First reported 17 Dec 2014•Latest report 29 Apr 2026
Definition
What this concern includes
Includes failures in mental health provision for young people approximately aged 16–25 where child, adult or secure services do not provide an appropriate and continuous option, including absent secure provision, unsuitable adult placement, inadequate out-of-hours provision and gaps in alternative care.
Not included
Excludes general mental health service shortages, waiting times or treatment-quality failures without a material age-transition or age-appropriate-provision condition.
Excludes failures in ordinary child-to-adult healthcare transition where the mental health provision or placement itself is not deficient.
Excludes generic psychiatric bed shortages or secure-unit capacity failures without a specific impact on age-appropriate provision for young people transitioning to adulthood.
Excludes occupational therapy, education, social-care or other support gaps where the mental health provision boundary is not directly identified.
Reports
8
Distinct published reports
Individual concerns
11
A report can raise multiple concerns
Date range
2014–2026
First to latest report issue date
Stated actions
17
Described in published responses
Reports over time
Reports over time
Reports about this concern issued each year.
* 2026 is projected from reports observed to 7 Sep 2026.
Most frequent recipients
Most frequent recipients
Reports about this concern sent to each recipient.
Department of Health and Social Care5
Department for Education2
NHS England2
Cheshire and Wirral Partnership NHS Foundation Trust1
Greater Manchester Health and Social Care Partnership1
Greater Manchester Mental Health NHS Foundation Trust1
Health and Safety Executive1
NHS Greater Manchester Integrated Care Board1
NHS South Yorkshire Integrated Care Board1
North Staffordshire Combined Healthcare NHS Trust1
Pennine Care NHS Foundation Trust1
Sheffield Children's Hospital1
Sheffield Health Partnership University NHS Foundation Trust1
Ministerial department5
NHS trust4
Executive non-departmental public body2
Integrated care board2
Healthcare site1
Health-system partnership1
Workplace safety regulator1
Concerns and responses across reports
Only concerns grouped under this recurring concern are included. Select any concern, action or position to view the source wording.
Wiltshire and Swindon
Concerns raised1
Commissioning mental health provision for children and adolescents with a strict 18th-birthday cut-off
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
Actions described in response An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.2
Action
Develop and publish transition guidance promoting personalised, planned moves from children’s to adult mental health services without automatic age-based transfer.
Stated by NHS EnglandStated completedThe respondent said that this action was complete when they made their response on 2 July 2026.
Action
Work with regulators and royal colleges to clarify clinical responsibilities for 16- and 17-year-olds and inform forthcoming transition guidance.
Stated by NHS EnglandStated in progressThe respondent said that this action was in progress when they made their response on 2 July 2026.
Stoke-on-Trent and North Staffordshire
Concerns raised2
Lack of mental health inpatient provision for people aged 14-25
Failure to provide age-appropriate transitional care when mental health inpatients turn 18
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
Actions described in response An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.3
Action
Review and update the Transition of Young People to Adult Mental Health Service Policy to address person-centred adjustments, monitoring, escalation and case-by-case care.
Stated by The TrustStated in progressThe respondent said that this action was in progress when they made their response on 21 October 2021.
Action
Share the updated transition policy with inpatient areas and community teams.
Stated by The TrustStated plannedThe respondent said that this action was planned when they made their response on 21 October 2021.
Action
Develop a 14–25 transition service with social care and third-sector children and young people partners to improve continuity of care during transition.
Stated by The TrustStated in progressThe respondent said that this action was in progress when they made their response on 21 October 2021.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.3
Position
A single 14–25 inpatient ward is not recommended because developmental differences and safeguarding risks could place vulnerable young people at risk.
Stated by NHS EnglandDisputes the concernThe respondent disagreed with part of the concern or the basis for it.
Position
Young people are not automatically transferred to adult mental health wards when they turn 18.
Stated by NHS EnglandDisputes the concernThe respondent disagreed with part of the concern or the basis for it.
Position
Existing individualised discharge and admission planning, involving relevant professionals and families, addresses transition between child and adult services.
Stated by NHS EnglandExisting arrangements considered sufficientThe respondent said that existing arrangements were sufficient, so no further action was needed.
Manchester South
Concerns raised1
Variation and limited transition provision in post-16 mental health services
This report raised 3 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
No linked response statements
No respondent-stated action or position is linked to these concerns in the published data.
Manchester South
Concerns raised2
Lack of alternative mental health provision for young adults
Lack of suitable acute mental health beds for young adults
This report raised 9 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
No linked response statements
No respondent-stated action or position is linked to these concerns in the published data.
South Yorkshire (Western)
Concerns raised1
Lack of available urgent mental health services for 16- and 17-year-olds
This report raised 2 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
Actions described in response An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.6
Action
Complete and approve the business case for the CAMHS Home Intensive Treatment Team.
Stated by NHS South Yorkshire Integrated Care Board and Sheffield Children'S NHS Foundation TrustStated completedThe respondent said that this action was complete when they made their response on 9 June 2019.
