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Delayed Transfers of Care (DTOC) PDF 374 KB - Gloucestershire ...

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400<br />

Reablement Services - Services Started during the Period with projections for new service user starts from<br />

January 2012 to March 2012<br />

350<br />

300<br />

250<br />

200<br />

150<br />

100<br />

50<br />

0<br />

January<br />

February<br />

March<br />

April<br />

May<br />

June<br />

July<br />

August<br />

September<br />

October<br />

November<br />

December<br />

January<br />

February<br />

March<br />

April<br />

May<br />

June<br />

July<br />

August<br />

September<br />

October<br />

November<br />

December<br />

January<br />

February<br />

March<br />

2010 2011 2012<br />

New Service User Projections All Service Starts New Service Users<br />

Reablement services are designed to be short term interventions that provide intensive and<br />

appropriate input to assist an individual in regaining confidence and maintaining or maximising<br />

their independence. It is important that the service is responsive and dynamic. Currently 30% <strong>of</strong><br />

those people who accessed reablement services did not finish their service within a 6 week<br />

period – this is against a projected outturn <strong>of</strong> 20%.<br />

Encouragingly the percentage <strong>of</strong> people going into ongoing services with no reablement in each<br />

month has steadily fallen from over 67% at the start <strong>of</strong> January 2011 to 61% in March 2012.<br />

The number <strong>of</strong> people starting ongoing services each month was projected to decrease to less<br />

than 200 by the end <strong>of</strong> 2011/12, whilst the percentage <strong>of</strong> these who do not receive reablement<br />

services first is planned to fall to 55% a month. Arrangements for monthly monitoring are in<br />

place, which will enable all teams to review their progress and performance against these<br />

targets.<br />

Whilst the number <strong>of</strong> people ending reablement services each month has varied considerably,<br />

the percentage <strong>of</strong> people who went on to receive adult care services immediately after<br />

reablement had been increasing slowly, averaging 51% in 2010. Encouragingly, in 2011/12 the<br />

average for the year has fallen to 47%.<br />

Assistive Technology:<br />

A key part <strong>of</strong> the reshaping <strong>of</strong> support is the increased use and application <strong>of</strong> assistive<br />

technology (telecare and telehealth). There is a programme in place to increase usage <strong>of</strong> both<br />

technologies. There was a waiting list for telecare assessments in GCC in 2010 and this has<br />

been cleared during 2011-12 with input from GCS. Further work is also required to mainstream<br />

telecare installations into the community teams in all except complex cases, there is<br />

improvement in place to support this.<br />

Page 8

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