Polyarticular juvenile idiopathic arthritis — SCE Rheumatology MCQ
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Correct answer: E — A jointly owned transition plan with paediatric–adult service overlap
Transition is a planned process rather than an administrative hand-off. Joint paediatric–adult review, a named coordinator, medication continuity, developmentally appropriate education and a shared written plan reduce disengagement and clinical deterioration.
Reference: NICE NG43: transition from children’s to adults’ services — recommendations (Published February 2016; quality standard reviewed December 2023): https://www.nice.org.uk/guidance/ng43/chapter/Recommendations; BSR scope for holistic management of juvenile idiopathic arthritis (Published June 2026; full guideline in development): https://academic.oup.com/rheumap/article/10/2/rkag052/8667207