Slide 1 - The South West London Academic Health and Social Care

							        Re-ablement

         William Vineall,
Deputy Director, Social Care Policy
      Department of Health




                               Social Care
          Post-discharge tariff
• Post discharge tariff announced in June,
  with revision to NHS Operating Framework
  for 10/11
• In 11/12 savings accrue to commissioners
  for non-payment of re-admissions
• In 12/13 providers responsible for patient
  care for 30 days after discharge
• Pilots to test tariff adjustment for 30 day
  responsibility in 12/13 starting imminently
                                     Social Care
                   Re-ablement
• Re-ablement a contributor to post-discharge tariff policy
• £70m made available for re-ablement in 10/11, via
  PCTs, in October
• PCTs asked via circular at end October to agree joint
  plans with LAs and voluntary sector by Christmas – how
  the money is spent for local determination
• Further resources, £150 in 11/12, £300m12/13 onwards
  in PCT baselines
• In addition, £648m in 11/12, rising to 1bn by 14/15 of SR
  funds for social care by transfer from PCT to LAs (via
  sec 256 of NHS Act)

                                                Social Care
              Re-ablement
• Definition – ‘a period of active care,
  typically for six weeks, to promote
  independence, help people live at home
  and reduce the need for acute hospital
  care’
• Can include a range of therapeutic/social
  care activities

                                    Social Care
             Policy challenge
• Concentrates hospitals’ minds not to discharge
  prematurely
• Where does re-ablement support best sit – in the
  30 day period, afterwards, or both? Where
  should investment be concentrated – NHS,
  social care, acute/therapeutic services?
• 30 days is a point at which responsibility
  changes, but it should not be the sole focus of
  planning services

                                         Social Care
    Pilot sites for revision of tariff

• Tariff revisions currently being piloted
• Various approaches, including focus on
  patients regularly re-admitted
• An opportunity for whole system to work
  together – hospital, GPs, community
  services, social care, voluntary sector

                                   Social Care