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Endocrine Abstracts (2025) 111 P104 | DOI: 10.1530/endoabs.111.P104

BSPED2025 Poster Presentations Diabetes 5 (10 abstracts)

The seamless diabetes transition (SDT) programme across yorkshire and humber: enhancing transition care for young people with diabetes

Fiona Campbell 1 , Tricia Woodhead 1 , Emma Savage 1 & Maddie Julian 2


1Leeds Teaching Hospitals, Leeds, United Kingdom. 2Digibete, Leeds, United Kingdom


Objectives: To evaluate the effectiveness of the Seamless Diabetes Transition (SDT) Programme in supporting paediatric and adult diabetes teams across Yorkshire and Humber (UK) to deliver high-quality, person-centred transition care for young people aged 13–25 with diabetes. The programme encouraged joint working between paediatric and adult teams, with each site identifying a transition team champion to lead the project locally.

Methods:: This nine-month quality improvement programme involved multidisciplinary diabetes teams from 14 NHS trusts. It used a blended learning approach, including e-learning modules (powered by DigiBete), three virtual half-day workshops, one face-to-face event, and regular coaching and team champion calls, with support from the SDT master quality improvement trainer. Teams applied improvement techniques such as Plan-Do-Study-Act (PDSA) cycles to test and embed changes. Progress, collaboration and team support was monitored through data sharing, poster submissions, and shared learning events. Thematic analysis was applied to qualitative data, including service-user feedback and staff reflections.

Results: Key interventions included:

• Development of “transition passports”

• A motivational conversation tool

• High HbA1c care pathways

• Meet-and-greet sessions with adult teams

• Earlier initiation of transition education during paediatric care.The programme fostered improved collaboration between paediatric and adult teams. Teams reported greater clarity around transition roles and responsibilities. The e-learning component helped establish a shared understanding of transition care, with a 91% module completion rate across participating sites. Teams identified increased confidence in delivering person-centred transition care. Challenges included initial disconnect between services, differences in team structures, and variable baseline approaches to transition.

Conclusions:: The SDT Programme provided a structured, collaborative framework for enhancing transition care across the region. It supported earlier preparation, improved inter-team communication, and empowered teams to adapt care to local and individual needs. The programme demonstrated clear potential for national scalability and long-term sustainability in delivering equitable, person-centred transition care for young people with diabetes.

Volume 111

52nd Annual Meeting of the British Society for Paediatric Endocrinology and Diabetes

Sheffield, UK
12 Nov 2025 - 14 Nov 2025

British Society for Paediatric Endocrinology and Diabetes 

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