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Reablement Seminar
New Connaught RoomsLondon
24 January 2008
SEFTON RE-ENABLEMENT WORKING SEFTON RE-ENABLEMENT WORKING TO ENSURE CONTINUED SUCCESSTO ENSURE CONTINUED SUCCESS
Cheryl Powell
Head of Adult Services
AIMSAIMS
Sefton profile
New Directions Management Structure
Background
Competitive Advantages
Inherited Challenges
New challenges
Must Do’s to ensure success
AIMSAIMS Snapshot of Data
Success to date
Relationship with Care Managers
Relationship with Contracts
Success for New Directions
What next for Re-enablement?
Conclude
SEFTON PROFILESEFTON PROFILE
The population is currently 281,800 and the age profile of the Borough is older than for the country as a whole, with a greater than average number of people over 50 living in North Sefton
There are significant differences in the circumstances of those living in the North of Sefton compared to those in the South. Nine of our wards are in the top 10% most deprived in the country, which means that 27% of our population
SEFTON PROFILE SEFTON PROFILE cont’dcont’d
Whilst life expectancy has improved in the Borough as a whole, there is a three year gap for males and a two year gap for females between the most deprived areas and the Borough average
The total number of jobs in the Borough has increased by 8,500 since 1998
Management StructureManagement Structure
P a u l G reg sonR e sou rce M a na g er
C h e ryl P o w e llH e a d o f S e rv ice
H e a d O Iff ice ,F in a n ce , H um a n R e sou rces
W e n dy H o lb e cheC o m p an y sec re ta ry
S u e B a yesR e sou rce M a na g er
E d d ie B yrneH e a d o f se rv ice
G ra h am H ayw o odE xe cu tive D ire c to r
BACKGROUNDBACKGROUND
Pre 1997 Home Help Service
June 1997, Home from Hospital
November 2001 – April 2007, 2 Re enablement teams established and mixed economy of core developed
01 April 2007 – All provider services transferred to New Directions
INHERITED STRENGTHS – COMPETITIVE INHERITED STRENGTHS – COMPETITIVE ADVANTAGES FOR RE-ENABLEMENT ADVANTAGES FOR RE-ENABLEMENT
SERVICESERVICE
Well trained and skilled workforce
Occupational Therapist attached to each team
Evidenced good practice
Excellent reputation
Secure niche in the market
INHERITED STRENGTHS – COMPETITIVE INHERITED STRENGTHS – COMPETITIVE ADVANTAGES FOR RE-ENABLEMENT ADVANTAGES FOR RE-ENABLEMENT
SERVICESERVICE Quick response
Facilitates hospital discharges
Reduces levels of care needed
Contributes to CPA, PI’s and star rating
Supervisors close cases
INHERITED CHALLENGESINHERITED CHALLENGES Blocked care packages, bottlenecks in
system.
Timely risk assessments
Revision of care plans, better quality of information from care managers needed
Medication management
Demand and Resource
Guaranteed contractual hours
NEW CHALLENGES FOR RE NEW CHALLENGES FOR RE ENABLEMENT SERVICEENABLEMENT SERVICE
Smarter outcomes for service
Improve systems and processes
Increase activity
Incorporate new business opportunities
TO ENSURE SUCCESS, TO ENSURE SUCCESS, RE-ENABLEMENT NEEDS TO: RE-ENABLEMENT NEEDS TO:
Market and promote
Inform Commissioning Strategy (JSNA - Connecting Care)
Responsive & flexible service
Professional trust
Communication/Information
SNAPSHOT OF DATASNAPSHOT OF DATA
New Referrals (North) October 2006 – April 2007 399 April 2007 – October 2007 440
Closures no further care needed October 2006 – April 2007 176 April 2007 – October 2007 188
Transferred to Agency October 2006 – April 2007 92 April 2007 – October 2007 55
Total number of weeks (period October 2006 – April 2007)
Ranges from
44 with 1 week only to 75 over 12 weeks
April 2007 to October 2007
51 with 1 week only to 38 over 12 weeks
Occupational therapy InterventionOccupational therapy Intervention
Snap Shot August 2007
Total number of calls at start 195
Total number of calls at end 114
Reduction = 81 calls
SUCCESSSUCCESS
Shift in staff culture
Communication protocol
Staff involvement Focus Groups
Management accompanying care staff
Collating evidence
Effective use of staff time
RELATIONSHIP WITH CARE MANAGERSRELATIONSHIP WITH CARE MANAGERS
Meetings planned
Consider ring fencing hours
Pilot in North Sefton, need to duplicate in South Sefton
Reduced number of defaults
RELATIONSHIP WITH CONTRACTSRELATIONSHIP WITH CONTRACTS
Meetings to promote “new” relationship
New agreements needed
Effective communication
NEW DIRECTIONS – WORKING TOWARDS NEW DIRECTIONS – WORKING TOWARDS SECURING A SUCCESSFUL COMPANYSECURING A SUCCESSFUL COMPANY
Embed company in Health and Social Care local and wider economy
Training plan to meet present and future training the needs staff. Life-Long Learning Organisation
Establish business relationship with competitors
Financial viability, budget management
Maintain strategic overview of Government legislation
WORKING TOWARDS SECURING A WORKING TOWARDS SECURING A SUCCESSFUL COMPANYSUCCESSFUL COMPANY
Continue to work towards ensuring excellent communication with staff and involvement of staff
Investors in People Work through ongoing culture shift Recruitment and Retention Workforce Planning Generate Business Growth Marketing & Publicity Financial viability budget management
WHAT NEXT FOR RE-ENABLEMENT?WHAT NEXT FOR RE-ENABLEMENT? Explore work with PCT to provide a palliative care
service and a continuing health care service (Joint Commissioning)
Provide long term care to existing re enablement service users who are self funding
Links with Community Matrons, long term condition
Brokers of care
Re configure work force
TO CONCLUDETO CONCLUDE
Re-enablement is successful Proven service which has demonstrated it
improves levels of independence Cost effective To continue to be successful and develop Re-
enablement needs to continually improve and respond to the Health & Social Care Market
New Directions business plans in year 2/3/4 will focus on continued success for Re-enablement
‘the future belongs to the unreasonable ones, the ones who look forward, not backward, who are certain only of uncertainty and who have the ability and the confidence to think completely differently’
CONTACTCONTACT
Sefton New Directions Ltd
Balliol House, Ground Floor
Balliol Road
Bootle
L20 3LU
Tel 0151 934 2473
Email: [email protected]