Domicilary Physiotherapist

Examples of Practice

A lady with poor mobility with pain on standing/walking, reduced confidence in walking, difficulty with activities of daily living including bathing & stairs (only one banister) and problems related to chest infections. Financial worries and concerns related to her disease progression.

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Housing with Care Reablement Service, Tygetshaugh Court, Dunipace, Falkirk

Examples of Practice

The aim of the HWCRS is to:

  • transfer appropriate people to the HWCRS (e.g. those who meet the agreed criteria)
  • work with and encourage service users to regain their level of function with regards to mobility, personal care and kitchen tasks resulting in an increase in confidence and independent living for the service user
  • educate the informal care/family regarding the re-ablement approach to care
  • encourage socialisation and taking part in mainstream HWC activities

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Timely adaptations including housing adaptations

Examples of Practice

Waiting times for Occupational Therapy (OT) assessment were increasing and consultation with OT staff across Angus identified that they were spending a significant amount of their time in the office dealing with general OT enquiries, taking and prioritising referrals and dealing with service user complaints about delays. This prevented staff from seeing service users and arranging essential equipment and adaptations. The process for dealing with some minor adaptations had also been identified as cumbersome and time consuming for staff and resulted in delays in the adaptation being put in place.

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Supported Discharge Social Worker

Examples of Practice

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.

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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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