Getting the Best from your
Reablement Service
Julia Howells-Clinical Specialist OT
Reablement Service
London Borough of Tower Hamlets
julia.howells@towerhamlets.gov.uk
Who we are…
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Tower Hamlets is typically known as ‘The East End’
home to Canary Wharf, Brick Lane and Spitalfields.
One of the most culturally diverse boroughs in London.
with 18 different ethnic groups represented on 2011
census.
Over the last 10yrs the population has been one of the
fastest growing in the country and it is set to rise by 20%
over next 10 years
Over a quarter of a million residents
living within just under 8 sq. miles.
Our Ethos
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Giving people who may be limited by their
health and/or mental health condition an
opportunity to:
Relearn life skills
Rebuild confidence
Help facilitate and consolidate existing abilities
and build on own resources
Enable and promote a healthy lifestyle that is
relevant to the individual.
Customer Journey
Access Points
First Response
Hospital
Community
CLDT
CMHT
LT-OT
LTS
BYPASS
Reablement
LTSSupport
Planning
Personal Budget
Value of OT
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OT is deeply embedded into service practice
and infrastructure.
Our OT service is at the forefront of
integration with staff from both a health and
social care backgrounds.
ManagerOT
Clinical
Lead OT
OT
SW
OT
SW
OT
SW
Band 7-OT
OT
OT
*Admin
Snr IP-OT
*IP
IP
IP
IP
IP
Reablement
Officers
*Admin support 1.5wte
*IP=Independence
Planner/Supervisor with
assessor function
Nurse Advisor
Assessor staff
Value of OT
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The Reablement processes and workflows
have been designed by OT keeping person
centred care, choice and control at the heart
of assessment and intervention.
How we compare to CSED targets
As a service we are comparing well in all CSED target areas
and exceeded primary target by 10% re: users exiting the
service without longer term needs.
5
CSED Targets
4
Tower Hamlets
Results
3
2
1
0%
10%
20%
30%
40%
50%
60%
70%
Case Outcomes
Percentage of cases closed to
Reablement with no on-going
support needs
2%
cases closed without
long term support needs
9%
cases progressed with
long term support needs
26%
63%
cases client withdrew
from Reablement
cases expired
Summary
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For cases going through for support planning,
the average package costs approx £4,600.
That is equivalent to:
3hrs of personal care a week
½ day of social inclusion with access
provided
7x hot meals a week.
Outcome measures used
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Non-standardised assessment tool
developed specifically for the service
Positive outcomes survey
User satisfaction survey
Discovery interviews
Pre/Post Costing exercise
Overcoming challenges
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Culture of dependency and high expectation
re: service provision
Limited public and stakeholder awareness
regarding the service we provide
Staff skill set, knowledge base and
competency required intense input
Duplication of effort/resources across
services (i.e. community rehab)
What the future holds…
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Reviewing assessment tool and outcome measures
in-line with new Care Act 2014.
Greater integration between health and social care
including public health.
Improving efficiency in line with budget challenges.
Reablement outreach programmes- proactive
preventative approach.
Thank you!