current developments in reshaping care for older people (ws33)
DESCRIPTION
A presentation on PKC partnership initiatives under the Change Fund and introduction of reablement Contributor: Perth and Kinross CouncilTRANSCRIPT
WORLD SOCIAL WORK DAY
Colin Johnston / Kenny Ogilvy
Tuesday 19 March 2013
April 10, 2023
“After reablement, I achieved my personal outcomes and was able to be independent at home and manage on my own again” – Service User Quote
- 211 (35%) service users finished reablement needing no further support.
- Cumulative saving of 7.1 hrs. per week per service user
“It was nice to get some of my skills back and be less dependent on Care at Home for my daily support” Service User Quote
- 304 (50%) service users progressed to Care At Home services after reablement with reduced support requirement
- Cumulative saving of 2 hrs. per week per service user
“To create capacity, particularly in rural areas we have been transitioning service users to our external providers”
Since October 2010 the introduction of the Reablement Service has enabled our service users to lead a fuller and more independent life at home.
“Without Reablement our Care at Home Service would be larger and more expensive”
Current hours delivered per week at Dec 2011 are 9,822 hrsPre reablement original projections for Dec 2011 are 13,000 hrs
Perth & Kinross Council Reablement Service
- 85 SCO’s were trained to deliver reablement- “Once I completed my reablement training and began working with service users I found my job very rewarding” – staff member quote
- Every month 3 social care officers leave our service and it is their service users we transition to external providers.
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 hospitalDeceased - % of service users who died during reablementDeclined - % of service users who declined the service
Client Outcomes during and after reablement
“Without Reablement our Care at Home Service would
be substantially larger and more
expensive”
Care at Home Clients and hours per month at transition to reablement
The Change Fund
Optimising Independence and Well Being at Home or in a Homely Setting
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
Reablement Referral Process
Admission to hospital
Medical diagnosis and intervention
AHP assessment
Social Work Assessment
Referral for Reablement
Discharge
Outcomes
Reduction in Delayed Discharge for People awaiting Social Work Assessment
Rapid Response
Key Features of Rapid Response
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.
The Rapid Response Service is available across the whole of Perth and Kinross including additional Rapid Response SCO capacity