Prior to this post East Lothian service users who are admitted to any of the Edinburgh Acute hospitals have to be referred to and assessed by the hospital SW if they require an assessment for a possible care home placement. Due to the demand on the hospital SW service, East Lothian service users often had to wait to be allocated and then once the assessment has been completed the SW has to liaise with East Lothian Council regarding vacancies and funding. This in turn could increase the length of stay in an acute bed.
Prior to the establishment of the Duty and Response Team, there was no community rehabilitation team and social care and health elements of support operated independently, albeit collaboratively with one another. This still meant duplication of information sharing and assessment processes for older people requiring the service. The Change Fund enabled the addition of Physiotherapy and Occupational therapy professionals to join the Adult Wellbeing duty and response team to form a multidisciplinary duty, response and rehabilitation team.
Users of the previous traditional home care service received a service that operated in a culture of ‘doing things for’ people that reinforced deficits and increased dependency. This ‘locked in’ resources with people who had the potential to improve their confidence, self esteem and independence while demand for the service was increasing because of the growing numbers of older people. In addition, there were financial pressures on the local authority.