Community Gateway research externally provided 'Homecare Reablement' and 'Intermediate Care' services and ask if outcomes can be measured and providers paid by results.

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The Community Gateway CIC, a ‘not for profit’ Social Enterprise, were jointly commissioned by a City Council, Primary Care Trust (PCT) and CCG to undertake a data gathering exercise. The purpose was to understand the scope of both Homecare Reablement and Intermediate Care provision by providers and to make recommendations as to next steps. The survey has focused on English examples although in order to capture all good practice as far as possible and within the constraints of the assignment, cast its research as wide as Northern Ireland and North America. Community Gateway looked at models of care, integration, how outcomes were measured and whether payment by results is possible.

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Paul Jays says "with changes to health commissioning, home care reablement and intermediate care services are under increasing pressure, and the tools need to be appropriate if outcomes are to be measured and providers paid by results."

The findings of the research focussed on the largest group of Councils who externalised their reablement services. These councils were London Boroughs (thirteen) including Boroughs with high levels of social deprivation. The remaining seven were larger County Councils. In addition, four Councils had established wholly owned trading companies.

A country wide publicity campaign was run through Press Releases, Twitter and Linkedin for which Community Gateway would in particular like to thank particular people for their support: Iain Bainbridge, Deputy Regional Director for Health and Social Care Partnership, Gerald Pilkington of GPA Associates formerly CSED, DH lead for reablement and Mithran Samuel of Community Care who provided some unprompted exposure via a blog.

The response to the online survey was close to the industry average of 3%, however achieving a 50% response rate from those Councils that had actually outsourced their reablement service. In these cases the information had been gathered mainly by a direct telephone conversation in the form of a 1-2 hours telephone based interview.

Community Gateway helps Local Authorities, Trusts and Providers build solutions that help measure outcomes and improve service user and patient safeguarding. Community Gateway works closely with a number of partners in this field including psHEALTH, a major provider of outcome focused workflow driven software suited to Reablement, Intermediate Care and Continuing Health.

Community Gateway will be making available a brief summary paper in January 2013 on the outcomes of the findings and people interested should make contact by emailing info (at) tcgcic (dot) org (dot) uk.

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Richard Haynes
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