Cynthia Cranston, Head of Occupational Therapy

1. REABLEMENT
Cynthia Cranston
Head of Occupational Therapy
www.COT.org.uk

2. Why change?
• 2nd largest population in NI
• 25% of children’s population
• Fastest growing population
• By 2020, 40% increase in people aged 75+
www.COT.org.uk

3. How do we change?
Proposed Service Model
Living Your Life To The Full - Example
Operating Model
Access & Re-ablement Support Care Bureau Monitoring
Prevention 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
www.COT.org.uk

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
www.COT.org.uk

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
www.COT.org.uk

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
www.COT.org.uk

7. The Team
1WTE 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
www.COT.org.uk

8. Investment in Learning
Reablement Support Workers:
•Minimum of NVQ Level 2 (to complete NVQ Level 3 (QCF) within one year)
•Intensive two week induction
Core Units
– contribute to the effectiveness of teams
– promoting communication in health or social care settings
– promote person centred approaches in health and social care setting
Additional Units
– Advise and inform individuals on managing their condition
– Collaborate in the assessment of environmental and social support
– Adapt and fit Healthcare equipment
www.COT.org.uk

9. The Model
Assessment –
Discharge (Standardised)
Client centred
Goal setting
Review Reablement plan
Intervention
www.COT.org.uk

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
www.COT.org.uk

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)
www.COT.org.uk

12. Discharge Pathways
•Client discharged from Reablement with no further
service need
•Client discharged to Conventional Services
•Client referred to Specialist Services
Community & Voluntary Links
Development of a Community Navigator Post
www.COT.org.uk

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)
www.COT.org.uk

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
www.COT.org.uk

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
www.COT.org.uk

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”.
www.COT.org.uk Client

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 are
being reduced and that patients are getting the opportunity
to 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
www.COT.org.uk

18. THANK-YOU
for your attention
paula.haughey@southerntrust.hscni.net
cynthia.cranston@southerntrust.hscni.net
www.COT.org.uk