2. Transfer from paediatric to adult nephrology should…
 be individualised for each patient after s/he has completed a transition plan depending on completion of physical growth and educational, social and psychological attainment21/211/21
 be agreed on jointly by the patient and his/her family/carers in conjunction with the paediatric and adult renal care teams21/215/21
 take place during a period without crises, especially if there is unstable social support21/2121/21
 take place after completing school education21/2117/21
 take into account treatment plans by other subspecialties, with particular reference to urological supervisionNo dataNo data
 take place with due consideration of financial factors and not be done abruptly without adequate preparation as a result of financial pressures21/2121/21
 introduction to the concept of transition in early adolescence (12–14 years)21/210/21
 information about transition in a gradual manner appropriate to his/her developmental stage and intellectual ability21/2121/21
Unstructured process
 identified lead clinicians (transition champions) in paediatric and adult units to coordinate and educate on transition issues21/210/21
 a nominated key worker responsible for coordinating transition from both the paediatric and adult renal service21/210/21
 a generic transition plan that then can be individualised for each patient21/211/21
 involvement of parents, other family members and even boyfriends/girlfriends21/2121/21
 the opportunity of an informal visit to the nominated adult service before transfer occurs21/2121/21
 the opportunity to participate in group sessions with other young people who are about to transition for peer-support experience21/2121/21