Into the Spotlight City of Edinburgh Council Home Care Re-ablement Services Gerry Graham Independent Advisor 2nd December 2008 Differences For Edinburgh • City Setting • Scale of Service - 43,000 Care Hours to 5,000 Service Users • Mixed Economy Initially 45% Purchased • In House Service - 400 Social Care Workers 1,000 Home Helps • No Funding for Change to Workforce • Scotland - Different History re Compulsory Competitive Tendering for Home Care How Changes Have Been Achieved • Developing a Vision • Leadership and Political Buy In • In House Service Decision • Re-ablement Service • Long Term Service for People with Complex Needs • Financial Framework • Communication • Staff Buy In • Scoping Size of Teams – Referral Analysis - Average Hours Per Week - OTs How Changes Have Been Achieved • Improved Outcomes – IoRN – Goal Setting • Incremental Implementation – Investment in Project Management – Change Management – Implementation Group – Desktop Exercises on Process and Roles • Tracking ‘How well we are doing’ Current Status • Expressions of Interest complete in most localities • Implementation - Live in 2 localities of 5 • Training for 120 frontline staff by end 2008 • Plan to role out other 3 localities by Spring 2009 • Agreed Processes • Goal Setting and Progress Paperwork • Tracking Performance Information • JIT Evaluation started by RP &M Associates • Definition of People with Complex Needs Requiring a Long Term Home Care Service Further Contact Details Gerry Graham email@example.com 07788 951182 Key Questions • Re-ablement: – Does it work and is it worth doing? – Should authorities refocus home care to help people to do things for themselves? If not, why not? – What would it mean for home care to move away from task and time focus to outcome focus? – What would authorities need to do to implement re-ablement? – What would a change involve for commissioners and providers?
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