Reablement and Occupational Therapy in Gloucestershire - PowerPoint PPT Presentation


PPT – Reablement and Occupational Therapy in Gloucestershire PowerPoint presentation | free to download - id: 66b677-ZTk5M


The Adobe Flash plugin is needed to view this content

Get the plugin now

View by Category
About This Presentation

Reablement and Occupational Therapy in Gloucestershire


Reablement and Occupational Therapy in Gloucestershire Margot Mason Professional Team Lead, Occupational Therapy, ... Widening role of Occupational Therapy staff. – PowerPoint PPT presentation

Number of Views:161
Avg rating:3.0/5.0
Slides: 17
Provided by: account


Write a Comment
User Comments (0)
Transcript and Presenter's Notes

Title: Reablement and Occupational Therapy in Gloucestershire

Reablement and Occupational Therapy in
Gloucestershire Margot Mason Professional Team
Lead, Occupational Therapy, Stroud Gloucester
Presentation outline
  • Integrated Adult Health Social Care.
  • Overview.
  • Our Journey.
  • Challenges benefits.

Measuring Outcomes
  • April 2013-March 2014
  • number of people entering Reablement 557
  • 86.6 of these were over 65 years old
  • 43.8 of these did not need ongoing care
  • We are to gather more detail
  • partially reabled
  • needing less/same/more ongoing care
  • reasons for not completing

Quality Outcomes
  • Right levels of care Indicative budget
    calculation before after reablement used as a
    measure of the outcome/ benefit. Initial results
    showed a 48 reduction in indicative budget
    following reablement (although it should be noted
    that the sample size was very small).
  • Canadian Occupational Performance Measure
    Occupational Therapists use the COPM, showing
    significant improvement in Service User
    satisfaction and performance of their identified
    Occupational Performance Issues.
  • Experience Countywide Service User Reablement
    satisfaction survey rolled out. Positive results.

Identifying Reablement cases
  • Countywide telephone Helpdesk.
  • Local referral centre New referrals screened by
    an Occupational Therapist, Physiotherapist and
    Reablement co-ordinator.
  • Initial assessment by Therapist or Senior
    Reablement Worker.
  • Use of robust Goal Planning.
  • Regular Evaluation.

Added Value of Occupational Therapy
  • The COT Position Statement discusses our use of
    evidence informed practice, person centred
    working, thorough assessment and outcome
  • Literature review Benchmarking.
  • We use the Canadian Model of Occupational
    Performance outcome measure.
  • Work within Integrated Community Teams for the
    benefit of Service Users.

Occupational Therapy skills
  • New Integrated Community Teams (ICTs) in place.
  • Social Care, Intermediate Care Community
    Hospital backgrounds.
  • All extending core skills.
  • Supervision, CPD sessions, work-shadowing.
  • Use of delegation to Reablement staff.

Our journey
  • Literature review completed to inform practice.
  • Competency framework for Reablement staff
  • Range of training developed.
  • Reablement goal plan re-designed.
  • Team working Communication.
  • Need for countywide model of Reablement.

  • High-quality assessment before re-ablement
    started was said to be essential in helping
    re-ablement teams to set up appropriate support
  • Ongoing assessment during the period of
    re-ablement was also important to enable the team
    to identify new targets as peoples abilities
  • Rabiee Glendinning 2011

  • Regular communication is extremely important and
    key to the whole process
  • So, understanding each others roles
  • Discussion with the service user family to
    monitor progress and timescales
  • And liaison between Reablement workers, Nurses,
    Therapists Co-ordinators to regularly review
    and progress goals with the service user.

Work completed to date
  • Development and implementation of a comprehensive
    Reablement competency framework.
  • Delivery of an extensive training programme to
    support the framework.
  • Development of Team Working Workshop and
  • Development of Therapy screening and first
  • Development of outcome based performance measures
    as part of the scorecard.

Barriers Challenges
  • Reablement staff change of role, hours rotas.
  • Widening role of Occupational Therapy staff.
  • Service demands.
  • New referral screening assessment-By whom?
  • Need to increase Assessment skills and Clinical
    support of Senior Reablement Workers.
  • Need to further embed Team working, Vision and
    true Integrated working.

  • South West Clinical Network
  • Benchmarking
  • Leadership Group, Work streams identified
  • Development of alternative reablement pathway and
  • Workforce Development.
  • Development of outcome measures.
  • Increasing contact time.
  • Review domiciliary care in lieu of reablement.

  • Reablement is embedded in the Integrated
    Community Teams.
  • Continue to develop Occupational Therapy at the
    forefront of Reablement.
  • Positive impact on External Care budget spend.
  • Any Questions?

  • Boniface et al. 2013. The effectiveness of local
    authority social services occupational therapy
    for older people in Great Britain a critical
    literature review. British Journal of
    Occupational Therapy. 76(12) 538-547
  • COT Position statement 2010 Reablement The added
    value of occupational therapists.
  • Rabiee P. and Glendinning C. (2011) Organisation
    and delivery of home care re-ablement what makes
    a difference?, Health and Social Care in the
    Community, vol 19, no 5, pp 495503.

Contact details
  • Margot Mason
  • Professional Team Lead, Occupational Therapy.
  • Stroud Gloucester Locality
  • 01452 427661