This short paper provides an overview of investment released in 2015/16, grouped where possible into investment themes, and sets out some of the key areas of national activity, including that progressed under the Improvement Programme. TEC Programme – Overview of Year One Activity (July 2015)
The number of people aged over 65 living in Perth and Kinross is expected to increase by 74% by 2031. The Reablement Service launched in Perth City on Monday 4 October, 2010. The service is aimed 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 full Immediate Discharge Service – Reablement, Perth & Kinrooss Example of Practice (Update) is available here. It is an update of the original Example of Practice published in 2013, which can be accessed here
Currently OT services in Perth and Kinross have been provided separately by the NHS and Local Authority. The NHS provides a service to adults, primarily in hospital and clinical settings which focuses on the rehabilitation of patients. It employs around 27 full-time equivalent staff. Perth and Kinross Council’s Community OT service employs around 21 full-time equivalent staff within four locality based teams. It provides a community based service to adults and children which generally focuses on adapting the environment for clients.
The preferred model for integration in P and K is the creation of four locality based teams (linked to the emerging P and K Social Work structure), with and acute hospital based service remaining at Perth Royal Infirmary. All community based OTs would provide a generic service and have access to hospital based specialisms as required.
The establishment of the Community Engagement Team supports the need to develop new models to support service delivery and community engagement to rural and remote-rural areas and proposed to test ideas that:
Older people could contribute to providing community-based services for other older people.
Older people could be maintained living in their own homes and communities for as long as possible if communities developed the capacity to provide basic services in ‘co-production’ with statutory public service providers.
Social organisations of various types established in and by communities, could be sustainable and could provide ‘value-added’ benefits (social participation, health, community involvement etc.).
Communities could be supported to engage in meaningful and sustainable dialogue with key statutory public service providers to ensure transparency and co-production.
The financial cost of delayed discharges in P&K to NHS Tayside is estimated to be over £1.5 million. Aside from the financial implications of delayed discharges, evidence suggests there are many other risks associated with being in hospital longer than is necessary, a delay in the opportunity to restore a persons independence and potentially the loss of independence and mobility.
Delayed discharges can potentially also cause further problems within the wider community through delayed urgent admissions, cancelled operations and overall problems with emergency and elective access to beds. Consequently any delays in discharge are bad for patients, their families, the NHS and the Council. Minimising delayed transfers of care is therefore fundamental to ensuring capacity and flow through the system as well as ensuring a person-centred, outcome focussed approach to health and social care.