Rehabilitation, reablement and recovery: have your say

We are working with patients, carers and our health and care partners to improve rehabilitation, reablement and recovery services (3Rs) for South Gloucestershire. 

This page provides information about how we have been engaging with local people including existing or recent service users and carers, as well as interested members of the public, and how you can continue to be involved. 

Attached below are various reports which set out what we have heard and what has changed as a result, and you can find out more about these at the section 'How you can get involved'.

Background

The 3Rs are services that support people as they recover from illness or injury, or after surgery. They span both health and social care services and involve a variety of organisations including services provided in acute hospitals and in the community, including at home.

They are provided by a range of professionals and their support staff including hospital consultants, nurses, therapists, GPs and social workers.

While the majority of people admitted to hospital recover from illness or injury with limited additional support, a significant minority – particularly frail older people – may need some form of active therapy over a longer period to ensure effective recovery and maintain their independence.

An ageing population with increasingly complex needs is increasing demand for these services.

This is a particular issue for South Gloucestershire where the number of people over the age of 85 is projected to increase 27% by 2018 and 153% by 2035.

At the same time, funding for public services is likely to be constrained for the foreseeable future. This means that we cannot rely on significant additional resources to meet this rising demand. It also means we need to make sure that we use every penny as effectively as possible.

Working with partners

We are working with our partners to improve the way rehabilitation services work together to ensure that there is sufficient capacity for future demand and to provide flexible services which are able to respond to people’s individual needs.

One of the key principles of of our approach is that more rehabilitation care should be provided in the community, including in people's homes, to help people live safely and independently at home as they age and to ensure that if they do need to go into hospital they can return home as soon as they are fit to do so.

We want to ensure that:

  • support is available to help people stay out of hospital, living safely and independently at home or in their community
  • people spend less time in hospital when they do need to be admitted and are able to leave as soon as possible
  • people are clear about what care and support they will receive when they leave hospital
  • information is shared between organisations so that people have as few assessments as possible
  • where necessary people get the ongoing support they need to live as independently and safely as they can

We have already made good progress with this approach in recent years, including expanding and enhancing the community rehabiltation services delivered by our community healthcare provider Sirona care & health. This is helping to reduce the amount of time people spend in hospital awaiting discharge, while also reducing the sort of health crises that can lead to emergency hospital admissions.

Looking to the future, we are currently in the process of implementing the long-term arrangements for 3Rs services in South Gloucestershire including developing new community rehabilitation facilities at Thornbury and Frenchay. 

These facilities will replace the current interim services at Elgar House at Southmead Hospital and Henderson Ward at Thornbury Hospital. The work is being carried out by Sirona and North Bristol NHS Trust as our main rehabilitation service providers and anticipates 80 beds on each site made up of 44 NHS beds plus 36 care beds.

Frenchay Hospital

Thornbury Hospital

How you can get involved

Our 3Rs plans have already been shaped by the feedback we have received from local people and service-users and we have involved service-users and carers in the detailed work to implement these plans. This has included gathering feedback on people’s experiences of using services and also working with service users and carers to look at the way services are specified and provided. 

We have also heard from interested members of the public who have given their time to work with us in providing their views.

Our 3Rs engagement: You Said, We Did Report sets out how we have engaged with people throughout this work to date, what we have heard, and what we have done as a result. 

There are also a number of other reports available which support the Engagement Report and provide some additional detail.  These are:

  • What matters to patients and carers? - this report from 2013 set out what people across the BNSSG area told us was important about the services
  • What have people been telling us? Key messages presentation - this presentation was shared with those who attended an engagement workshop in October 2015 and summarised what we had heard so far from service users, carers and the public
  • 3Rs feedback workshop notes 26 October 2015 - these notes record what people told us at the October 2015 workshop, where we were asking service users, carers and members of the public to tell us whether the model which was being developed by Sirona and NBT reflected the feedback provided from patients and the public.
  • 3Rs feedback workshop notes 22 February 2016 - these notes are a record of what we heard at a further engagement event in February 2016 when we responded to requests to engage service users, carers and the public in the monitoring and evaluation framework for the service.

Read our most recent 3Rs newsletter.

Next steps

We still want to hear from you if you or your family have recent experience of using these services and/or if you would like to be involved in this work. Please contact sgccg.getinvolved@nhs.net for more information.