Reablement and Crisis Care

Examples of Practice

The re ablement and crisis care service has re-focused its activity to intervene earlier and promote the independence of older people. The new service design has delivered the following improvements

  • 24/7 response to any crisis
  • Fast Track provision of technology and equipment
  • Single point of contact for responding to falls
  • Falls prevention programme
  • Respite for Carers
  • Intensive Re-ablement Programme, building personal resilience
  • Improved alignment of social and health care staff, making better use of resources

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Reablement and developing the Community Equipment Service

Examples of Practice

This project ensures the continued provision of the Reablement pilot (phase 1) and strengthening of the integrated Community Equipment Service to ensure  responsive and integrated delivery of timely interventions whilst developing phase 2 of Reablement in partnership with Care at Home Services in the Western Isles.

It seeks to maximise existing resources, reducing unnecessary dependency, giving practical support to people to live safely, confidently and independently with some short term, intensive, practical support from a dedicated, well trained team.

  • Reablement is services for people with poor physical or mental health to help them accommodate their illness by learning or re-learning the skills necessary for daily living.
  • Reablement seeks to support people, maximise independence and reduce the whole life cost of care
  • Timely provision of equipment to support to reduce the risk of falls, enhance independence and support reablement programmes.

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Rapid Response

Examples of Practice

In 2009/10 there were 6,243 unplanned admissions to hospital of over 65s in Perth and Kinross.  In the same year £35 million, over one third of the total Health and Social Care spend on people over 65 yrs, went to providing hospital based care.

Change Fund money has been used to implement a number of projects to try and reduce the number of unplanned admissions to hospital by providing community based alternatives.  One of these alternatives is the Rapid Response Service.

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Rapid Response and Resettlement Service

Examples of Practice

This service was developed in response to the fact that older people can often be unnecessarily admitted to hospital, due to there being a lack of readily available transport to take them home, and the risk that the 4hr A&E target may be breached for them.  It was recognised that patients may also be more likely to be admitted especially if they have arrived at A&E later in the day, and there is a lack of family/care support to ensure a safe return home.

In addition to this, a service that would support individuals into their own home, ensuring their safety and comfort, was seen to be beneficial both in terms of direct support to the patient, and potentially picking up on issues which might prevent further deterioration or a  potential readmission to hospital.

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‘Moving, for independence’

Examples of Practice

  1. Client accommodation was unsuited for older person safe independent living (first floor, no lift, many steps, poor layout)
  2. Person was frightened by thought of moving; family has pressed to ‘go into a home’ – clearly not older person’s preference.
  3. GP confirmed suitable ground floor accommodation meant no need for move to care home or similar
  4. Greatest barrier was older persons fears – how could I manage to move, how can I afford to move, how do I deal with everyone (who?), how do I pack / unpack.  Do I have to give up independence because I am too old to cope.

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