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Re-ablement William Vineall, Deputy Director, Social Care Policy Department of Health Social Care.

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Presentation on theme: "Re-ablement William Vineall, Deputy Director, Social Care Policy Department of Health Social Care."— Presentation transcript:

1 Re-ablement William Vineall, Deputy Director, Social Care Policy Department of Health Social Care

2 Post-discharge tariff Post discharge tariff announced in June, with revision to NHS Operating Framework for 10/11 In 11/12 savings accrue to commissioners for non-payment of re-admissions In 12/13 providers responsible for patient care for 30 days after discharge Pilots to test tariff adjustment for 30 day responsibility in 12/13 starting imminently Social Care

3 Re-ablement Re-ablement a contributor to post-discharge tariff policy £70m made available for re-ablement in 10/11, via PCTs, in October PCTs asked via circular at end October to agree joint plans with LAs and voluntary sector by Christmas – how the money is spent for local determination Further resources, £150 in 11/12, £300m12/13 onwards in PCT baselines In addition, £648m in 11/12, rising to 1bn by 14/15 of SR funds for social care by transfer from PCT to LAs (via sec 256 of NHS Act) Social Care

4 Re-ablement Definition – ‘a period of active care, typically for six weeks, to promote independence, help people live at home and reduce the need for acute hospital care’ Can include a range of therapeutic/social care activities Social Care

5 Policy challenge Concentrates hospitals’ minds not to discharge prematurely Where does re-ablement support best sit – in the 30 day period, afterwards, or both? Where should investment be concentrated – NHS, social care, acute/therapeutic services? 30 days is a point at which responsibility changes, but it should not be the sole focus of planning services Social Care

6 Pilot sites for revision of tariff Tariff revisions currently being piloted Various approaches, including focus on patients regularly re-admitted An opportunity for whole system to work together – hospital, GPs, community services, social care, voluntary sector Social Care


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