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"Transition to adult services"

About: North Lanarkshire Health & Social Care Partnership / Learning Disability Transitions to Adult Services

(as a parent/guardian),

There had been lots of planning meetings with multiple agencies involved due to my son's profound multiple learning disabilities and complex medical needs.

Everyone involved was committed.

No words can describe the emotional feeling of having to plan for your son's future when every morning you did not know if he would still be alive!

Yes I live my life every day with this not knowing how I will find him. 

Yes there had been the correct people round the table.

What worked very well was - social work enabled staff member from adult day centre to attend days at my son's school and for a staff member from his school to support my son to attend adult day centre. In my opinion this was 5 star and the best that anyone could possibly receive. 

This was of huge support to the staff of the service at his adult day centre he was transitioning to. 

This provided time for training for life saving medical equipment, time to get to know my son, pick up on vital signs to change to his health and for them to respond in the correct manner... help save his life.

Within 4 months of transferring over to adult health things started to fail.

Health professionals who had been involved in transition meetings at children's hospital started to disappear and those who would replace them stated they could not provide the service that was needed and had been agreed.

Learning Disability team have very useful tools to use for when the person attends hospital appointments and for stays in hospital.... but I feel they are ignored! I also feel that the parent carer is ignored, or we are seen as being challenging! Only because we have the knowledge & experience for how best procedures are carried out.

In my opinion, adult health has a long way to go to catch up with paediatric.

I now have no medical support at the end of a phone, something I always had when my son was with pediatric team - even though he has very specific needs in terms of medical equipment at home.

I feel that people like my son are best treated at home and everyone would agree.

Continuity is vitally important to people like my son and thankfully his LD nurse has remained the same from the start of transition planning and is still in place to this day.

In my view, the service from adult health was a failure before covid, now it is horrendous.

District Nurses - not straightforward ordering supplies.

I think there should be a lead person in health to coordinate between the specialists in health my son sees, this should not be me.

No one asks me how I feel or do I want to take on more responsibility regarding health needs.

His life has been in my hands for many years and I can not take on any more! But I have no choice.

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Responses

Response from Patricia Kearns, North Lanarkshire Health & Social Care Partnership 11 months ago
Patricia Kearns
North Lanarkshire Health & Social Care Partnership
Submitted on 02/06/2023 at 16:43
Published on Care Opinion at 16:43


Dear Gemini 98

I am so sorry to hear that you've been having such a difficult time, and that the transition from children to adult services has been so traumatic for you and for your son. I'm relieved and pleased to hear that the social work service that's supported your son from his school environment to adult services has been helpful to you both.

Please be assured that I have brought the situation that you describe to the attention of members of the management team at the Health and Social Care Partnership. Someone else will respond to the comments that you have made in due course. Once again, I am truly sorry to hear about the difficulties that you have experienced whilst navigating your way through paediatric to adult health services.

Very best regards

Patricia Kearns

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Response from Carole Morrow, North Lanarkshire Health & Social Care Partnership 10 months ago
Carole Morrow
North Lanarkshire Health & Social Care Partnership
Submitted on 13/06/2023 at 15:34
Published on Care Opinion at 15:46


Good afternoon Gemini 98

I would like to thank you for taking the time to provide us with feedback with regards to your son's transition.

I am really disheartened to hear how difficult the transition from child to adults services has been for you and your son. Dealing with more responsibilities, uncertainties, all while balancing life in general must be exhausting and emotionally draining, and feeling that your voice wasn't heard or feelings included must have been extremely difficult for you.

It is positive to hear Social Work services worked well for your son to ensure he was attended day services also allowing a staff member from school to attend with him. I also agree, continuity of care is important and its reassuring your son's LD nurse is still involved in his care.

Sharing your son's experience helps us to identify opportunities for quality improvement, to put things right if they go wrong and to work in partnership with our patients, families/carers in co designing services.

Thanks again for sharing you and your son's experience, I will raise with health and social care partnerships.

Kind regards

Carole Morrow

Senior Nurse

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