Themes | Child Protection & Education | The Accountability Index

Child to adult safeguarding transition

Wide variation and inadequacy in transition pathways from child to adult safeguarding services for victims turning eighteen.

255 items 15 sources 2 inquiries

Strongest theme matches

Mixed across source types and ranked by classifier confidence plus text match strength.

Indicative ranking
Committee recommendation
100match
#95 - Inconsistent safeguarding transition pathways for child victims turning eighteen with complex needs.
Home Affairs Committee
There is wide variation among local authorities in the transition pathways from child to adult safeguarding services. Guidance exists for child victims and for adult 82 Human trafficking victims, but it does not adequately take account of child victims who turn eighteen who have received or are waiting for a National Referral Mechanism decision and who have high-level...
Matched on terms: adult, child, safeguarding, transition
HSSIB recommendation
100match
Mental health inpatient settings: Supporting safe care during transition from inpatient children and young people’s mental health services...
Children and young people’s mental health services and adult mental health services can improve patient safety by having more aligned thresholds and criteria to access care, and improved data sources to inform decision making. This is to support closer alignment of services and mitigation of gaps, and to enable more seamless care pathways from childhood to adulthood.
Matched on terms: adult, child, transition
Committee recommendation
98match
#80 - Develop strategy for transitioning child victims to adult services with continuity of support.
Home Affairs Committee
Local authorities and safeguarding partners should develop a defined strategy for child victims to be transitioned to appropriate adult services with continuity of support to ensure that there is no gap in services such as mental health care.
Matched on terms: adult, child, safeguarding, transition
HSSIB recommendation
98match
Transition from child and adolescent mental health services to adult mental health services
It is recommended that NHS England and NHS Improvement ensure that transition guidance, pathways or performance measures require structured conversations to take place with the young person transitioning to assess their readiness, develop their understanding of their condition and empower them to ask questions. NHS England and NHS Improvement must then ensure that the effectiveness of this is...
Matched on terms: adult, child, transition
Committee recommendation
94match
#88 - Commission independent review of Recovery Needs Assessment process for children and young adults.
Home Affairs Committee
We recommend that the Home Office immediately commissions an independent review of the Recovery Needs Assessment process to determine whether it works effectively for children and young adults transitioning into adult support services. (Paragraph 251) Trafficking of children
Matched on terms: adult, child, transition
NCEPOD recommendation
90match
Transition From Child Into Adult Healthcare
Transition From Child Into Adult Healthcare
Matched on terms: adult, child, transition
Committee recommendation
89match
#11 - Eighth Report - Children and young people’s mental health
Health and Social Care Committee
It is clear that young adults between the ages of 18 and 25 face some of the widest gaps between the support that they need and the support that is available to them. 56 Children and young people’s mental health We welcome NHS England & Improvement’s commitment to shift away from the current model of care towards one...
Matched on terms: adult, child, transition
Committee recommendation
86match
#96 - Amend Modern Slavery guidance to include 'turning 18' support for transitioning child victims.
Home Affairs Committee
The Home Office should amend its Modern Slavery statutory guidance to include guidance on ‘turning 18’ to ensure that ageing out of the care system does not reduce holistic support for recovery and prevention of re-trafficking.
Matched on terms: child, transition
PFD report
85match
Anielka Jennings
Jun 2016 · Gloucestershire
The coroner noted a lack of an identified lead professional for individuals, particularly children transitioning to adult services, being cared for by numerous agencies, which can lead to communication breakdowns.
Matched on terms: adult, child, transition
PFD report
85match
Craig Burfield
Mar 2024 · South Yorkshire West
The coroner raised concerns regarding the absence of continued care for hydrocephalus patients in adulthood and the lack of a clear transfer protocol or pathway for their transition from childhood to adulthood. There was also no effective review process for adult patients with shunts.
Matched on terms: adult, child, transition
PFD report
85match
Michaela Hall
Mar 2024 · Cornwall and the Isles of Scilly
Concerns included insufficient information sharing across Children and Adult Services, a lack of documented rationale for decisions on care needs and safeguarding, and inadequate health-related enquiries despite indicators of mental impairment.
Matched on terms: adult, child, safeguarding
Committee recommendation
81match
#140 - 1st Report - Cutting crime: better community sentences
Justice and Home Affairs Committee
We heard reservations about this proposal. Phil Bowen told us that, while he was “attracted to the proposal”, he was also “concerned that youth justice services would need to differentiate how they supervise and treat 14 year-olds compared to 21 year-olds”. He argued that “there would be different characters, and you would not want to mix those populations...
