Assistant Practitioners and Reablement Working with service users to optimise potential Iain Skelton Business Manager 17 September 2012

To develop a generic worker operating at the interface of health and social care ;utilising social care, therapy and clinical skills. The Challenge

80 employees undertaken Foundation Degree in Health and Social Care Two year programme one day per week Generic first year, specialist second year modules Work Based Education Facilitator providing link to employer

Definition of Reablement According to CSED 2007:- –“ Services for people with poor physical or mental health to help them accommodate their illness by learning or relearning the skills necessary for daily living.” –Reduces need for ongoing commissioned service. –Up to 50% of users no requirement for ongoing support.

The Teams A short term service AP In reach team will take referrals and carry out first visit establishing the initial Personal Support Plan AP will constantly monitor and review service user progress AP will carry out reviews with the service users and bring their findings to the review meeting AP In reach team will fast track referral for equipment and may procure certain pieces of equipment directly AP will contribute the individuals PSP as an on- going process

What does the model look like? Initial Assessment carried out by commissioning teams and outcomes identified Home Support provided on a day to day basis Weekly goal setting with service user to achieve their stated outcomes; carried out in conjunction with therapists Week 3 or 4, if the service user is still receiving reablement service, will consider future needs of service user with social work input. Consideration to be given to Direct Payments and Assistive Technology Final review will produce an outcome focussed Support Plan with recommendations for on-going support Exit strategies with AP In reach linking with voluntary and statutory services for a comprehensive discharge.

AprilMayJunJulAugSepOctNovDecJanFebTotal Intake Volumes

Service Outcomes

Outcomes of reablement Ensuring service users are in control Promoting independence, wellbeing and choice in whatever we do A service that suits the individual and is adaptive and flexible A return to full independence or with a service that respects autonomy and choice and is tailored specifically around the individual needs and expressed outcomes

Challenges Changing mind-set and culture Matching workforce capacity and demand Selective or non-selective Ensuring through put Agreeing performance indicators and data collection

Thank you Iain Skelton Business Manager Individual Solutions SK