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The Transition from Paediatric to Adult Diabetes Services: What Works for Whom and in What Circumstances

Researchers: Davina Allen, Lesley Lowes, John Gregory, David Cohen -University of Glamorgan, Kerenza Hood, Sue Channon – Cardiff and Vale NHS Trust, Philip Satherley, Michael Robling

Diabetes is a major health problem which can lead to debilitating and costly complications. The transition from child to adult services is a particularly vulnerable time. Standard 6 of the National Service Framework for Diabetes states that: “all young people with diabetes will experience a smooth transition of care from paediatric diabetes services to adult services” which “should be organised in partnership with each individual and at an age appropriate to and agreed by them” 1. Yet there is little evidence to inform service developments to meet this standard. The proposed study aims to address this deficit. It will identify the range of diabetes transitional service models currently in use in England and undertake a detailed evaluation of a purposive sample (n=8) of these to identify which elements work best to promote user-centred transitional care for whom, and in what circumstances. The aim is to inform commissioning and service delivery and organisation, improve understanding of users’/providers’ experiences and preferences, and contribute to understanding of transition trajectories and theories of continuity of care.




Allen, D. and Gregory, J. (2009) The transition from children’s to adult diabetes services: understanding the ‘problem’. Diabetic Medicine 26, 162-166.[pdf]