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HOMECARE RE-ABLEMENT . Gerald Pilkington Care Services Efficiency Delivery Re-ablement home care services – what’s on the tin and does it deliver what it says?. HOMECARE RE-ABLEMENT: Objectives of this Session. To provide: An outline of the background to development in England

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homecare re ablement

HOMECARE RE-ABLEMENT

Gerald Pilkington

Care Services Efficiency Delivery

Re-ablement home care services – what’s on the tin and does it deliver what it says?

homecare re ablement objectives of this session
HOMECARE RE-ABLEMENT: Objectives of this Session

To provide:

  • An outline of the background to development in England
    • Gerald Pilkington
  • The Leicestershire model
    • Jane Dabrowska
  • The Edinburgh model
    • Gerry Graham
  • Discussion
homecare re ablement background to development in england
HOMECARE RE-ABLEMENT: Background to Development in England

DRIVERS

  • As a result of vfm reviews
    • Relatively high cost of in-house services
  • Increasing demand for homecare.
    • Hours increased by approx 80% (1993 – 2004) albeit users reduced by approx 28%.
    • Demand projected to increase even in ‘improved health’ scenario due to lag between improvements in life expectancy and healthy life expectancy.
    • Councils unable to lift the FACS ‘bar’ much further: most at substantial and above already
  • Availability of Care Staff
    • Demographic changes = proportion of people within age bands that historically deliver and support care will reduce so recruitment to match demand impossible
  • Policy
    • Promoting Independence
    • Individual Budgets and Self Directed Support
homecare re ablement does it work
HOMECARE RE-ABLEMENT: Does it work ?

Based on the body of evidence

  • We know it works
    • 5% no longer need a homecare package versus 53% to 68%
  • We know it can be implemented in various forms / structures
    • Enabler or mixed skilled teams
    • Hospital discharge support or intake and assessment
    • Joined with health or links to health
  • We know that the benefits can last
    • Average of 36% to 48% of people 24 months later not req’d homecare
    • Average of 34% to 54% had maintained or reduced their homecare package
homecare re ablement5
HOMECARE RE-ABLEMENT

The question for English Councils is no longer should they adopt homecare re-ablement but

  • Which form of service should it be?
  • How should it fit with other services?
  • How should they plan, evaluate and implement?
homecare re ablement contact with csed
HOMECARE RE-ABLEMENT: Contact with CSED

Gerald K Pilkington

CSED Lead

Homecare Re-ablement

gerald.pilkington@dh.gsi.gov.uk

www.csed.csip.org.uk

Telephone: 020 7972 4161

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