Table 1

Issues at transfer from paediatric to adult rheumatology care

• Severe erosive polyarthritis, recently controlled
•  Abnormal liver function tests on methotrexate - ? advice regarding future alcohol intake
•  Long term prednisolone treatment - ? bone mass
•  Contraceptive advice if discontinues microgynon and becomes sexually active
•  Poor compliance with drugs, splints and physiotherapy
•  Further intra-articular injections without sedation
•  Independence in health care, for example, seeing health professionals independently, self medication
•  Level of parental concern
•  Limited psychosocial support beyond family
•  Career choices
•  Smoking
•  Unsatisfactory transfer to adult services