Abstract
Nephrologist and transplant physician Paul Harden started the Oxford Young Adult Clinic (OYAC; Oxford, UK) in 2005. “It emerged from some work I had undertaken in the West Midlands [UK]”, he explains. “It had become apparent that outcomes in teenagers moving into adult care were poor; around one in three were losing their transplants within 3 years of their transfer”. Harden decided to set up an integrated paediatric to adult clinical service for young people with kidney failure, and in the process establish a youth-friendly type of adult care. “We want patients to be engaged with their health care”, points out Harden. “That is not very likely if we are asking a 17-year-old to regularly attend clinics that are directed at patients who are in their sixties and seventies.”
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