Current developments in reshaping care for older people (WS33)


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A presentation on PKC partnership initiatives under the Change Fund and introduction of reablement Contributor: Perth and Kinross Council

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Current developments in reshaping care for older people (WS33)

  1. 1. WORLD SOCIAL WORK DAYColin Johnston / Kenny Ogilvy Tuesday 19 March 2013
  2. 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. 3. Client Outcomes during and afterreablementNFA- % of Service users who require no more services or support from us after reablementMainstream - % of service users who progress to mainstream Care at Home to receivesupportThe following statistics were the same for the first 2 months of Care at Home beforereablement was introduced:Hospital - % of service users who left during reablement to return to hospitalDeceased - % of service users who died during reablementDeclined - % of service users who declined the service
  4. 4. Care at Home Clients and hours permonth at transition to reablement “Without Reablement our Care at Home Service would be substantially larger and more expensive”
  5. 5. The Change Fund  Optimising Independence and Well Being at Home or in a Homely Setting
  6. 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. 7. Reablement Referral Process Admission to hospital Medical diagnosis and intervention AHP assessment Social Work Assessment Referral for Reablement Discharge
  8. 8. OutcomesReduction in Delayed Discharge for Peopleawaiting Social Work Assessment
  9. 9. Rapid Response
  10. 10. Key Features of RapidResponse 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.