Table 1

Transition protocol

Early transition
(age 13–14)
AVP, audiologist, nurses, ±MDT (TOD, speech and language therapist, psychologist)
  • Explain nature, degree and aetiology (where possible) of hearing loss to young person and parents/guardians

  • Review hearing aids

  • Define goals in each of the above competency areas

  • Work through each area

  • Agreement on each action taken

  • Develop personal health record book/folder

  • Discuss role of key worker

  • Agree next appointment

Middle transition
(age 15–16)
AVP, audiologist, nurses, ±MDT (TOD, speech and language therapist, psychologist)
  • Review clinical progress

  • Audiological assessment

  • HA assessment

  • Competency-based assessments

  • Patient questionnaire

  • Action plan based on above assessments

  • Ensure patient knows the key worker

  • Referral to transfer service discussed, and information leaflet given

  • Visit the adult services if transfer is planned internally and if the young person wishes

Transfer
(age 17–18)
AVP, audiologist, nurses, ±MDT (TOD, speech and language therapist, psychologist)
  • Review clinical progress

  • Audiological assessment

  • Review role of key worker

  • Visit the adult services if transfer is planned internally

  • Summarise medical and audiological history if transfer is planned externally

  • AVP, audiovestibular physician; HA, hearing aid; MDT, multidisciplinary team; TOD, teachers of the deaf.