Welcome to the Transition & Patient Empowerment Innovation, Education and Research Collaboration TIER is an international collaboration of healthcare professionals who are passionate about working together with patients and carers to empower children, young people and adults to help manage their condition, promote best practice and share resources We have developed the Ready Steady Go and Hello programmes to help support patients and their carers through this process. Please click on the icons below to find out more |
Ready Steady Go Programme
How does it work?
If you would like to learn more about the Ready, Steady, Go programme or how to implement it in your practice, please read our simple step by step guide or download the full article from Archives of Disease in Children. Click on each age box below to find out more about each step of the Programme. |
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Introduction
11 - 12 years
Young person and carers introduced to Ready Steady Go Programme with information leaflet and video |
Ready
11 - 13 years
Young person completes Ready Questionnaire. Issues addressed in bite sized pieces. Young person and carers introduced to the concept of shared decision making and confidentiality. When they are ready, the young person is encouraged to be seen alone in clinic for a few minutes. Goals agreed going forwards. |
Steady
14 - 16 years
Young person completes Steady Questionnaire. Issues addressed in bite sized pieces. Aim to see the young person on their own for longer in clinic. Carer fully involved. Duplicate clinic letters offered to young person. Aims agreed going forwards. |
Go
16 - 18 years
Young person completes Go Questionnaire. Issues addressed in bite sized pieces. Work towards young person conducting entire clinic alone. Keep carers involved. Referral letter sent to adult team and arrange for young person to meet with adult team where ongoing issues can be highlighted. Ideally aim for all issues to be addressed before transfer of care. Formal transfer letter written and goals agreed. |
Hello
First Adult Clinic
Young person +/- carer completes Hello Questionnaire. Issues addressed in bite sized pieces. Clinic letters sent just to young person. Hello Questionnaire is completed periodically to ensure knowledge and skills are maintained. Any issues addressed and goals agreed. |
The timings for each step of the Ready Steady Go Programme are flexible and best tailored to each patient. If your patient presents later than 13 years, then consider starting at the Steady Questionnaire.
Specialities
Shared Decision Making |
Frequently Asked QuestionsRead the answers to the most frequently asked questions about the Ready Steady Go Transition programme
How does Ready Steady Go help with moving into adult care?
What to do if you or the healthcare team are worried about sharing a diagnosis with a child or young person
Your child has known their healthcare team since they were a baby. Why do we need to go over it all again in transition?
How to talk about difficult or embarrassing topics
Do we need transition if we are being discharged back to our GP and not a hospital doctor?
When should we start transition? Isn't 11 a bit young?
Who is responsible for completing the transition plan?
How do you transition someone who is involved in research projects moving to adult services?
What is the evidence that Ready Steady Go makes a difference?
How can Ready Steady Go be used for patients with neurodisability or a a severe cognitive disability?
Some of the questions are not applicable, what can we do? Shouldn't the question on pregnancy and sex be removed as it may be insensitive especially for families with children with a neurodisability? Why do we need to transition if the same doctor is looking after me/my child in adult care?
Links to useful resources for patients and their familiesClick the button below for useful links for Young People and Adults
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