Matched on terms: adult, child, safeguarding
Committee recommendation
81match
#135 - 1st Report - Cutting crime: better community sentences
Justice and Home Affairs Committee
We heard about the transition from Youth Offending Services to the adult Probation Service. Currently, “Youth Offending Services stop supervision at 18, and there is effectively a cliff edge where children go from quite a personalised service, with speech and language, into the adult provision world”. He caveated that, in specific circumstances, “Youth Offending Teams can actually hold...
Matched on terms: adult, child, transition
Committee recommendation
81match
#17 - Create clear, actionable plan to deliver comprehensive mental health offer for 0-25 year olds.
Health and Social Care Committee
Despite nearly a decade of commitments, the transition from Children and Young People’s Mental Health Services (CYPMHS) to Adult Mental Health Services (AMHS)—including Community Mental Health Services (CMHS)— remains a cliff edge and continues to fall short of what young people need. The Government, NHS England, and Integrated Care Boards must treat this issue as a national priority....
Matched on terms: adult, child, transition
Committee recommendation
81match
#20 - 16th Report - Children and young people in custody
Justice Committee
While some transition planning may take place before a young person leaves the youth estate, we are not convinced that the adult estate is sufficiently equipped to support all those who make that move. We recommend that the Ministry of Justice mandate appropriate transition planning in the over-18 estate for those coming from youth estate to ensure that...
Matched on terms: adult, child, transition
Committee recommendation
81match
#12 - Eighth Report - Children and young people’s mental health
Health and Social Care Committee
NHS England & Improvement must accelerate the implementation of the 0–25 offer in every local area as a national priority so that young people do not continue to face a cliff edge in accessing the care they require as they transition from children to adult services.
Matched on terms: adult, child, transition
PHSO casework decision
81match
P-004458 - Birmingham Women's and Children's NHS Foundation Trust
Closed After Initial Enquiries
Mr B complained about his son P's mental health care, citing issues like discharge without transport, medication problems, lack of therapy, and poor transition to adult services.
Matched on terms: adult, child, transition
PFD report
77match
Daisy French
Nov 2017 · South Yorkshire (West)
The coroner identifies gaps in communication and transition between CAMHS and adult mental health services for 16-18 year olds. This includes issues with out-of-hours provision, placement in adult crisis houses, and returning them to unsupervised supported living.
Matched on terms: adult, transition
PFD report
77match
Axel Price
Apr 2024 · West Sussex, Brighton and Hove
The coroner notes a lack of clear understanding and accountability between agencies when young people transition from CAMHS to adult services, compounded by a lack of national guidance and recognised pathways for support.
Matched on terms: adult, transition
PFD report
77match
Chloe Barber
Aug 2025 · City of Kingston Upon Hull and the County of the East Riding of Yorkshire
Concerns were raised regarding the absence of a clearly defined pathway for young people transitioning from CAMHS to adult mental health services, and a lack of clear guidelines for depot antipsychotic administration. Staff also showed uncertainty about s117 Mental Health Act aftercare.
Matched on terms: adult, transition
Committee recommendation
77match
#145 - 1st Report - Cutting crime: better community sentences
Justice and Home Affairs Committee
Looking forward, the Transition to Adulthood Alliance (T2A) told us about a range of potential innovative practices, including: Specialised courts. They argued that “young adult specific courts” could deliver “specific arrangements” for young people “without legislative change”. They told us that “young adult cases could be heard by judges with experience of dealing with children who could receive...
Matched on terms: adult, child, transition
Committee recommendation
77match
#19 - 16th Report - Children and young people in custody
Justice Committee
We welcome the work being done to improve transition planning, and we note that work is under way in the Ministry of Justice on how best to manage transition into adult custodial settings for those who turn 18. While cut-off points between youth and adult justice are necessary, we acknowledge concerns, not least from Young Advisers with practical...
Matched on terms: adult, child, transition
LGO / SPSO decision
76match
23-017-457 - Hertfordshire County Council
LGO (Local Government & Social Care Ombudsman)
Summary: Mrs X complains about how the Council planned care for her son, Mr K. The Council took too long to start planning Mr K’s transition from children’s services to adult social care. Despite its best efforts, the Council failed to provide overnight respite care and has not fully supported Mr K’s mother to arrange this and use...
Matched on terms: adult, child, transition
CJINI report
74match
First joint inspection of Child Protection Arrangements
Abuse and Exploitation, Probation and Public Safety, Safeguarding, Children and Young People
Matched on terms: child, safeguarding
LGO / SPSO decision
72match
21-012-774 - Buckinghamshire Council
LGO (Local Government & Social Care Ombudsman)
Summary: Miss X complained the Council failed to appropriately plan for her transition from children to adult care services, and to support her to stay with her foster family until she was 25 on a staying put arrangement it had previously agreed. There was fault in the way the Council considered a staying put arrangement for Miss X....
