Case study: Reablement – Stabilise and Make Safe, Trafford
£1m net savings in first year
£7.78 return on investment for every £1
Trafford was experiencing significant delays in home care providers responding to requests to provide multiple care visits for clients. This was resulting in significant numbers of delayed transfers of care and sometimes meant that older people were staying in a hospital bed longer than necessary.
Stabilise and Make Safe (SAMS) is a short-term intervention designed to increase a person’s chance of long term independence following hospitalisation or a community referral. It is limited to six.
Key features include:
- business model with providers based on geographic areas to foster good understanding of local demand
- pricing model with fixed cost to the Council but not based on an hourly rate in order to incentivise providers and quality of care
- high calibre staff, enhanced pay rate and investment in training
- statutory assessment by a social worker at the start and a follow up assessment by a social worker at the end to measure outcomes (level of independence achieved).
Trafford Council now intends to trial this model for people using existing packages of care, in addition to new referrals. It is currently establishing an approach with providers to design flow and remuneration.
- 70 per cent of people achieving full independence. 10 per cent remaining the same, 10 per cent resulting in an increase in the care package and 10 per cent failing to complete (usually due to readmittance to hospital)
- Reduced length of stay in hospital, preventing the risk of infection and/or loss of skills
- Greater independence and confidence
- Improved responsiveness – service accessed within 1–3 days of referral
- £1 million net savings in the first year (estimated)
- Return on investment of £7.78 for every £1 invested, compared to traditional in-house reablement services which are estimated to generate a benefit of £1.57 for every £1 invested.