Decision details

Discharge to Assess with Reablement OKD68 (20/21)

Decision Maker: Executive Director Adults and Health

Decision status: Recommendations Approved

Is Key decision?: Yes

Is subject to call in?: Yes


Discharge to Assess with Reablement services are designed for hospital patients who are medically fit for discharge, but unable to immediately return home; it is a model recognised by NHS England as facilitating earlier discharge and/or reducing the number and length of delays in discharge from hospital for older people.  There is a focus on these services of reablement which supports people to relearn skills with the aim of supporting people to be able to return home and avoid long term admission to residential care.


The key objectives delivered through Discharge to Assess are:


  • Reduction of delays and enablement of timely discharges from hospital;
  • Reduced level of dependency for as many people as possible by reabling them to increase their independence;
  • Ensuring that long-term decisions concerning people’s care needs are not made in an acute hospital setting.


Contracts for the provision of Discharge to Assess with Reablement services were awarded in 2018, for an initial fixed term of 2-years with options to extend to a maximum of 5-years, through an EU Procurement exercise conducted following approval of Cabinet Decision AH0117-18. The initial extended contract term comes to an end on 31st March 2021. The Executive Director Adults and Health will be asked to approve the proposed plans for the future of these contracts.



The Executive Director of Adults and Health has approved;


(1)the extension of Discharge to Assess with Reablement contracts as outlined within the proposals, for a further 12 months until 31 March 2022 at a cost of £0.87m; and


(2)the repurposing of ten beds at the Shaw Healthcare service Burleys Wood from Discharge to Assess with Reablement to nursing beds.


Interests and Nature of Interests Declared:


Publication date: 12/03/2021

Date of decision: 12/03/2021

Effective from: 24/03/2021

Accompanying Documents: