Falling through the gaps: Exploring the role of integrated commissioning in improving transition from children’s to adults’ services for young people with long-term health conditions in England

Gregory Maniatopoulos*, Ann Le Couteur, Luke Vale, Allan Colver

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

5 Citations (Scopus)
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Abstract

Objectives: To explore the role of integrated commissioning in improving the transition of young people with longterm conditions from child to adult services. We aimed to identify organizational and policy gaps around transition services and provide recommendations for integrated commissioning practice. Methods: Semi-structured in-depth interviews were conducted with two groups of participants: (1) twenty-four stakeholders involved in the commissioning and provision of transition services for young people with long-term conditions in two regions in England; (2) five professionals with national roles in relation to planning for transition. Transcripts were interrogated using thematic analysis. Results: There is little evidence of integrated commissioning for transitional care for young people with long-term conditions. Commissioners perceive there to be a lack of national and local policy to guide integrated commissioning for transitional care; and limited resources for transition. Furthermore, commissioning organizations responsible for transition have different cultures, funding arrangements and related practices which make inter- and intra-agency co-ordination and cross-boundary continuity of care difficult to achieve. Conclusions: Integrated commissioning may be an effective way to achieve successful transitional care for young people with long-term health conditions. However, this innovative relational approach to commissioning requires a national steer together with recognition of common values and joint ownership between relevant stakeholders.

Original languageEnglish
Pages (from-to)107-115
Number of pages9
JournalJournal of Health Services Research and Policy
Volume23
Issue number2
Early online date23 Feb 2018
DOIs
Publication statusPublished - 1 Apr 2018
Externally publishedYes

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