The Coalition Government has emphasised the importance integration between health and social care. Reablement programmes offer the potential for people to recover at home rather than in hospital. This Demos “Home Cure” report examines whether out-patient home care programmes can achieve better outcomes in addition to reducing “bed-blocking” in hospitals. Effective reablement can facilitate earlier discharge from hospital and reduce the need for continuing home care support by up to 60%.
In 2009 reablement provision was broadened to include people with mental health problems, including dementia. Savings to health and social care services are potentially significant, but performance is variable in practice. Reablement services require structural changes to improve their delivery. This report urges that home recuperation programmes should become more personalised. Reablement services can extend to activities outside the home and might build upon networks to sustain their impact.
Social housing providers offer a potential resource to assist as partners to existing home care teams and possibly as alternative reablement service providers. Many local authorities do not provide reablement to people whose rehabilitation is uncertain, for example those with dementia. Social housing staff often have to tackle “complex and locally variable social care eligibility rules” already, and work with diverse local third sectors across the country in order to optimise the potential for reablement in their local areas.
Section headings in this report include:
- Reablement and the wider policy context.
- A closer look at the reablement process.
- Social housing and reablement.
- Recommendations and conclusions.
Wood, C. [and] Salter, J. (2012). The home cure. London: Demos, June 26th 2012. ISBN 978-1-909037-11-3.