Yes, thank you for that. You're absolutely right; we developed that guidance and we are currently in the process of the evaluation of that. And, in particular, I know that the children's commissioner is very focused on transition, not just around children in receipt of emotional mental health support, but children in paediatric wards, and there is a working group with Welsh Government looking at this.  The children's commissioner has used our guidance to put that on the table to say, 'Well, if this works, this needs to be considered as a model for using elsewhere'. But the big question there is 'if'. So, we do want to get evaluation. If I were just to give an estimate of where I think this will land, I think it will have made improvements, but there may well be some further work to do in enhancing, supporting, auditing that every child is supported in line with that guidance. So, I talked about community practice and clinical audit: is this something that we make, then, a mandatory audit, each year, that we do that double check? Because it's one of those things where we know when a child is 14, 15, 16, 17, so what's stopping us? If indeed the evaluation says it's not happening everywhere, it's not happening early enough, what is stopping us? We really need to get underneath that. So, my sense will be it will show us, it will be better, but there's some further work to do, and following that up in terms of audit and making sure that we've got a systematic approach to dealing with those who haven't had the guidance fully implemented, because it can make a real difference.
Yes, and it seems to me—you've just talked about having a systematic approach, and it does seem to me that it is a systematic process, isn't it? So, it shouldn't be difficult. I know we're talking about in the health service things shouldn't be difficult and they are, and one of the gripes—I had a meeting with the community health team—was the problems of the new IT systems and so on—let's not go there at the moment. But, really, this is just about referring children and having a smooth transition from the service being provided to them as a child and then just shifting it over to the adult services. It shouldn't be difficult. It's really difficult to get my head around why that is such a problem and why that needs to be so difficult.
Can I add one other dimension in, which I think is going to be quite interesting? We talk about transitions being an issue—and we know it's not just in mental health, but it's elsewhere—then you start to think, 'What if we could reduce transitions?', so you reduce the number of transitions and you manage them better. We are doing a piece of work with Government on the potential to explore what a 0-25-type service would be. We know that in different places they have approached that—in Australia and places in the UK. There are probably some pros and cons, but should we be moving to a 0-25. That is moving the transition at the age of 25, but at least it's not at the eighteenth birthday. What's the argument around what adolescent, young people and young adults services are, for example? That piece of research and understanding—
You could probably have a gradual transition, then, couldn't you?