Barry McLeod and Mari Mair, RP&M Associates Ltd
ISBN 978 0 7559 7754 3 (Web only publication)
This document is also available in pdf format (1.7mb)
CONTENTS
ACKNOWLEDGEMENTS
EXECUTIVE SUMMARY
1 BACKGROUND AND INTRODUCTION
Introduction
The English Experience of Re-ablement
The City of Edinburgh Council Re-ablement Service
2 THE RE-ABLEMENT SERVICE IN EDINBURGH
Introduction
What is Re-ablement?
Re-ablement Service: The Development in the South East of Edinburgh
Re-ablement Service: The Client's Journey
Summary
3 AIMS AND OBJECTIVES OF THE EVALUATION
4 METHODOLOGY
Introduction
Quantitative Methods
Qualitative Methods
5 ASSESSMENT OF THE IMPACT OF RE-ABLEMENT ON CARE REQUIREMENTS
Introduction
Re-ablement Service Impact on Hours of Care
Impact of Re-ablement on clients by referral route
Comparisons with Control Group
Comparison of Re-ablement and Control Group clients from hospital and community referral routes
Summary
6 VIEWS OF THE RE-ABLEMENT SERVICE
Introduction
Impact of Re-ablement on clients
Impact of the re-ablement service on the independent sector providers
Impact of the re-ablement service on the workforce
Impact of the re-ablement service on the speed of discharge from hospital
Summary
7 COSTS/BENEFITS OF RE-ABLEMENT
Introduction
Training Costs for Re-ablement
Costs of Control Group
Costs of Re-ablement and Control group
Re-ablement Service 6 week costs (90 clients)
Control Group 6 Week costs (90 clients)
Benefits of the Re-ablement Service
Summary
8 THE EVALUATION TOOL
Introduction
Summary
9 CONTRIBUTION OF RE-ABLEMENT TO SHIFTING THE BALANCE OF CARE
10 KEY LEARNING POINTS AND RECOMMENDATIONS
Introduction
Longer term evaluation
The hand over process
Extending the scope of Re-ablement
Minimising Disruption to Mainstream Clients
REFERENCES
APPENDIX 1: CITY OF EDINBURGH COUNCIL RE-ABLEMENT DOCUMENTATION
APPENDIX 2: PROCESS MAP OF RE-ABLEMENT SERVICE
APPENDIX 3: INTERVIEW SCHEDULES
Tables and charts
Table 2.1 New and old approaches to Community Care
Chart 2.1 CEC Re-ablement service (South East): Organisational chart
Table 2.2 Learning Outcomes
Table 2.3 Length of time in Re-ablement
Table 5.1 Clients by size of package at start of re-ablement
Table 5.2 Clients by age group
Chart 5.1 Re-ablement Clients: Start and End Hours
Table 5.3 Care requirements of re-ablement clients at the end of Re-ablement
Chart 5.2 Re-ablement Clients by referral route: start and end hours
Chart 5.3 Care requirements of Re-ablement clients with different dependency levels: Start and end hours
Table 5.4 Re-ablement clients requiring no care package at the end of the Re-ablement period, by size of start package.
Table 5.5 Re-ablement and Control Group client care hours: Mean and median
Chart 5.4 Re-ablement and Control Group clients: Start and end Hours
Table 5.6 Comparison of care requirements of Re-ablement and Control Group clients at the end of the 6 week period
Chart 5.5 Comparison of Re-ablement and Control Group clients from hospital referral route
Chart 5.6 Comparison of Re-ablement and Control Group clients from community referral route
Table 7.1 Training Costs for social care workers
Table 7.2 Comparison of Re-ablement service and Control Group costs
Chart 8 Tracking of care hours for first 3 month period: Re-ablement clients
Chart 8.2 Tracking of care hours for first 3 month period: Comparison of Re-ablement and control group clients
Chart 8.3 Tracking of care hours for first 3 Month period: Control Group Clients by referral routes
The views expressed in this report are those of the researcher and
do not necessarily represent those of the Department or Scottish Ministers.