% of older people (65+) who were still at home 91 days after discharge from hospital into reablement services

Our goal

This measures the benefit to individuals from reablement, intermediate care and rehabilitation following a hospital episode, by determining whether an individual remains living at home 91 days following discharge

Bigger values are best

There is strong evidence that reablement services lead to improved outcomes and value for money across the health and social care sectors. Reablement seeks to support people and maximise their level of independence, in order to minimise their need for ongoing support and dependence on public services.

Proactive work in Shropshire has seen an increase in Admission Avoidance Assessments which helps to tailor care packages or additional care on top of an existing care package to help people to stay at home and avoid repeat admissions to hospital. This measure is now monitored throughout the year as part of the Better Care Fund programme.

The number of people discharged into reablement services continues to increase.

Whilst performance for the year ending March 2021 has seen a reduction on the previous year this is set against the challenges of increased demand to free up NHS beds. The outcome of this measure can vary with the age and complexity of needs of those discharged to the service. During the Covid year, we had a higher rate of deaths than in the previous reporting year and therefore this affected the number of people at home 91 days later.

Performance has been maintained at levels that compare well to historical results and remain on target.