title: Theory to reality: the role of the transition nurse coordinator.
abstract: Transition from children's to adult services has long been recognised as challenging. Yet many young people and their families continue to have poor experiences, with a lack of collaboration and communication between the different agencies involved in the transition process. This article highlights the complexities of transition and how it is addressed for young people with complex health needs in Hertfordshire with a dedicated transition nurse coordinator providing support for the young people on the caseload; bridging the gaps between children's and adult services; and providing continuity until the young person is established in adult services.
authors.affiliation: Transition Nurse Coordinator, Hertfordshire's Young People's Health Transitional Service.
authors.forename: Debbie
authors.initials: D
authors.lastname: Kelly
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D019468:Disease Management; D006301:Health Services Needs and Demand; D006801:Humans; D024802:Nurse's Role; D060305:Transition to Adult Care / Q000458:organization & administration
keywords: Adolescents; Complex health needs; Healthcare; Long-term conditions; Multiagency approach; Transition; Young people