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Cynthia Cranston, Head of Occupational Therapy

Published in: Health & Medicine
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  1. 1. REABLEMENT Cynthia CranstonHead of Occupational Therapy
  2. 2. Why change?• 2nd largest population in NI• 25% of children’s population• Fastest growing population• By 2020, 40% increase in people aged 75+
  3. 3. How do we change? Proposed Service Model Living Your Life To The Full - Example Operating Model Access & Re-ablement Support Care Bureau MonitoringPrevention Information & Assessment Planning Commissioning & Review 550 enter 1000 people 45% re- 30% are 385people Professional time released to direct to contact resolution ablement re-abled enter SDS professional task people Up to Not passive Care 30% Agree 3rd Sector Actively Pathways 45% No Care Outcomes Support Challenge Planning Resolution Required Required Needs Crisis Response / Emergency Crisis Response / Emergency Procedure /Partnership working
  4. 4. What is Reablement?• Providing support and recovery to help older people regain daily living skills, providing confidence and independence to live their life to the full
  5. 5. Objectives of Reablement Service?• To maximise service users long-term independence, choice and quality of life• Care for older people in their own homes and communities for as long as possible• Empower and support people to manage their long term conditions
  6. 6. Key principles of Reablement ?• Helping people ‘to do’ rather than ‘doing to or for’ people• Outcome focused to appropriately minimise on-going support required, and thereby minimise the whole-life cost of care
  7. 7. The Team1WTE Reablement Co-ordinator (Band 7 Trustwide)Each locality:•1 WTE Occupational Therapist (Band 6)•7 WTE Reablement Support Workers (Band 3) Hours of Service Monday – Sunday 8 am – 8 pm
  8. 8. Investment in LearningReablement Support Workers:•Minimum of NVQ Level 2 (to complete NVQ Level 3 (QCF) within one year)•Intensive two week inductionCore Units – contribute to the effectiveness of teams – promoting communication in health or social care settings – promote person centred approaches in health and social care settingAdditional Units – Advise and inform individuals on managing their condition – Collaborate in the assessment of environmental and social support – Adapt and fit Healthcare equipment
  9. 9. The Model Assessment – Discharge (Standardised) Client centred Goal settingReview Reablement plan Intervention
  10. 10. Reablement Service• Reablement pilot commenced in the Lurgan locality in April 2011 and extended to the Portadown locality in July 2011• Extending to Armagh in April 2012• During the 6 month period from April – September a total of 146 users were accepted on the scheme, and 135 discharged during this period
  11. 11. Key Facts for the 6 Month Period• 82% of referrals received were accepted• 59% of users were discharged from Reablement with no service, the same service or a decrease in service• Average number of days on Reablement 9.85 (£7700 per average care package per annum)
  12. 12. Discharge Pathways•Client discharged from Reablement with no furtherservice need•Client discharged to Conventional Services•Client referred to Specialist ServicesCommunity & Voluntary LinksDevelopment of a Community Navigator Post
  13. 13. In Addition• The Patient Client Council have carried out an independent patient satisfaction survey due to be completed in the coming weeks• Further research is planned to commence in April to demonstrate the effectiveness of Reablement. (Currently out to tender)
  14. 14. Future Developments• The Trust plans to establish a Reablement Team in 7 localities• Each Team will consist of 1 Band 6 Occupational Therapist and approximately 7 Reablement Assistants• Access criteria is inclusive rather than exclusive
  15. 15. Future Developments• To date Teams have been established in 2 localities with plans for further roll-out between now and April 2013• Work is on-going to further embed a Reablement ‘ethos’ across Trust services and processes• On-going evaluation and monitoring is key to refining and continually improving the service
  16. 16. User feedback “The team possess such a wide range of experience and skills and they treated me with such patience and encouragement … You are an astonishingly talented and caring force for good in our be-leaguered health service”. Client “Staff incredibly kind, well trained and supportive.Excellent service. Life saver for both patient and relative”. Carer“Very helpful staff helped me to regain my independence”. Client
  17. 17. User feedback The staff explained everything clearly, were patient and helpful and helped mum regain her independence” Carer “It’s a great service – Staff feel that services arebeing reduced and that patients are getting the opportunityto practice their personal care, toileting, meals etc. So we know when they are referred back there is no further potential for them to improve” District Nurse
  18. 18. THANK-YOU for your