Current developments in reshaping care for older people (WS33)
1. WORLD SOCIAL WORK DAY
Colin Johnston / Kenny Ogilvy
Tuesday 19 March 2013
2. Perth & Kinross Council
Reablement Service
Since October 2010 the introduction of the Reablement Service has enabled our
service users to lead a fuller and more independent life at home.
- “Once I completed my reablement training - 85 SCO’s were trained to deliver reablement
and began working with service users I
found my job very rewarding” – staff
member quote
“After reablement, I achieved my - 211 (35%) service users finished reablement
personal outcomes and was able to be needing no further support.
independent at home and manage on - Cumulative saving of 7.1 hrs. per week per
my own again” – Service User Quote service user
“It was nice to get some of my skills - 304 (50%) service users progressed to Care At Home
back and be less dependent on Care at services after reablement with reduced support
Home for my daily support” Service requirement
User Quote - Cumulative saving of 2 hrs. per week per service user
“To create capacity, particularly in rural - Every month 3 social care officers leave our
areas we have been transitioning service service and it is their service users we transition
users to our external providers” to external providers.
“Without Reablement our Care at Home Service would be larger and more expensive”
Current hours delivered per week at Dec 2011 are 9,822 hrs
Pre reablement original projections for Dec 2011 are 13,000 hrs
March 31, 2013
3. Client Outcomes during and after
reablement
NFA- % of Service users who require no more services or support from us after reablement
Mainstream - % of service users who progress to mainstream Care at Home to receive
support
The following statistics were the same for the first 2 months of Care at Home before
reablement was introduced:
Hospital - % of service users who left during reablement to return to hospital
Deceased - % of service users who died during reablement
Declined - % of service users who declined the service
4. Care at Home Clients and hours per
month at transition to reablement
“Without
Reablement our
Care at Home
Service would
be substantially
larger and more
expensive”
5. The Change Fund
Optimising Independence
and Well Being at Home or
in a Homely Setting
6. The Change Fund
£2.273 million for Perth and
Kinross – 2011/12
2010/11 - nearly £35 million spent
unplanned admissions to
hospital
2010/11 12,500 hospital bed days
lost to DD’s
Number of over 65’s in P and K
will increase by 74% by 2031
7. Reablement Referral Process
Admission to hospital
Medical diagnosis and intervention
AHP assessment
Social Work Assessment
Referral for Reablement
Discharge
10. Key Features of Rapid
Response
The Rapid Response Service is available across the whole
of Perth and Kinross including additional Rapid Response
SCO capacity
Single Point of Contact through the Community Care
Access Team (0845 301 11 20) during normal working
hours, or outwith these hours via the OOHs Social Work
Team or NHS Tayside OOHs Hub at Wallace town
Dedicated District Nurse will sit with the Community Care
Access Team to respond to the health issues of people in
crisis
The Rapid Response Service uses a multi-disciplinary
model to ensure individuals referred at times of crisis
access the kind of support they need, when they need it.