Action
Reconfigure the existing Sheffield Treatment and Recovery Service into a CAMHS Home Intensive Treatment Team for young people up to age 18.
Stated by NHS South Yorkshire Integrated Care Board and Sheffield Children'S NHS Foundation TrustStated in progressThe respondent said that this action was in progress when they made their response on 9 June 2019.
Action
Recruit nursing staff for the new CAMHS Home Intensive Treatment Team.
Stated by NHS South Yorkshire Integrated Care Board and Sheffield Children'S NHS Foundation TrustStated in progressThe respondent said that this action was in progress when they made their response on 9 June 2019.
Action
Establish a Mental Health Liaison Team supporting 0–18-year-olds attending designated emergency departments, with out-of-hours cover.
Stated by NHS South Yorkshire Integrated Care Board and Sheffield Children'S NHS Foundation TrustStated plannedThe respondent said that this action was planned when they made their response on 9 June 2019.
Action
Implement the temporary care pathway change agreed with Sheffield Health and Social Care NHS Foundation Trust.
Stated by NHS South Yorkshire Integrated Care Board and Sheffield Children'S NHS Foundation TrustStated completedThe respondent said that this action was complete when they made their response on 9 June 2019.
Action
Implement jointly approved policy arrangements providing out-of-hours emergency home treatment to eligible 16- and 17-year-olds requiring crisis intervention.
Stated by Sheffield Children'S NHS Foundation Trust and Sheffield Health Partnership University NHS Foundation TrustStated completedThe respondent said that this action was complete when they made their response on 9 June 2019.
South Yorkshire (Western)
Concerns raised2
Placement of under-18s in adult crisis houses
Inadequate out-of-hours mental health provision for 16 to 18 year olds
This report raised 3 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
Actions described in response An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.6
Action
Develop and obtain governance approval for a protocol safeguarding under-18s admitted to an adult crisis house.
Stated by Sheffield Children'S NHS Foundation Trust and Sheffield Health Partnership University NHS Foundation TrustStated in progressThe respondent said that this action was in progress when they made their response on 9 November 2017.
Action
Map crisis and emergency care pathways for 16- and 17-year-olds to identify provision gaps.
Stated by Sheffield Children'S NHS Foundation Trust and Sheffield Health Partnership University NHS Foundation TrustStated plannedThe respondent said that this action was planned when they made their response on 9 November 2017.
Action
Maintain a Section 136 bed for children and young people within the Children’s Trust.
Stated by Sheffield Children'S NHS Foundation Trust and Sheffield Health Partnership University NHS Foundation TrustStated completedThe respondent said that this action was complete when they made their response on 9 November 2017.
Action
Operate the Sheffield Adult Liaison Service continuously to provide timely responses to 16- and 17-year-olds attending adult emergency care.
Stated by Sheffield Children'S NHS Foundation Trust and Sheffield Health Partnership University NHS Foundation TrustStated completedThe respondent said that this action was complete when they made their response on 9 November 2017.
Action
Appoint a fully funded CAMHS Mental Health Liaison Consultant to support care coordination for 16- and 17-year-olds.
Stated by Sheffield Children'S NHS Foundation Trust and Sheffield Health Partnership University NHS Foundation TrustStated completedThe respondent said that this action was complete when they made their response on 9 November 2017.
Action
Work with local commissioners on benchmarking CAMHS mental health liaison provision against the national service specification.
Stated by Sheffield Children'S NHS Foundation Trust and Sheffield Health Partnership University NHS Foundation TrustStated plannedThe respondent said that this action was planned when they made their response on 9 November 2017.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.2
Position
Existing out-of-hours services ensure timely responses for 16- and 17-year-olds until more robust commissioning and provision are available.
Stated by Sheffield Children'S NHS Foundation Trust and Sheffield Health Partnership University NHS Foundation TrustExisting arrangements considered sufficientThe respondent said that existing arrangements were sufficient, so no further action was needed.
Position
Local NHS organisations are responsible for reviewing concerns about local mental health services and taking appropriate action.
Stated by Department of Health and Social CareRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
Manchester (North)
Concerns raised1
Lack of specialist inpatient provision for young adults with mental health problems
This report raised 3 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
No linked response statements
No respondent-stated action or position is linked to these concerns in the published data.
Nottinghamshire
Concerns raised1
Lack of secure mental health care provision for young adults aged 18-24 with a similar clinical picture
This report raised 1 other concern. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
Position
Existing adult wards and transition guidance are considered capable of meeting the clinical and transition needs of young adults aged 18 to 24.
Stated by Department of Health and Social CareExisting arrangements considered sufficientThe respondent said that existing arrangements were sufficient, so no further action was needed.
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Includes failures in mental health provision for young people approximately aged 16–25 where child, adult or secure services do not provide an appropriate and continuous option, including absent secure provision, unsuitable adult placement, inadequate out-of-hours provision and gaps in alternative care.
