hardcastle76 @NinaHeighington @cdodd09 @WeCYPnurses Fabulous. #wecypns




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