In April 2017, we were commissioned to provide Bath and North East Somerset Community Health and Care Services across the county.
As part of our three-year ‘roadmap’ – our plan to deliver improvements to services – we’ve been reviewing and understanding how services work across the county, building a service model which provides a fair and equitable service for everyone and focuses on improving outcomes and keeping people well.
Reablement services provide personal care, help with daily living activities and practical tasks for a few weeks after returning home from hospital or after an illness or fall. The support is designed to encourage confidence and rebuild the skills people need to continue to live as independently as possible at home and take back control over their own health.
One challenge is that the service had grown organically over many years, with an ageing population placing increasing demands. We found that the service was working in different ways in different areas with the result that each of the three teams weren’t seeing the same number of patients, and in some areas patients were being added to a waiting list while other areas had spare capacity.
Our review team wrote a report detailing 14 recommendations based on their findings including:
- To work more closely with hospitals and other community services to review how patients are discharged home, and ensure the patients referred to it can benefit from the support offered. We’ll implement a new assessment tool for hospitals to use.
With no increase in actual staffing, our mobile working technology could increase efficiency to the equivalent of an extra 3 colleagues. Across the country where we’ve implemented this solution before, it has reduced the time spent maintaining clinical records by half and reduced by 25% the time our teams spend preparing for their day at an office base.
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