Committee publication · Engagement document · 14 April 2026

Transitions from child to adult services- Planning Grid

From: Health and Social Care Committee

Inquiry: The transition from child to adult health and social care services

Summary

This is a planning grid issued by the Health and Social Care Committee's Expert Panel to gather written submissions from stakeholders on transitions from child to adult health and social care services. It sets out six focus areas—timeliness, cross-service coordination, young people's involvement, workforce training, developmental independence, and equity—each structured around statements of intent, resourcing questions, effectiveness metrics, outcomes, appropriateness, and equality considerations.

Key findings

  • Focus area 1 requires transition planning to begin by school year 9 (age 13–14) with no gaps in service provision during transfer, per Care Act 2014 sections 58 and 66.
  • Focus area 2 mandates joint commissioning for young people with education, health and care plans and requires gap analyses to identify service shortfalls, particularly for neurodevelopmental disorders and cerebral palsy.
  • Focus area 3 emphasises involving young people and carers in transition planning through peer support, advocacy, and co-production of policies, with parental involvement tailored to individual needs.
  • Focus area 4 calls for staff training in adolescent development and transitional care, named workers to coordinate care, and designated senior executives and managers to champion transitions at organisational level.
  • Focus areas 5 and 6 require developmentally appropriate, person-centred services addressing education, employment, housing and independence, delivered equitably to underserved groups with culturally competent communication tools.

Tone

Procedural

Topics

health-social-care-integrationtransitions-young-peoplesafeguardingequity-diversityworkforce-capacity

Key actors

Health and Social Care Committee Expert Panel, Local authorities, Health commissioners, Health and social care organisations, Child and adolescent mental health services, Primary care practices

Notable line

Young people who will move from children's to adults' services start planning their transition with health and social care practitioners by school year

Key Quotes

Young people who will move from children's to adults' services start planning their transition with health and social care practitioners by school year 9 (aged 13 to 14 years), or immediately if they enter children's services after school year
NICE QS140 (2016) · Statement of intent on timeliness of transition
Where the child has previously been receiving services, the local authority must continue to provide those services until [adult care and support is in place]
Care Act 2014 Section 66 · Duty to ensure no gaps in provision during transition
Jointly plan services for all young people making a transition from children's to adults' services. For young people with education, health and care plans, local authorities and health commissioners must jointly commission services
NICE NG43 (2016) · Statement of intent on cross-service coordination
Carry out a gap analysis to identify and respond to the needs of young people who have been receiving support from children's services, including child and adolescent mental health services, but who are not able to get support from adult services
NICE NG43 (2016) · Requirement to address service shortfalls during transition
Adults' services should take into account the individual needs and wishes of the young person when involving parents or carers in assessment, planning and support
NICE NG43 (2016) · Statement of intent on carer involvement tailored to individual need
Each health and social care organisation, in both children's and adults' services supporting young people in transition, should nominate: 1 senior executive to be accountable for developing and publishing transition strategies and policies, 1 senior manager to be accountable for implementing transition strategies and policies
NICE NG43 (2016) · Organisational accountability for transition implementation
Use person-centred approaches to ensure that transition support addresses all relevant outcomes, including those related to education and employment, community inclusion, health and wellbeing, including emotional health, independent living and housing options
NICE NG43 (2016) · Statement of intent on developmentally appropriate independence
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Source · parliament.uk record ↗