Decision details

Discharge to Assess with Reablement services are delivered within a residential care setting for people being discharged from hospital who are not yet able to return home.  There are currently 36-44 Discharge to Assess with Reablement beds being provided across the County.  Demand for services has changed over recent years and the Council has made a commitment to continue to support people being discharged home from hospital through the Home first pathway wherever this is a suitable option for individuals.  However, Discharge to Assess with Reablement beds provide an important solution where people are unable to return home straight away and they have previously been shown to evidence a positive return on investment for the health and social care system. 

In March 2021 a decision (ref OKD68 20/21) was taken to extend three contracts delivering Discharge to Assess with reablement beds for an additional 12 months and for the re-purposing of ten beds within the Crawley Shaw healthcare Burleys Wood service to nursing beds.  In November 2021 a decision (ref CAB07 21/22) was taken to end the provision of in-house residential services in Marjorie Cobby House.   As this service has been providing Discharge to Assess with Reablement beds, also included in the report was the recommendation to find alternative provision in the short term through the Shaw Healthcare contract.  Subsequently 8-10 beds have recently commenced within Glebe House to ensure the continued provision of Discharge to Assess beds for people in and around the Chichester area.  This now operates alongside the three other Discharge to Assess with reablement services in Littlehampton, Worthing and Haywards Heath.

The Director of Adults and Health will decide on the continued provision of Discharge to Assess with reablement services and the potential extension of contract arrangements for their final contracted year from 1 April 2022- 31 March 2023.   

The Director of Adults and Health has approved the extension of Discharge to Assess with Reablement contracts for a further 12 months until 31^st March 2023 in the care homes listed below;

·       Fulford’s Care and Nursing Home,

·       Heathers, and

·       Wellington.

None.