Standard operating procedure

Transition of Care Procedure

How [Organisation Name] plans and manages the transition of young people with attention deficit hyperactivity disorder from children's and young people's services to adult services, and the safe transfer of patients into or out of the service, so that diagnosis, treatment and monitoring continue without a gap in care or prescribing, in line with NICE guidelines NG87 and NG43

For ADHD ClinicRef BS-ADH-SOP-007See a sample (PDF) →
£39.99
One-off purchase · no VAT · instant download
  • Instant download after checkout
  • Editable Microsoft Word (.docx)
  • Mapped to the CQC standards
  • Optional 3-monthly updates

What's inside

This standard operating procedure is fully drafted and structured, ready to brand and complete for your service. It covers:

  • 1. Purpose
  • 2. Scope
  • 3. Definitions and abbreviations
  • 4. Responsibilities
  • 5. Procedure
  • 6. Continuity of care
  • 7. Documentation and records
  • 8. Related documents
  • 9. Review and version control
  • 10. Disclaimer

Legislation & standards it maps to

  • National Institute for Health and Care Excellence, Attention deficit hyperactivity disorder: diagnosis and management, NICE guideline NG87 (2018, updated 2019)
  • National Institute for Health and Care Excellence, Transition from children's to adults' services for young people using health or social care services, NICE guideline NG43 (2016)
  • Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 - Regulation 9 (Person-centred care)
  • Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 - Regulation 12 (Safe care and treatment)
  • Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 - Regulation 17 (Good governance)
  • Mental Capacity Act 2005
  • Data Protection Act 2018 and the UK General Data Protection Regulation (UK GDPR)

Who it applies to

All prescribers and non-medical prescribers, specialist ADHD clinicians and nurses, psychologists and psychiatrists, transition coordinators or key workers, administrative and reception staff who manage referrals and records, and the registered manager or [Insert Job Title] at [Organisation Name] who plan, deliver or support the transition or transfer of patients with attention deficit hyperactivity disorder

Glossary

Plain-English explanations of the technical terms and legislation used in this document.

Attention deficit hyperactivity disorder (ADHD)
A neurodevelopmental condition involving persistent inattention, hyperactivity and impulsiveness that affects how a person functions or develops.
Best interests
A decision made for someone who cannot decide for themselves, choosing the option that is best for them.
Capacity (mental capacity)
Whether a person can understand and make a particular decision for themselves at the time it needs to be made.
Care Quality Commission (CQC)
The independent regulator of health and social care services in England.
Community mental health team
A local team of mental health professionals that supports adults with mental health conditions in the community.
Contemporaneous record
A note written at the time of, or very soon after, the event it describes, so it is accurate and reliable.
Continuity of care
Making sure a patient's treatment, prescribing and monitoring carry on without a gap as they move between services.
Data Protection Act 2018
The UK law that sets the rules for how personal information must be handled, alongside the UK General Data Protection Regulation.
DNA (did not attend)
A record that a patient did not come to a booked appointment and did not cancel it in advance.
Gillick competence
The legal principle that a child under 16 may be mature enough to consent to their own treatment without needing a parent's consent.
Health and Social Care Act 2008 (Regulated Activities) Regulations 2014
The regulations setting the fundamental standards that care providers in England must meet, enforced by the Care Quality Commission.
Mental Capacity Act 2005
The law that protects and supports people who may be unable to make particular decisions for themselves.
Monitoring
Regular checks of a patient's health and response to medication, such as measuring height, weight, blood pressure and heart rate.
National Institute for Health and Care Excellence (NICE)
The national body that produces evidence-based guidance on best practice in health and care.
Near miss
An event that could have caused harm but did not, by chance or because it was caught in time.
Neurodevelopmental condition
A condition affecting how the brain develops and works, which can influence attention, behaviour, learning or social skills.
NICE guideline NG43
The national guidance on moving young people from children's to adults' health or social care services.
NICE guideline NG87
The national guidance on diagnosing and managing attention deficit hyperactivity disorder (ADHD).
Person-centred care
Care that is shaped around the individual's own needs, preferences and goals, with them involved in decisions about it.
Prescriber (non-medical prescriber)
A clinician qualified to prescribe medicines; a non-medical prescriber is a trained nurse, pharmacist or other professional, rather than a doctor, who is authorised to prescribe.
Reasonable adjustments
Changes a service makes so that a disabled person can use it as easily as anyone else.
Receiving service
The service that will take over a patient's care, such as an adult ADHD service, a community mental health team, or a general practice running shared care.
Registered Manager
The person registered with the regulator as responsible for the day-to-day running of a service.
Regulation 9 (Person-centred care)
The rule requiring care to be tailored to the individual and their needs and preferences.
Regulation 12 (Safe care and treatment)
The rule requiring care and treatment to be provided safely, including safe management of medicines and risks.
Regulation 17 (Good governance)
The rule requiring providers to have effective systems to monitor and improve the quality and safety of their service.
Safeguarding
Protecting people's health, wellbeing and rights and keeping them safe from abuse, harm or neglect.
Shared care
An arrangement where a specialist service and a general practice share responsibility for a patient's ongoing prescribing and monitoring under a written protocol.
Single assessment framework
The structure the regulator uses to judge a service, built around quality statements and five key questions (safe, effective, caring, responsive, well-led).
Standard Operating Procedure (SOP)
A written, step-by-step instruction setting out how a particular task or process should be carried out consistently and safely.
Transfer of care
The handover of clinical responsibility for a patient from one provider or service to another.
Transfer summary
A written record of a patient's diagnosis, history, medication, monitoring and risks, sent to the service taking over their care.
Transition
The planned process of moving a young person from children's and young people's services to adult services; it is a process, not a single event.
Transition coordinator / key worker
A named person who organises an individual young person's transition and acts as their main point of contact.
UK General Data Protection Regulation (UK GDPR)
The UK's main data-protection law governing how personal information is collected and used.

How it works

  1. Buy securely with Stripe - instant, no VAT, no account needed.
  2. Download your editable Word file from the link we email you straight away.
  3. Complete the placeholders for your service, then have it approved before use.
  4. Add the optional updates subscription and we keep it current as guidance changes.

Related documents

PolicyADHD Assessment Policy£54.99
PolicyMedication Management Policy£54.99
PolicySafeguarding Children Policy£54.99
PolicyConsent & Capacity Policy£54.99

Need the whole set?

Buy the full ADHD Clinic pack and save versus buying documents individually.

View the ADHD Clinic pack