Decision details

Date Of Decision:

30 July 2019

Decision Maker:

(Including Job Title)

Anne Marie Lubanski

Strategic Director of Adult Care, Housing & Public Health

Specific Delegation:

(If any)

Not applicable

Brief Description of Decision:

Approve the high-level model and functions set out in Section 10 of the business case attached which relate to the integrated health and social care delivery model for Intermediate Care and Reablement

Approve progression to the next phase of work to undertake detailed pathway redesign with RMBC Reablement services for implementation by March 2020

Reasons for the Decision:

Decision required in order to ensure progression of the integrated approach to pathway redesign can take place for Intermediate Care and Reablement, as set out in the Rotherham Place Plan Priorities for Acute and Community Transformation.

Details of Alternative Options Considered and Rejected:

Option 1:Do nothing

Rotherham can continue to provide its current Intermediate Care and Reablement services, however, this option does not meet the aims of the Rotherham Place Plan in terms of embedding a ‘home first’ approach, does not address the overuse of beds in Rotherham, and will lead to continued gaps in delivery of care and support. The services will continue to operate in isolation, leading to people’s needs not being met within the most appropriate and cost-effective environment and potentially causing further deterioration, extending their requirements for longer term services.

Option 2: Generate efficiency through changing ways of working

To reshape current service provision in order to realise efficiencies and enable a reduction in resources within bed-based Intermediate Care services. The services will operate in a more integrated way and ensure improvements in productivity and performance are achieved in line with comparative health economies.

Not recommended: The services have already made considerable efficiency gains through new ways of working, for example the establishment of the integrated discharge team (see Appendix 2 of report). Whilst there are further opportunities for efficiency gains through changes in processes and working practices, these alone will not deliver the overarching vision to provide more community-based Rehabilitation and Reablement support to an all age population (adult) which is recovery-led and will not serve to reduce the over-reliance on community beds.

Where the decision is made under specific delegation from a decision making body, the names of any member of the relevant body who has declared a conflict of interest in relation to the decision and name of the body granting the specific delegation and the date when it did so:

N/A

Background Papers:

Report to the Strategic Director of Adult Care, Housing and Public Health - Rotherham Intermediate Care and Reablement – July 2019