Matched on terms: adult, child, transition
LGO / SPSO decision
72match
22-005-749 - Nottinghamshire County Council
LGO (Local Government & Social Care Ombudsman)
Summary: There is no fault by the Council in relation to its planning for the complainant’s son’s transition from children’s to adult social care. Whilst only limited services have been provided since the complainant’s son became 18, there is no fault by the Council as it offered suitable provision that the complainant would not accept until recently.
Matched on terms: adult, child, transition
LGO / SPSO decision
72match
23-015-297 - Torbay Council
LGO (Local Government & Social Care Ombudsman)
Summary: We will not investigate this complaint about transition planning into Adult Services. The Council has investigated the complaint under the Children’s Statutory Complaint Procedure and upheld most of the complaint. Further investigation would not lead to a different outcome.
Matched on terms: adult, child, transition
LGO / SPSO decision
72match
24-020-730 - London Borough of Croydon
LGO (Local Government & Social Care Ombudsman)
Summary: Mr X complained the Council delayed providing his son with respite care when he transitioned from children to adult services. We find the Council was at fault for the delay in securing suitable respite care for Mr X’s son. This caused distress and upset, and Mr X’s son lost out on care he was entitled to. The...
Matched on terms: adult, child, transition
LGO / SPSO decision
72match
23-018-546 - London Borough of Haringey
LGO (Local Government & Social Care Ombudsman)
Mr and Mrs X complain about delay by the Council in carrying out an assessment for the transition of Mr Y from children to adult care services.
Matched on terms: adult, child, transition
PFD report
69match
Charlotte Duffield
Oct 2021 · Cumbria
The coroner noted that despite a referral to Adult Social Care due to significant safety concerns, no safeguarding action was taken, particularly after the individual did not respond to telephone contact and no in-person visit was made.
Matched on terms: adult, safeguarding
Committee recommendation
69match
#52 - Develop a National Care Offer and transition strategy for care leavers entering further education.
Education Committee
As set out in our Children’s Social Care report, the Department for Education must develop a National Care Offer to harmonise the postcode lottery in entitlements and ensure that care leavers receive a minimum level of support, wherever they live. The Department for Education must also develop a strategy to support all those with care experience as they...
Matched on terms: child, transition
Committee recommendation
69match
#149 - 1st Report - Cutting crime: better community sentences
Justice and Home Affairs Committee
Age-appropriate solutions should be found to smooth the transition of those moving from Youth Offending Services to the adult Probation Service. These solutions should be made available to all young adults on probation. Facilitating local delivery A case for local delivery
Matched on terms: adult, transition
Committee recommendation
69match
#146 - 1st Report - Cutting crime: better community sentences
Justice and Home Affairs Committee
There is a ‘cliff edge’ in the response to offending when a young person transitions from Youth Justice Services to the adult Probation Service. Moving the age at which an offender undergoes this transition is unlikely, in itself, to bear positive results.
Matched on terms: adult, transition
Committee recommendation
69match
#139 - 1st Report - Cutting crime: better community sentences
Justice and Home Affairs Committee
Because the maturation process continues past the age of 18, Justin Russell told us that “one of the obvious things you could do would be to shift the younger age range in probation into the Youth Offending Services themselves”. 264 He said that “it might be better to do it incrementally, moving up to 19, 20 and 21”,...
Matched on terms: adult, child
Committee recommendation
69match
#138 - 1st Report - Cutting crime: better community sentences
Justice and Home Affairs Committee
Damian Hinds MP acknowledged that “there is a watershed moment that happens on your 18th birthday”, when someone transitions from Youth Offending Services to the adult Probation Service. 262 He questioned: “That is not how human beings are, is it? It is now pretty broadly recognised in the academic community—probably you cannot be quite this precise, but this...
Matched on terms: adult, transition
HSSIB recommendation
69match
Mental health inpatient settings
HSSIB recommends that NHS England provides guidance regarding communication of essential safety and risk mitigation information when patients transition from inpatient children and young people’s mental health services due to reaching transition age. This is to safeguard vulnerable people and may include how to share information with families and carers, health and social care providers, and third sector...
Matched on terms: child, transition
CQC action
69match
Stamford & Rutland Hospital
Must Do
The service must ensure that there are systems and processes in place to support children and their families with planning, preparing and moving a child from children’s healthcare to adult healthcare.
Matched on terms: adult, child
LGO / SPSO decision
67match
24-016-538 - Birmingham City Council
LGO (Local Government & Social Care Ombudsman)
Mr Y complains about the Council’s poor handling of his child’s transition from Children’s Services to Adult Social Care. Mr Y also complains about the Council’s handling of his complaint. The Council has now upheld all aspects of Mr Y’s complaint and there is no further fault for us to find. Our investigation has therefore focussed on the...
