Welcome to Broomfield hospital in Essex, home of the St Andrew’s Center for burns and plastics which is a regional unit specialising in treating patients that have had a burn injury or have experienced a skin loss condition.
There are three burns inpatient wards one ward specifically for children one ward specifically for adults, and one Intensive Care (ITU) and High Dependency (HDU) combined ward for patients of any age. There is also a dedicated burns outpatient department here which runs adult and children's outpatients clinics.
This video has been designed for children who are beginning to think about their transition from the children's service to the adult service. Although a lot of things are the same for children and adult burn patients, there are a few differences, so we would like to take some time to talk about what happens when a patient transitions to the adult burn service.
Many young people who have had a burn injury as a child build up supportive relationships with their children's burns team and so having to move on can be a scary prospect, but it can be an exciting change too. The process of transition is not something that happens suddenly, it's a gradual process this allows time for you and your family to get used to the idea and to plan ahead.
Transition is usually mentioned by the children's burn service when you are about 14 years old if your burns team think that you are likely to need ongoing burns care beyond the age of 16.
Most young people transitioning into adult burn care services will do so at some time between their 16th and 18th birthday. One of the main differences between the children's and adult services is the amount of independence you are given.
In adult services, the clinical team will normally spend more time talking to you during your appointments than your parents or carers. It's still okay to have your parents with you and to ask their opinion about your treatment if you want to. Over time the hope is that you will begin to feel more able to make your own decision about treatment or to speak up about any concerns you have. It can help to think about any concerns you have before your outpatient appointment, perhaps write these down and bring the list with you to your appointment. It is easy to forget what you want to ask when you're seeing a healthcare professional. Another difference is coming in for planned operations, if you were a child when you had your burn injury then you likely came to the children's burns ward for a dressing change clinic or in patients day you might have also visited the burns theatre, however once you are over the age of 16 and come in for a planned operation, then it's likely you will go to a different theatre and if you need to stay overnight then you will likely stay on a different ward too. This means that although your doctors might be the same you will likely meet some different people who will look after you during your operation and on the ward after your operation.
Also if you have an overnight stay as an adult your parents or carers will only be able to visit you during visiting hours rather than staying overnight in your room.
We understand that these may feel like quite big changes to adjust to that is why we think it's a good idea to think about these changes early. In addition to this, we want to make sure that you are aware that the psychological therapy service is available to support children and young people and adults of all ages who have received their medical treatment by the St Andrew’s Center for plastics and burns at Broomfield hospital.
If you are seen by a member of the child team for emotional support during the initial stages of your medical treatment and then later require further emotional support
as an adult, it is likely this support will be provided by a different therapist to whom you saw as a child. As a child you may have regularly seen a member of the child team at your outpatient clinic appointment this support can be made available when you start attending outpatient clinic appointments as an adult but you will need to ask a member of the medical team to request it for you. The team of psychological therapists includes counsellors, psychologists and psychotherapists with different members of the team working with either children or adults.
The child team will often provide support to parents and or siblings in addition to you the patient this support is available for both inpatients and outpatients even after medical treatment has completed.
In addition to this, the Children's Burns Club provides support and activities for children and young people up until the age of 25. This is anyone who has received treatment by a burns consultant which is likely to be ongoing the majority of our events do have a specified age range. Our annual camp for example is open to club members up to the date of their 18th birthday. There is a nationally run annual young adult weekend for members aged 18 to 25.
It’s likely as you get older, that there will be less events run by the children's burns club available to you as a participant, however, we encourage all our older members to join our volunteer training program from age 18. This is something that many of our members report they really enjoy being part of at any age you are more than welcome to get in touch with the club to ask for advice or support if it is felt that the club cannot provide this support. We will direct you to the most appropriate service this may be the psychological therapy service at the St Andrew’s Centre or charities like the Katy Piper Foundation, Dan's Fund for burns and the Children's Burns Trust. We understand that these may feel like quite big changes to adjust to that is why we think it's a good idea to think about these changes early.
If you have any questions about transitions, please speak to any member of your burns care team.