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The evidence base for transition is bigger than you might think
  1. Janet E McDonagh1,
  2. Janine Hackett2,
  3. Marie McGee3,
  4. Tauny Southwood3,4,
  5. Karen L Shaw4
  1. 1Centre for Musculoskeletal Research, University of Manchester, Manchester, UK
  2. 2Department of Occupational Therapy, University of Derby, Derby, UK
  3. 3Department of Rheumatology, Birmingham Children's Hospital NHS Foundation Trust, Birmingham, UK
  4. 4Department of Health and Population Sciences, University of Birmingham, Birmingham, UK
  1. Correspondence to Dr Janet E McDonagh, Centre for Musculoskeletal Research, University of Manchester, Stopford Building 2nd Floor, Oxford Rd, Manchester M13 9PT, UK; janet.mcdonagh{at}

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We would like to congratulate Nagra et al1 on their impressive work and the impact of Ready Steady Go programme on raising the profile of transitional care in the NHS.

The checklists that provide the foundation for the Ready Steady Go programme were originally developed in 2002–2003, following an extensive national needs assessment, funded by Arthritis Research UK and involving young people across the UK and all major stakeholders.2–4 These checklists (originally called individual transition plans) were based on the needs identified, the core principles of early, mid and late adolescent development, the national school curriculum and the Ontrac programme in Canada.5 The checklists formed an integral component of one of the first evidence-based programme of transitional care in any chronic illness, and involved 10 UK rheumatology centres and 308 young people and their parents,6 which included an objective evaluation of the programme and reported positive benefits.7

Since this time, the checklists have been used in the rheumatology service at Birmingham Children's Hospital8 irrespective of condition and in various other specialties both nationally and internationally. The adolescent rheumatology …

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  • Contributors All authors were involved in preparing this paper and approved the final draft prior to publication.

  • Funding The original research of the authors to which this letter primarily refers to refs. 2–4, 6, 7 was funded by the Arthritis Research UK.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; internally peer reviewed.

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