MAM CARE SERVICES LTD
Transition from Children's to Adult Services
At MAM Care, we know that moving from children’s to adult services can be overwhelming — it’s close to our hearts because we understand the difficulties families face.
When individuals move from childrens based care to adult based support
and care, the principles of support often shift from holistic care to task-
based care, which can reduce independence and family involvement, and
increase stress and worry at an already challenging time. MAM Care’s
approach is designed to minimise disruption and stress, supporting young
people aged 15–25 so families only have to transition once, smoothly, and
with the knowledge and confidence needed to make decisions about their
care. Our team provides specialist, person-centred support, working closely with families, professionals, children’s and adult care services, education provision and social care to maintain continuity, reduce anxiety, and empower young people despite their cognitive ability to ensure they can take an active role in their care and promote independence.
'It's scary hearing about all these changes that need to happen'
'I had a discussion with a Consultant - and he asked me how big my child looked. He's wanting to make decisions about my child's future, and he's not even seen her for 3 years. It felt wrong.
It would have been less uncomfortable if these discussions happened with her own Nurse, who visits all the time, sees my child and knows how to approach me about these things sensitively.'
WE ARE ENTITLED TO WARM, COMPASSIONATE AND SENSITIVE CHANGES
What Transition Support Looks Like
Our transition support is centred around getting to know the young person and their family first, ensuring any changes happen gradually, safely, and with the right support.
Our approach may include:
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Early introduction to MAM Care – where possible, we begin working alongside the existing provider, introducing a small number of shifts with our team so the young person and family can slowly get to know us and build trust.
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Appointing a dedicated lead nurse – a clinical lead is assigned to guide and oversee the transition, ensuring the young person’s needs are fully understood and supported.
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Getting to know the young person first – before formal transition planning begins, we take time to understand the young person’s personality, routines, preferences, and family dynamics. This ensures we continue to support their life in a holistic and meaningful way, not just their medical needs.
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Working closely with adult services – we liaise with adult service providers and healthcare professionals early to ensure the transition is smooth and well prepared.
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Supporting families during clinical changes – if the move to adult services requires changes in equipment or clinical care (such as feeding tubes or tracheostomy care), we support families through meetings with professionals so they feel informed and confident.
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Flexible care packages – care is adjusted only where needed, ensuring the package continues to meet the needs of the young person and their family.
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Ongoing family guidance and reassurance – we remain available throughout the process to provide support, answer questions, and help families navigate the transition.
Every transition package is clinically led and carefully monitored. Our in-house team of children’s and adult service leads ensures carers are fully trained, competent, and supported to deliver care safely. This guarantees the young person’s needs remain at the centre of care, while families feel confident that quality and safety are maintained throughout the transition.
Transition Doesn't have to be
HARD
Why Transition Support
Matters
Transitioning to adult services can be a confusing and sometimes worrying time for both young people and their families. At MAM Care, we know that every young person’s journey is unique, and we focus on making this change as smooth and positive as possible. By staying involved, supporting independence, and keeping families informed, we help young people feel confident, understood, and safe, while ensuring families have the guidance and reassurance they need. Our goal is for young people to continue receiving high-quality, person-centred care, without unnecessary disruption, and for families to feel empowered to make decisions with confidence
No Decision about You, Without You
MAM care uses the 8 principles of transition developed by Well Child. The principles have been applied to a care delivery model that prioritises child and young person voice to optimise opportunity for empowerment and independence from assessment to delivery of care.
Preparing for transition
Whether children are already receiving care from MAM Care or
whether you are looking to secure provision from MAM care, we ensure that families, carers
and the individuals understand how we intend to work with them to support progression into
independence with or without support.
Identification
Any child or young person receiving care from MAM Care has their own lead registered professional whose focus is to ensure efficacy of care based on mutual understanding and the individuals own voice. Where possible we will develop planning
together, whether that is to plan a daily routine, plan the activities they wish to attend, confirm the things that worry them about receiving care so we can adapt input to reduce anxiety, or improve their knowledge and understanding of their health need; we will not make decisions about them, without them. Our priority is to support the individual into a state of readiness for transition over a prolonged period of time.
Multi-professional Working
We work closely with the multiprofessionals around them to ensure that wherever possible
we can anticipate where adaptations in care are required to enable understanding of their
health needs, how to support and empower their voice and optimise their experiences based
upon communication and understanding of micro-stepping towards independence.
Communication
We work closely with the multi professional teams to ensure that we understand fully what needs the child or young person has and to understand how we can
better support the child and young person trough their journey. We create plans in
coproduction with the team, the family/carers and more importantly the child or young person using tools that they understand and can participate in.
Governance
To ensure we can achieve good transition outcomes, MAM Care constantly reviews the tools and processes used to support planning and intervention by using a plan, do, review, assess cycle. This allows us to ensure quality of our service delivery and to build in feedback from individuals recieving care right at from the beginning of their journey.
Empowerment
All of our care staff are trained in supporting children and young people in decision making. MAM Cares registered team understand how to broach the complexities of decision making and consent as the child develops into being an adult, and the concerns that change brings to parents/carers when they have spent the child’s whole life protecting and keeping them as well as possible.
Assessment of needs
MAM Care is CQC registered for both children and young people and adults for the sole purpose of ensuring that the care team can grow with the child into being
an adult. This model enables a tell it once approach to be available to the young person and their professional team, where valuable and sensitive knowledge about them can be shared where they do not feel they wish to. It allows for care delivery to be consistent and in line with the individuals preferences and growth in independence.
Partnership Working
At MAM Care we believe that truly reflective and accurate care can only happen through engagement with the child/young person/ family/carers/ MDT. This is
where the magic happens, and where true aspirations can be captured that enables them to
thrive and reach their potential. We understand service provisions and their entitlement for various provisions that can add value to the delivery of care and support into independence using managed risk taking and decision making.
Transfer from Children's to Adult Services
MAM Care provides a service that does not allow a cliff edge in care, we will plan and support the MDT’s activity in planning for
transition to ensure that consistency in care is optimised and the young person feels supported in their health care so they can focus on what is important for them.