RT Journal Article SR Electronic T1 P-164 Young adults with life limiting illness innovations in the transition process JF BMJ Supportive & Palliative Care JO BMJ Support Palliat Care FD British Medical Journal Publishing Group SP A59 OP A59 DO 10.1136/bmjspcare-2015-001026.164 VO 5 IS Suppl 3 A1 Sellar, Phillipa YR 2015 UL http://spcare.bmj.com/content/5/Suppl_3/A59.1.abstract AB Background Moving from children’s to adult services can be a difficult transition for teenagers/young adults (TYA) and their families. Services are poorly coordinated; provision can be inequitable, leading TYA/their families to become socially isolated/ disengaged.(RCN 2014, Public service works 2011).Introduction We completed a 12 month Transition project, achieving the following:Identified young adults (17–25years).Home visits with TYA CNS and keyworker from children’s services, creating a plan of care, naming professionals, exploring Advance Care Planning.Set up monthly Young Adult Days. (Including friends and siblings.)Methods With funding develop TYA (formally transition) services.Offering social/therapeutic days every Saturday, with siblings/friends.Appointment of Young Adults Clinical Nurse Specialist.Continue to identify TYA.Offer assessment, co-ordination/advocacy. Focus on access to education, employment, welfare/ benefits.Undertake ACP.Engage with regional/national forums regarding transition/development of services.Development of Social Media as a tool for creating/Supporting communities of TYA.ResultsIncrease in referrals, high attendance of social/therapeutic days.Co-ordination of TYA care.Involvement of TYA in development.Growth in autonomy/independence of TYAS.Increase number of volunteers.Develop training for younger volunteers.Acceptance of TYA as part of adult services by staff/volunteers.Changing the wider perception of palliative care.Preferred place of care and death discussions. (Out of 40 referrals no advance care planning had been completed).Conclusions TYA with cancer/non cancer diagnosis, have expensive, complex multi-agency support needs. Joint working improves outcomes which can be measured with palliative care being seen as a layer of support. The service is influential in changing perceptions, illustrating the benefits of developing a shared care model including prevention of social isolation. With the benefit ofadvance care planning.Recommendations Continue to use qualitative/quantitative indicators- collating data-referrals and attendances to social and therapeutic days.