getting the best from your reablement service
DESCRIPTION
Getting the Best from your Reablement Service. Julia Howells-Clinical Specialist OT Reablement Service London Borough of Tower Hamlets [email protected]. Who we are…. Tower Hamlets is typically known as ‘The East End’ home to Canary Wharf , Brick Lane and Spitalfields. - PowerPoint PPT PresentationTRANSCRIPT
Getting the Best from your Reablement Service
Julia Howells-Clinical Specialist OTReablement Service
London Borough of Tower [email protected]
Who we are…
Tower Hamlets is typically known as ‘The East End’ home to Canary Wharf, Brick Lane and Spitalfields.
One of the most culturally diverse boroughs in London. with 18 different ethnic groups represented on 2011
census. Over the last 10yrs the population has been one of the
fastest growing in the country and it is set to rise by 20% over next 10 years
Over a quarter of a million residents living within just under 8 sq. miles.
Our Ethos
Giving people who may be limited by their health and/or mental health condition an opportunity to:
Relearn life skills Rebuild confidence Help facilitate and consolidate existing abilities
and build on own resources Enable and promote a healthy lifestyle that is
relevant to the individual.
Reablement
LTS-Suppor
t Plannin
g
First ResponseHospital
Community
CLDTCMHTLT-OTLTS
BYPASS
Personal Budget
Customer Journey
Access Points
Value of OT
OT is deeply embedded into service practice and infrastructure.
Our OT service is at the forefront of integration with staff from both a health and social care backgrounds.
Service StructureManager-
OT
Clinical Lead OT Band 7-OT Snr IP-OT Nurse Advisor
OT
OT
SW
SW
SW
OTOT
OT
*IP
IP
IP
IP
IP
Reablement Officers
*Admin support 1.5wte
*IP=Independence Planner/Supervisor with assessor function
*Admin
Assessor staff
Value of OT
The Reablement processes and workflows have been designed by OT keeping person centred care, choice and control at the heart of assessment and intervention.
How we compare to CSED targetsAs a service we are comparing well in all CSED target areas
and exceeded primary target by 10% re: users exiting the service without longer term needs.
1
2
3
4
5
0% 10% 20% 30% 40% 50% 60% 70%
CSED Targets
Tower Hamlets Results
Case Outcomes
63%
26%
9%2%
Percentage of cases closed to Reablement with no on-going
support needs
cases closed without long term support needs
cases progressed with long term support needs
cases client withdrew from Reablement
cases expired
Summary For cases going through for support planning,
the average package costs approx £4,600. That is equivalent to:
3hrs of personal care a week½ day of social inclusion with access provided7x hot meals a week.
Outcome measures used
Non-standardised assessment tool developed specifically for the service
Positive outcomes survey User satisfaction survey Discovery interviews Pre/Post Costing exercise
Overcoming challenges
Culture of dependency and high expectation re: service provision
Limited public and stakeholder awareness regarding the service we provide
Staff skill set, knowledge base and competency required intense input
Duplication of effort/resources across services (i.e. community rehab)
What the future holds…
Reviewing assessment tool and outcome measures in-line with new Care Act 2014.
Greater integration between health and social care including public health.
Improving efficiency in line with budget challenges. Reablement outreach programmes- proactive
preventative approach.
Thank you!