1 CEC Home Care Service have since implemented a standard protocol setting out expected good practice for handovers.
2 Department of Health (Update March 2009) Homecare Re-ablement: CCRC Scheme Directory
3 The CSED programme was formed to support English councils to achieve their Gershon efficiency targets within adult social care. As a tactical programme, with regard to Homecare Re-ablement, CSED is focused on helping councils to achieve either a step change in their implementation of a new service or refinement of an existing service.
4 The Social Policy Research Unit, University of York (2007) Homecare Re-ablement Workstream: Retrospective Longitudinal Study.
5 Subsequent to this CEC extended the training to the private sector and is also now part of the induction programme for all new Social Care Workers. .
6 SWIFT is a database which records client information, including service usage data, used by social work services in the City of Edinburgh Council Health and Social Care and Children and Families departments.
7 Figures from this source were averaged out over a four month period
8 Paired sample t-test results (t=-6.374, df=89, p<0.001)
9 Subsequent to this phase of the roll-out, CEC Home Care Service implemented a standard protocol setting out expected good practice for handovers (the document is listed at Appendix 2).
10 In Edinburgh, domestic tasks were provided alongside re-ablement where the individual needs assessment indicated these were required - it is not clear therefore whether these concerns reflect disagreements about needs, or clients' expectations about re-ablement being different from their care plans
11 2008-09 Mid-point salary figures were supplied by CEC Finance
12 The Scottish Government have defined efficiency in 2 ways:
Cash-releasing efficiencies are achieved by delivering an actual resource efficiency because the organisation or function delivers the same service at a reduced cost which might be demonstrated by delivering the same outcome(s) or output(s) for a reduced input ( e.g. costs, people, procurement, assets etc) or delivering a reduced unit cost allowing an increased volume of service for the same cost. Cash efficiencies release financial resources to be used for other or increased public services.
Time-releasing efficiencies are defined as efficiency measures which do not release cash but allow frontline services to deliver better services with the same money (for example, through workforce reform or better support).
13 A clearer standardised process has now been implemented by CEC