PROP Final Event May 9th 2013 Assessment at Home Pathway: the experiences of service users, carers and staff in South Glasgow during the early stages of implementation July 2012 – January 2013 Kathy Litteljohn, Social Worker, Glasgow City Council South Glasgow
Reshaping Care for Older People • AAH is one of 29 Change Fund projects developed by the Reshaping Care Strategy Group for Glasgow City. • AAH is a Joint Health & Social Care Project, implemented June 2012 in South Glasgow & August 2012 in the North of the city. • Key areas for action: no one should remain in hospital only for social care reasons, supporting joint work & connectivity to shift the balance of care from care home placements towards care at home. • The target for CCA completion and discharge was 6 weeks, is now 4 weeks since April 2013 and reduces to 2 weeks in April 2015. Reshaping Care for Older People: a programme for change 2011- 2021 Reshaping Care of Older People: Glasgow City Partnership - Draft Joint Strategic Commissioning Plan 2013- 2016 Assessment at Home Care Pathway: Stakeholder Information. Procedure and Business Support Process June 2012
Sample • A small scale exploration of AAH as experienced by a mix of stakeholders in the first six months of this new hospital discharge pathway • 11 service users referred. • 7 screened out – hospital and care homes. • 4 proceeded along AAH pathway – 3 interviewed. • 5 carers interviewed. • 10 staff – hospital and community interviewed. (October/November 2012)
Findings • Ownership – practitioners would have welcomed consultation. • Uncertainty about differences with existing discharge procedures Clarity about additional resources to support the person at home needed. • A title that everyone understands – assessment begins in hospital and continues with reviews at home. • The person on the ward v the person at home – perspectives. • AAH pathway does not fit all individuals. • Joint Training and briefings recommended. • Detailed discussion & planning with person, carer, community staff – pre and post discharge – valued. • Meetings – time off ward (staff). • Service users and carers – Valued discussion & efforts to keep service users at home . Numbers at PDCD can be overwhelming.