One Housing - Reablement: integrating NHS, telecare, care and housing

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One Housing - Reablement: integrating NHS, telecare, care and housing

Sep 5, 2017


The reablement service at Roseberry Mansions embodies the aims of One Housing: we’re delivering better, more integrated and person-centred services, which also support the delivery of sustainable health and social care. Telecare plays a significant role in helping us to get people out of hospital and back to the right home environment for them.

Kevin Beirne, Group Director of Housing Care & Support, One Housing


The Challenge

The current operating environment across the social care and wider health economy is under increasing strain due to levels of presentations at A&E departments rising, as well as delayed discharge from hospitals placing growing pressure on bed availability and limiting patients’ recovery as they remain in hospital settings beyond the optimum time. Budgetary restraints within the health sector and Local Government has exacerbated the pressures further.

Reablement services support people to regain abilities and confidence that may have been reduced or lost through illness or disability, reducing ongoing care needs through sustaining independent living. How can including telecare in reablement services help to find the right balance between managing risks and enabling independence, improving patients’ recovery and delivering clinically safe services at a reduced cost?

What We Did

Roseberry Mansions Reablement Service is a ten-unit service which provides intensive short term support and therapies to enable people who have been hospitalised to return home or to other appropriate long term accommodation.

The service is based within a purpose built extra care scheme in the heart of the Kings Cross regeneration area in London.

An onsite multi-disciplinary team (MDT) works collaboratively to provide a comprehensive reablement service to people for up to six weeks. The main aims of the service are to:

  • Improve the quality of people’s lives by enabling and re-skilling them to be able to return home or to other appropriate accommodation in a sustainable way
  • Facilitate earlier hospital discharge and avoid unnecessary or repetitive hospital admissions
  • Prevent or delay the need for long term residential or nursing care placements
  • Deliver significant NHS and adult social care savings

Highlights

  • 41 customers in 10-month period provided a real saving of £288,695 to NHS
  • Forecast NHS saving £1.7m over five years
  • Adult Social Care saving of £214,500 per person over five years
  • Facilitates earlier discharge and avoids repetitive hospital admissions
  • Integrates social care, housing and health
  • Real alternative to acute hospital stay
  • Reduces care home placement
  • Delivers better health outcomes

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