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GPs to be measured on managing transition of young people to adult care services

GPs will be measured on how well they support young people who are disabled or have long term health needs in their transition from child to adult care services, the CQC has said.

The chief inspector of primary care, Professor Steve Field, said GPs had a role to play in ensuring that young people do not fall through the gap between children’s services – which offer support for mobility, breathing or pain relief, among other things – and their adult versions, which often fail to provide the same support.

A new report from the regulator stresses that they will mark GPs down if they fail to provide the support these young people when the practices are inspected.

Professor Field said that hospital consultants need to work more closely with GPs to ensure that families are supported during the transition to using adult services.

The CQC’s report – which was based on interviews with 180 families and 23 inspections -  found that some GPs are left out of the loop because families rely mostly on secondary care until their children reach 16, but that GPs should become more involved at an earlier stage to plan for transition.

A CQC statement said: ‘As part of CQC’s new approach to inspection which will begin from October, CQC will investigate transition arrangements when it visits primary and community healthcare services. Its findings will be reflected in the overall rating – of outstanding, good, requires improvement, or inadequate – that CQC will award to services. These ratings will celebrate best practice and hold providers to account to make improvements.’

Professor Field said: ‘Despite plenty of guidance being available on what good transition planning and commissioning should look like there continues to be a significant shortfall between policy and practice. In particular, general practice has a role to play as the single service that does not change when a young person becomes an adult.’

NICE is currently developing guidance for health and social care professionals in helping families during the transition. Deputy chief executive Gillian Leng said: ‘For many young people on the cusp of adulthood, moving between health and social care services can be a tumultuous and stressful time.’

Care and support minister Norman Lamb said care for young people should not reach a ‘cliff edge’ at age 18, where services are suddenly not available to them.

Readers' comments (16)

  • So we'll be judged on something we can do little about?

    eg lack of adult services. lack of planning by childrens services.

    Perhaps we should scrap the idea of childrens vs adults altogether and make it one - after all seems work well in diabetes where it's done.

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  • Is Prof Field meeting with every interest group and saying- 'that's a good idea I'll expect that from GPs and inspect that.'
    Although I agree that the issue is important measuring and inspecting is going to result in a dust gathering file. Perhap we are being measured on the 'rack of inspection' that seems to pour from CQC, NHSE CCGs Monitor etc...
    Perhaps CQC should really concentrate on quality and demand a maximum of 30 pts a day and no more hours than would be expected of a pilot.

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  • Yep, yet another idea, another performance management whip, which fails to acknowledge the fundamental resourcing issues, excess of unplaced and unwarranted demand (just because the NHS is 'free' doesn't mean it should deal with every ill in the world!)....patients who need access to GPs struggle because of the amount of trivial dribble people bring to fill GP appointments with!

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  • Sorry, what has this got to do with general practice?

    Yes, I'll be happy to help and agree a smooth transition should take - but it is essentially a problem between 2 secondary care services (i.e. not controlled by GPs) which is the cause of the problem.

    May be Prof Field will soon inspect the GP practices and mark us down for CQC's failure to spot the dangers in North Staff hospital as well (GPs should have ensured the CQC is acting adequately so they can be inspected properly).........

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  • Sounds like a specialist service to me

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  • What utter horse dung. Perhaps we can insert a broom and sweep the corridors of whitehall as we pass.

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  • Bloody brilliant - more targets which are totally beyond our control

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  • GPs are responsible for everything..didn't you know that?

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  • or in summary "GPs to be blamed for services which have never existed not existing".

    It is soon to be announced that GPs will be responsible for providing resurrection, alchemy, teleportation and money from trees services.

    It is also understood that for a reduction in our overall "pay envelope" the GPC has negotiated that we will provide those hoverboards from that "Back to the Future" movie....and we will drive our patients to the teleportation booth so they can pick them up.

    Only with this kind of joined up thinking can we deliver patients what they want.

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  • "The CQC’s report – which was based on interviews with 180 families and 23 inspections"

    So very scientific given there are, I am told, 8230 Practices in England and around 15 million families.

    Aside from that is this not a commissioning issue?

    Does Field and CQC have a clue? No answers on postcards please, I think we all know the answer to that one

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