Reablement at Home in North East Lincolnshire Review: North East Lincolnshire Council and NHS Humber and North Yorkshire

Supported by the ADASS/Newton Accelerate programme (a clear methodology of assess, design, implement and sustain), the current service was reviewed using service data, case reviews, time and motion studies and staff/individual user feedback.

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The challenge

North East Lincolnshire was already aware that the reablement at home provision was achieving good outcomes for those who received it; however, in order to be able to maximise use of current resource to meet a greater number of people’s needs, further data was needed to be able to understand what would be required to make the best use of the service.

Strategy

Supported by the ADASS/Newton Accelerate programme (a clear methodology of assess, design, implement and sustain), the current service was reviewed using service data, case reviews, time and motion studies and staff/individual user feedback. A new performance and service oversight dashboard was co-produced to address the gaps in service intelligence. This allowed what was working well and what could be improved to be identified. This led to a co-produced set of priorities for improvement, and new ways of working that would deliver those improvements were then agreed. Where positive change was realised, work was then undertaken to sustain those improvements as business as usual.

Oversight and delivery was provided through a Reablement Steering group, operational working group, and several task and finish groups. The core team included: a therapy lead, a service manager, a reablement manager and a performance lead.

Outcomes

The review commenced in April 2024 and was completed by January 2025. Priority areas for improvement were identified and through new ways of working the following positive outcomes were achieved:

  • A shift from bed based to home based reablement utilisation.
  • The number of individuals going through the service increased by 10 per cent.
  • Quicker acceptance and commencement of Reablement @ Home service timeframes, meaning people’s services started at least 1 day sooner.
  • A significant reduction in the number of service shortfalls with a current position of nobody waiting for the service.
  • Shorter average length of service, which equated to an average reduction of 3.5 days per person.
  • Improved user outcomes, with 78 per cent of users discharging from the service with no on-going need for health and social care support.
  • Improved staff morale.

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