Plan, implement and evaluate


Planning for transition should start from around age 14. The Care Quality Commission outlines the following elements of good practice for effective transition:

  1. There should be good planning for transition
  2. There should be a good transition plan in place
  3. Health passports should be used more widely
  4. There should be a lead professional (e.g. the pathway coordinator) to support young people and their families through   transition
  5. Health care settings and services should be responsive to the needs of young people and their families when transferring to adult services.
  6. The needs of parents and carers should be assessed and addressed.

If a young person has an Education and Health Care Plan, transition will be considered under the existing framework, plans and assessments. If a young person does not have an Education and Health Care Plan then a transition plan should be developed and a pathway co-ordinator identified for transition. When developing a transition plan, consider:

  • education and learning now and in the future;
  • living independently now and in the future;
  • health needs now and in the future;
  • friendships, relationships & being part of the community now and in the future;
  • communication needs now and in the future;
  • support for family/carers now and in the future.

Transition plans need to focus on building a child or young person’s strengths and supporting their goals and aspirations for the future. It is important to review the role of pathway coordinator to ensure this is the most appropriate professional in the preparation for adulthood period.

There may be medical reports or cognitive assessments required for transition into adult services which require consideration as part of transition planning.

Transition plans are likely to include support from a range of services, some of which are included below. Resources are available via:

Nottingham City Council’s Local Offer

The Local Offer gives children and young people with special educational needs or disabilities and their families information about what support services are available in their local area.


Futures is a not-for-profit employment and skills organisation. They support people to realise their career aspirations through the delivery of a range of products and services. Based in Nottingham they work with a wide range of partners, employers, schools and colleges across the country. Their:

Futures provide:

  • professional careers advisory teams to provide careers advice and guidance to young people and adults across the East Midlands.
  • an apprenticeship agency that works with employers to give young people the opportunity to develop a career through an apprenticeship.
  • a tracking agency which follows the progress of young people and adults to ensure that they are achieving positive outcomes.
  • in-house specialists that develop and produce information and resources to help people make the right decisions about their future career.
  • a professional development centre which offers a range of accredited qualifications, courses and bespoke training,
  • an employability team who offer work experience and employability skills training for young people and adults.

The Prince’s Trust

The Prince’s Trust supports 13 to 30 years old who are unemployed and those struggling at school and at risk of exclusion.

Around one in five young people in the UK are not in work, education or training. Youth unemployment costs the UK economy £10 million a day in lost productivity, while youth crime costs £1 billion every year.

Many of the young people the trust support are in or leaving care, facing issues such as homelessness or mental health problems, or have been in trouble with the law.

The programmes they provide give young people the practical and financial support they need to stabilise their lives. They help develop key skills, confidence and motivation, enabling young people to move into work, education or training.

Transition Information Network

The Transition Information Network (TIN) is an alliance of organisations and individuals who come together with a common aim; to improve the experience of disabled young people’s transition to adulthood.

TIN is a source of information and good practice standards for disabled young people, families and professionals.

The Autism Team

The Autism Team has a team of transition support workers who are able to offer programmes of support in times of significant change and transition at all key stages. Support is offered to those young people who meet the criteria and may experience the greatest difficulty with transfer and change.

Rosehill School Transition Fair

Rosehill School is a specialist school for children and young people with complex needs. The school holds an annual transition fair with information, advice and support.

Implement and evaluate

Plans should be reviewed three months after implementation and then annually as a minimum, or more frequently dependent on the needs of the young person.