Neurodisability Transition Service
Who are we?
Our Neuro-disability Transition Service works with young people with complex neuro-disabilities and their families, who require a coordinated, purposeful, and planned transfer of care to adult led services.
What do we do?
We are available to offer support and guidance to young people with neuro-disabilities and their families where there is a need for a comprehensive transition plan due to the complexity of needs on a case-by-case basis.
Which other teams/services are involved?
The transition process involves the multi-disciplinary teams including Neuro-disability Consultants, Adult Matron for Learning Disabilities, Transition Clinical Nurse Specialist, Community Nurses, Adult led-clinicians, Physiotherapists, Occupational Therapists, Dietitians, Speech and Language Therapists, Shool Nurses in Specialist Schools and a whole host of other professionals to support the smooth transfer.
Who is our service for?
The transition service is for young people with a clinically diagnosed Neurodisability, aged of 14 years, registered with a GP in Calderdale or Kirklees area, and requires a multi-disciplinary team co-ordination in order to effectively and safely transfer care to adults’ services.
Please see the referral criteria below:
- Must have a neurodisability clinical diagnosis
- Must be GP registered in Calderdale or Kirklees
- Aged 14years+
- Under care of a paediatrician
- Under 3 or more specialities
- GMFCS III or higher
How can you access the service?
We accept referrals from Consultants involved in the young person’s care. However, we are also available to answer questions and signpost to the relevant services should you need this. Referral requests need to ensure they meet the criteria set out to avoid delays.
What happens when we receive your referral?
We will carefully consider the referral and will include information on what happens next. Otherwise, we will signpost you to relevant services if our service is not appropriate for you/your young person’s needs.
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