Until recently, the focus of many within the 'autism service industry' has been on children and young adults who are on the autism spectrum where 'service transition' usually refers specifically to the transition from children to adult service provision. This article explores 'service transition' from the opposite end of the age scale, that of old age, and incorporates the views of older adults who are on the autism spectrum. In order to design and provide a service that is 'fit for purpose', training of health professionals and consulting with people on the autism spectrum is crucial. To read the full article, log in using your NHS Athens