Reablement Service – Perth & Kinross

What was the issue you were addressing or working on?

Reablement supports a service focus on independence and harnesses the joint input of health and social services.

The Reablement Service launched in Perth City in October, 2010, is designed to help people regain skills that will allow them to live as independently as possible in their own homes. The Reablement service is also key in ensuring the Council can meet the challenges that lie ahead for service provision.

The number of people aged over 65 living in Perth and Kinross is expected to increase by 74% by 2031. The Scottish Government has set national objectives that all Scottish councils must meet, with the focus on helping older people remain in their own homes as independently as possible.

What you did?

The service spends around six weeks working in a co-productive way with each person to help build their capacity to achieve the things they would like to be able to do for themselves. This could be anything from washing and dressing to preparing meals.

The amount of care and support someone receives, during and after this six week Reablement period will depend on how much they need. At the end of the Reablement period, some people will be able to live fully independent lives, and will not have to depend on care services at all. However, if someone needs on-going care, this will be arranged.

What were the outcomes - benefits or otherwise?

Outcomes of IDS and Change Fund:

  • Since the introduction of IDS Perth and Kinross are now on target to reduce the number of hospital bed days lost to delayed discharges awaiting a care package. For over 65s by 50% by 1st November 2012.
  • Existing procedures for accessing Reablement were reviewed and have reduced bureaucracy and enabled direct access to Reablement by health workers.
  • The new Initial assessment has also allowed existing Social Work employees to access Reablement services more efficiently for non complex cases which allows resources to be targeted in other areas.
  • Having a dedicated clerical has ensured that ward staff have a direct phone line to the Reablement team which has facilitated more efficient access, improved communication and streamlined discharge planning. The clerical post also assists with the rotas and other administrative requirements associated with the Reablement Assistants.
  • The improved coordination and communication between existing services has led to improved joint working.
  • The review and redesign of the discharge pathway has led to a robust, efficient multi-disciplinary approach to assist with building community capacity, reduced duplication and increased efficiency.

Contacts - to find out more

Shona MacLean, Senior Practitioner OT,