Home Care Reablement The Leicestershire Model

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Home Care Reablement The Leicestershire Model

• a
• Jane Dabrowska
• Service Manager
• Older and Disabled Peoples Services,
• Melton and Market Harborough

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Homecare Assessment Reablement Teams

• Council Profile
• 610.000 population 15.7 over 65, 1.8 over 85
  (2001 census)
• Rural area, 6 market towns, 6 District Councils
• 4 PCTs now down to 1

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Homecare Assessment Reablement Teams

• Background
• The Home Care Market in 1999-
• Mixed Economy - 25 in-house
• Generic Provision
• Purchaser/Provider Split
• Task/time specific commissioning

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Homecare Assessment Reablement Teams

• Triggers for Change
• Promoting Independence Grant
• Rehabilitation Agenda
• Best Value Review

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Homecare Assessment Reablement Teams

• Home Care Reablement Team
• Pilot project begun in 1999
• New Team in one area of the County
• New look
• New way of working

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Homecare Assessment Reablement Teams

• What was different?
• Short term
• Time spent to fit service users needs
• Not doing to or for - doing with
• Working towards set goals
• Adjusting care plan
• Contributing to first review

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Homecare Assessment Reablement Teams
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Homecare Assessment Reablement Teams

• After the Evaluation.
• Pilot never stopped. rolled out
• Some changes made to original design-
• Staff trained by OT on assessing for minor aids
  and adaptations,
• Home Care Managers carry out reviews,
• Entrance extended to all newly assessed (or
  re-assessed following significant change) service
  users unless clear indication that reablement
  could not benefit,
• Home Care Managers commission any on-going care
  packages to independent sector via broker.

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Homecare Assessment Reablement Teams

• Implementation
• All teams across the county have been
  restructured to specialist areas of work-
• HART (37)
• Dementia Teams (45)
• Child Care Teams (14)
• Awaiting Transfer (4)
• (April 2007)

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Homecare Assessment Reablement Teams
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Homecare Assessment Reablement Teams

• Financial Benefits
• In 2005/6, 1836 people received HART service
• 49.7 required no further home care support
  (gross saving 61k/week)
• 28.5 ended up with a 30 reduction in on-going
  support needs (gross saving 13k/week)
• Taking account of the cost of HART, average
  break-even point is approximately 23 weeks

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Homecare Assessment Reablement Teams

• And finally..Top Tips-
• Trusting relationship between commissioners and
  providers
• Pro-active management of staff to work in new
  way
• Clear, consistent message to service users
• Eliminate delays/bottle necks
• Effective communication with all stakeholders

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Homecare Assessment Reablement Teams

• For further information, contact
• jdabrowska_at_leics.gov.uk
• 01664 503900