Supporting older people's recovery after illness or injury

We look at the impact of reablement services on helping older people regain their independence.

Indicator

Last updated: 15/01/2019

Effective clinical care Equity and fairness
Primary and community care Hospital care Social care Integrated care

Delaying and reducing the need for care and support with earlier diagnosis, intervention and reablement, means that older people and their carers are less dependent on intensive services. When people develop care needs, it is crucial that support is delivered in the most appropriate setting as this enables people to regain their independence.

There is strong evidence that reablement services lead to improved outcomes and value for money across the health and social care sectors. Reablement aims to maximise people's independence and ability to live at home, in order to minimise their need for ongoing support and dependence on public services. It tends to be provided to older people who have just been discharged from hospital or are entering the care system following a crisis.


How successful are reablement services for older people? 15/01/2019

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Here we are looking at the impact that reablement, intermediate care or rehabilitation services have on older people following a hospital episode. The measure of success is the proportion of people aged 65 and over who are still at home 91 days after discharge from hospital into reablement services. The proportion of older people still at home after 91 days has varied little over time, reaching 82.9% in 2017-18.


How does successful reablement vary by gender? 09/01/2019

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How does successful reablement vary by age? 09/01/2019

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While the proportion of people still living at home 91 days after discharge from hospital is a measure of success for reablement services, it is useful to analyse whether the rates vary by age and sex. Since 2011-12, there have been higher rates of successful reablement for women compared to men. In 2017-18, 84.2% of women aged 65 and over who received a reablement service were still living at home 91 days after discharge, compared to only 80.8% of men. Stratifying by age groups shows that success rates of reablement services fall as age increases. Reablement is least successful in the oldest age group (people aged 85 and over). In 2017-18, 86.3% of people aged 65 to 74 who received a reablement service were still living at home 91 days after discharge, compared to only 80.5% of people aged 85 and over.


What proportion of older people receive reablement services after discharge from hospital? 15/01/2019

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The proportion of older people (aged 65 and over) who receive reablement or rehabilitation services after discharge from hospital has remained relatively steady over time, averaging at around 3%. Although not shown here, there has been a rise in the total number of older people discharged from hospitals (and therefore eligible for these services) since 2010-11 as well as an increase in the number of people receiving reablement/rehabilitation services. In 2010-11, 36,610 people received reablement or rehabilitation services compared with 44,757 people in 2017-18.


Data notes

These indicators use data from NHS Digital's Adult Social Care Outcomes Framework (ASCOF). Indicator 2B measures the success and coverage of reablement services for older people (aged 65 and over).

Numerator: Number of older people (aged 65 and over) discharged from acute or community hospitals to their own home or to a residential or nursing care home or extra care housing for rehabilitation, with a clear intention that they will move on/back to their own home (including a place in extra care housing or an adult placement scheme setting), who are at home or in extra care housing or an adult placement scheme setting 91 days after the date of their discharge from hospital.

Denominator: Number of older people (aged 65 and over) discharged from acute or community hospitals to their own home or to a residential or nursing care home or extra care housing for rehabilitation, with a clear intention that they will move on/back to their own home (including a place in extra care housing or an adult placement scheme setting).

For more information, please see the ASCOF Handbook of Definitions.

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