Freedom of information response

Assisted Discharge

Publication date: 
Tuesday 2 January 2024
Request: 

I am writing to make a request under the Freedom of Information Act 2000.  Specifically, I would like to request information regarding your Assisted Discharge and Support at Home Services.

For clarity, we are referring to those services where a third-party provider offer support, transport and settling services to patients to ensure an efficient, safe discharge which reduces the incidence of delayed or failed discharges.  Support at Home services are those where a third party provides a set period of support to patients recently discharged from hospital to increase independence and reduce the incidence of readmission. 

•    Please advise who provides your Assisted Discharge and Support at Home services (Name of all providers)  
•    What is the annual value of the contract/s? 
•    What is the duration of the contract/s?
•    What are the start and end dates of the contract (plus any potential extension periods)?
•    How many service users are supported through this contract on an annual basis? 
•    What are the individual performance measures and KPIs on the contract? How is your provider performing against each performance measure and KPI? (%)  
•    Who is the person responsible for managing your Assisted Discharge and Support at Home services?
o    Name
o    Title
o    Email address
o    Contact number

Response: 
  • Please advise who provides your Assisted Discharge and Support at Home services (Name of all providers) 

We have a number of services who work collaboratively to aid discharge from hospital.  These include:

  • Bridging Service (Hospital discharge service for ASC eligible users) run by Mid and South Essex NHS Trust
  • By Your Side (Home from hospital – low level grant funded service to aid with practical issues e.g. shopping)
  • Reablement – run by both internal and externally commissioned home care services
  • What is the annual value of the contract/s?
  • Bridging - £207k
  • By Your Side - £70k
  • Reablement – varies based on need but hourly rate for external reablement is £21.54
  • What is the duration of the contract/s?
  • Bridging – Ends 2024 with the possibility for two further 1 year extensions
  • By Your Side – Grant agreement that ends 31st March 2025
  • Reablement – Internal (no end date). External 2025
  • What are the start and end dates of the contract (plus any potential extension periods)?
  • End dates provided above including any extensions.  Start dates at follows;
  • Bridging – April 2022
  • By Your Side – April 2022
  • External Reablement 2022/23
  • How many service users are supported through this contract on an annual basis?
    • Bridging – 22/23 – 222 packages of care
    • Internal reablement – 92
    • External – 152
    • Total 466 to aid discharge & reablement
    • By Your Side – 2297
    • External Reablement – This is variable as it is based on individual need.
  • What are the individual performance measures and KPIs on the contract? How is your provider performing against each performance measure and KPI? (%)  

In addition to quality and capacity measures which are publicly available, the following data is also captured for Bridging and Reablement services

Reablement service ended early (care package under 5 days) - client went to long term support

Reablement service ended early (care package under 5 days) - client did not go on to long term support

Reablement service ended due to Hospital admission, RIP or Health Funded

Reablement service ended - client went to Short-Term Support

Reablement service ended - client went to Long-Term Support

Reablement service ended - client went on to receive ongoing low level support (e.g. equipment)

Reablement service ended - No service after reablement

Reablement continued (changed provider but still receiving reablement)

Reablement service ongoing at end of year

Total care packages in year
    • By your side
      • Referral numbers
      • Demographics
      • Numbers supported & length of stay
      • Outcomes
      • Complaint, compliments & service user feedback
      • Case studies
  • Who is the person responsible for managing your Assisted Discharge and Support at Home services?
  • [email protected]
Request reference:
FOI 13273