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Home Care Reablement The Leicestershire Model

2. Homecare Assessment

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Home Care Reablement The Leicestershire Model

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    1. 1 Home Care Reablement – The Leicestershire Model a Jane Dabrowska Service Manager Older and Disabled People’s Services, Melton and Market Harborough

    2. 2 Homecare Assessment & Reablement Teams Council Profile: 610.000 population – 15.7% over 65, 1.8% over 85 (2001 census) Rural area, 6 market towns, 6 District Councils 4 PCTs now down to 1

    3. 3 Background: The Home Care Market in 1999:- Mixed Economy - 25% in-house Generic Provision Purchaser/Provider Split Task/time specific commissioning

    4. 4 Triggers for Change: Promoting Independence Grant Rehabilitation Agenda Best Value Review

    5. 5 Home Care Reablement Team: Pilot project begun in 1999 ‘New’ Team in one area of the County ‘New’ look ‘New’ way of working

    6. 6 What was different? Short term Time spent to fit service user’s needs Not ‘doing to or for’ - doing with Working towards set goals Adjusting care plan Contributing to first review

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    8. 8 After the Evaluation…. Pilot never stopped…. rolled out Some changes made to original design:- Staff trained by OT on assessing for minor aids and adaptations, Home Care Managers carry out reviews, Entrance extended to all newly assessed (or re-assessed following significant change) service users unless clear indication that reablement could not benefit, Home Care Managers commission any on-going care packages to independent sector via broker.

    9. 9 Implementation: All teams across the county have been restructured to ‘specialist’ areas of work:- HART (37%) Dementia Teams (45%) Child Care Teams (14%) Awaiting Transfer (4%) (April 2007)

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    11. 11 Financial Benefits: In 2005/6, 1836 people received HART service 49.7% required no further home care support (gross saving £61k/week) 28.5% ended up with a 30% reduction in on-going support needs (gross saving £13k/week) Taking account of the cost of HART, average break-even point is approximately 23 weeks

    12. 12 And finally……..Top Tips:- Trusting relationship between commissioners and providers Pro-active management of staff to work in ‘new’ way Clear, consistent message to service users Eliminate delays/bottle necks Effective communication with all stakeholders

    13. 13 For further information, contact jdabrowska@leics.gov.uk 01664 503900

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