Intermediate Care & Reablement Atlas

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Chief Officers and their representatives from the 31 Health & Social Care Partnerships were invited to take part in Intermediate Care & Reablement scoping, comprised of an online survey and conversation about Intermediate Care & Reablement within their partnership area.

As part of the outputs from the scoping, the following Atlas provides information on the provision of Intermediate Care & Reablement across Scotland. It anticipated that this will be a live document that can be updated to reflect developments over time.

Download the atlas here or click the image above.

For further information, email Lianne McInallyYou can also follow Lianne on Twitter @LianneMcInally1

Discussions from our intermediate care and reablement event

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Our intermediate care and reablement event took place at 200 St Vincent Street on 21st March 2017 and shared findings from our intermediate care scoping work, and learning from services across Scotland. The event was supported by the Scottish Government, Social Work Scotland and the Health and Social Care Benchmarking Network.

Isla Bisset from the Scottish Government presented data on delayed discharges from January 2017, and Deanna Campbell gave an overview of the intermediate care minimum dataset, which records different interventions, their impact, and whether an anticipatory care plan was in place. Outcomes included avoided hospital admissions and early supported discharge. Continue reading “Discussions from our intermediate care and reablement event”

Older People and The Outdoor Gym: Will Green Prescribing Offer an Alternative Path?

As a district nurse for over twenty years I have mainly cared for older people in their own homes. The  challenge with an ageing population is supporting older people to self-manage their healthcare and stay well through exercise.

john-and-his-dog-archieThis is my neighbour John and his dog Archie. John is 82 years old, and though he can’t walk the Eildon hills anymore, he still manages to take Archie out for short walks down the street. Archie gives him a reason and motivation to get out and about.

There is an abundance of evidence on the benefits of outdoor activity.

Research at the James Hutton institute identifies multiple, inter-related barriers that reduce the opportunities for older people to participate in outdoor activities: poor health, immobility, limited social relationships and fragility.

The Green Gym

As health professionals how can we engage with patients and their families to make green prescribing, and the use of our great outdoor ‘green gym’, a real choice?

We can’t do anything about our Scottish weather but we can use green prescribing as an additional choice to the traditional hospital based exercise care pathways for falls and post-op rehabilitation.

Interventions need to be offered which suit people’s ability and preferences. They don’t need to be based solely around exercise and can be seen as an option to alleviate social isolation, the profound loneliness many older people feel. Research by geriatrician Dr Carla M. Perissinotto at University of California has linked loneliness to physical illness and early death, a real health challenge for Scotland, with so many elderly people living alone. Continue reading “Older People and The Outdoor Gym: Will Green Prescribing Offer an Alternative Path?”

Our Intermediate Care and Reablement Work

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Background

In 2011 the Scottish Government published the document, The Reshaping Care for Older People: A Programme for Change 2011-2021. It outlined the policy goal to “optimise the independence and wellbeing of older people at home, or in a homely setting. This will involve a substantial shift in focus of care from institutional setting to care at home – because it is what people want and provides better value for money.”

An NHS HEAT target was introduced from April 2012 to reduce 75+ emergency bed day rates by at least 12% nationally between 2009/10 and 2014/15.

Intermediate Care services offer alternatives to emergency inpatient admission and deliver person-centred outcomes for people, whilst improving whole systems flow.

What is Intermediate Care & Reablement?

Our workstream will support partnerships to better understand and maximise the impact and effectiveness of their intermediate care and reablement services. These services:

  • offer alternatives to emergency inpatient care
  • support timely discharge from hospital
  • promote recovery and return to independence
  • prevent emergency admission or early permanent admission to a care home

Intermediate care and reablement can be delivered at home or as locally as possible by multi-professional, multi-agency teams and include settings such as: individuals’ own homes, sheltered housing complexes, care homes, and community hospitals. Continue reading “Our Intermediate Care and Reablement Work”

There’s No Place Like Home: Living Well in Communities at the NHSScotland Event

The Living Well in Communities team held two workshops at the NHSScotland Event, which took place at the SECC on 14th-15th June 2016. These sessions explored initiatives from Health and Social Care Partnerships across Scotland that are helping people to spend more time at home or a homely setting that would otherwise have been spent in hospital.

We’ve put together a Storify of the tweets from the sessions.

The sessions were chaired by Susanne Miller, Chief Officer for Strategy, Planning and Commissioning and Chief Social Work Officer for Glasgow City Health and Social Care Partnership. June Wylie, Head of Implementation and Improvement at Healthcare Improvement Scotland, introduced the Living Well in Communities portfolio and frontline speakers from across the different Living Well workstreams and related areas of work:

  • High Resource Individuals – Anne Palmer, Programme Manager, Connected Care, NHS Borders
  • Frailty and Falls – Rebekah Wilson, Ayrshire and Arran Falls Lead and Falls Community Connector.
  • Anticipatory Care Planning – Janette Barrie, Nationa Clinical Lead (Nursing) Anticipatory Care Planning, Healthcare Improvement Scotland
  • Housing – Maureen Cameron, Manager, Lochaber Care & Repair
  • Intermediate Care and Reablement – Lorna Dunipace (Day 1), Interim Head of Transformational Change (Older People), and Christine Ashcroft (Day 2), Service Manager, Glasgow City Health and Social Care Partnership
  • Palliative Care – Caroline Sime, Research Fellow University of the West of Scotland and Ardgowan Hospice

Here are some of the themes from the workshops: Continue reading “There’s No Place Like Home: Living Well in Communities at the NHSScotland Event”