The term ‘continuing care’ has different meanings in child and adult services. The young person will be helped to understand this and its effects from the start of transition planning. All related services will work together with the young person to find how they can best support them to reach their wanted outcomes.
The Clinical Commissioning Group (CCG) (responsible for health commissioning) with the Local Authority and other partners will progress and manage the transition planning process for the young person. Trained staff with knowledge of the Adult NHS continuing healthcare process will provide guidance and help answer any questions a young person may have.
- At the age of 14 - Children’s services in the Local Authority will name those young people who may need adult NHS continuing healthcare and will inform the Wokingham Clinical Commissioning Group.
- At the age of 16 - A formal referral for screening is made to the adult NHS continuing healthcare team.
- At the age of 17 - eligibility for adult NHS continuing healthcare will be decided in principle by the Wokingham Clinical Commissioning Group using the decision-making processes set out in this Adult Framework.
Evidence will be considered from health plans, assessments and other plans developed from the transition process.
Packages of care will be commissioned in time for the young person’s 18th birthday (or later, if it is agreed that it is more appropriate for the care to be transferred then). Staff from adult services will be involved in both the assessment and care planning to make sure there is a smooth transition to adult services.
- At the age of 18 - Any entitlement that is identified before a young person reaches adulthood will come into effect on their 18th birthday
The young person will be advised if they are not eligible for a package of adult NHS continuing healthcare. An independent review can be requested if a young person is not happy with the decision. There may be other health needs that are still the duty of the NHS. In these cases CCGs will still be part of the transition planning process and will ensure that appropriate arrangements are in place to meet these needs.
The care package may change if the young person’s needs or circumstances have changed. No services or funding will be withdrawn unless a full joint health and social care assessment has been carried out and alternative funding arrangements have been put in place.
Plans will set out who will take responsibility for a young person’s ongoing care. CCGs and other partners will ensure that appropriate services are put in place to meet their needs.