Matched on terms: adult, child, transition
LGO / SPSO decision
67match
25-011-263 - Derbyshire County Council
LGO (Local Government & Social Care Ombudsman)
Summary: We will not investigate Mr F’s complaint about direct payments during his son’s transition from children’s to adults’ services because there is nothing we could add to the Council’s response. The Council is about to respond to Mr F’s complaint about an audit. If he remains dissatisfied once he has completed the complaints process, Mr F can...
Matched on terms: adult, child, transition
LGO / SPSO decision
67match
21-007-240 - Cornwall Council
LGO (Local Government & Social Care Ombudsman)
Summary: Mr D complained the Council failed to properly support his grandson when he transitioned from children’s services to adult care services. He also says the Council failed to give him information about his grandson’s wellbeing. We find the Council delayed assessing Mr D’s grandson. It also should have done more to explore what information it could share...
Matched on terms: adult, child, transition
LGO / SPSO decision
67match
24-015-863 - London Borough of Croydon
LGO (Local Government & Social Care Ombudsman)
Summary: We will not investigate this complaint about how the Council dealt with Ms Y’s transition from children’s to adult services. This is because the complaint is late and there is no good reason for us to investigate now.
Matched on terms: adult, child, transition
Committee recommendation
65match
#143 - 1st Report - Cutting crime: better community sentences
Justice and Home Affairs Committee
Looking at historical precedents, the Probation Institute wrote that “specialist teams used to manage the transition” for young adults “with reduced caseloads and focussed training”, and they told us that they “should be reinstated”. 272 T2A also told us about “specialised probation orders tailored to the specific needs of young adults designed to optimise compliance and completion of...
Matched on terms: adult, transition
Committee recommendation
65match
#89 - National Referral Mechanism deemed inappropriate for children due to inconsistent support and fragmented approach.
Home Affairs Committee
The National Referral Mechanism is not appropriate for children. The support is not defined as it is for adults, universally available or applied consistently. There is an overall lack of a joined-up approach across the National Referral Mechanism, child welfare and protection and criminal justice systems.
Matched on terms: adult, child
Committee recommendation
63match
#5 - 6th Report - Palliative Care
Health and Social Care Committee
We are concerned that the Minister was unable to commit to providing clear and specific standards and guidance for babies, children and young people’s palliative and end of life care in the Modern Service Framework (MSF). We strongly recommend that the Department includes specific standards within the MSF for the provision of children and young people’s palliative care...
Matched on terms: adult, child, transition
LGO / SPSO decision
63match
21-011-789 - City of York Council
LGO (Local Government & Social Care Ombudsman)
Summary: Mr and Mrs X complained the Council poorly managed their child, Y’s, transition from children’s services to adult services as a care leaver. They say this caused them and Y distress and affected Y’s health. They also say the Council handled their complaint poorly. The Council is at fault. There were faults during the transition planning process...
Matched on terms: adult, child, transition
LGO / SPSO decision
63match
21-014-948 - London Borough of Newham
LGO (Local Government & Social Care Ombudsman)
Summary: There was fault by the Council because it did not properly plan Miss K’s transition from Children to Adult Services and how it would arrange and fund her care. There was also fault in its complaint handling as it failed to refer Miss K’s complaint to a stage three review panel in accordance with the statutory complaints...
Matched on terms: adult, child, transition
PFD report
61match
Kesia Leatherbarrow
Apr 2015 · Manchester (South)
Incomplete information transfer between children's services meant a high-risk referral was not fully assessed or led to a CAMHS appointment. A Youth Offending Team case was also not transferred after a change of address, preventing a timely referral order assessment.
Matched on terms: child
PFD report
61match
Oliver Sharp
Oct 2019 · Manchester (South)
The coroner noted varying post-16 mental health services and long waiting lists for autism diagnoses impede timely support for adolescents. Concerns also identified insufficient school understanding of mental health impacts from academic acceleration on autistic children.
Matched on terms: child
PFD report
61match
Lucy Walles
Jun 2023 · Berkshire
Concerns identified gaps in safeguarding referral processes, including review timescales, staff training on thresholds, and inter-agency communication. The report also notes questions about the adequacy of mental health support post-discharge and service resourcing.
Matched on terms: safeguarding
PFD report
61match
Erik Marshall
Apr 2024 · South Yorkshire West
The coroner identified a gap in commissioning and support for individuals aged 17 with sensory needs, as an occupational therapy referral was rejected due to age and adult services would not accept until 18.
Matched on terms: adult
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