Template for SOA case studies 2010

Name of CPP: Edinburgh Partnership

Name of case study:  Award Winning Home Care Modernisation

Brief outline of case study:

A key target of the SOA and the Joint Capacity Plan is to shift the balance of care from residential placements to care at home. This is being achieved through increased respite provision, an increase in intensive packages in people’s homes, more accessible housing for older people, additional day care and the re-ablement model.

This case study primarily demonstrates good practice or progress in addressing the following issues:

Economic recovery




Children’s early years


Health inequalities


Other key local issues


A shift to prevention and early intervention




Better use of resources (budgets, staff, buildings, equipment, etc.)


Improved business processes (service planning, staff engagement, performance management, etc.)


Partnership working


Localisation of the SOA / local Community Planning


Community engagement and feedback


Engagement of the voluntary sector


Engagement of the business sector


Improved performance attributable to the SOA approach


More cost effective performance attributable to the SOA approach


Contact details of lead officer:

Denise Brown,
Home Based Services Manager,
Health and Social Care,
0131 553 8440



Name of case study:  Award Winning Home Care Modernisation

SOA outcome/s and National Outcome/s supported by the case study:

National Outcome 6 - We live longer, healthier lives
Local Outcome 18 - Older people have improved health and well-being

Partners involved in case study:

City of Edinburgh Council
NHS Lothian

Description of activity:

The City of Edinburgh Council has provided a home care re-ablement service across the city since April 2009 following a systematic and incremental roll out of the model started in the south east of the city in October 2008.

The home care re-ablement approach has transformed the service to provide better outcomes for service users referred for a home care service from hospital and the community. An intensive service is provided for around six weeks. This approach is one where staff are doing tasks with the service user rather than doing tasks to and for them.

Over 200 home carers along with 12 occupational therapists have received specialised training and over 6,000 people have been referred to the home care re-ablement service since April 2009. A Checkpoint Group met regularly during the development, implementation, evaluation and continuation of the service. This model of scrutiny has been replicated in many other policy and service developments in the Council.

Evidence of impact / progress:

The new approach has freed up around 7,500 hours per week which can be used to meet the increase in numbers of older people and complexity of people’s needs.

The balance of care has continued to improve through the increase in the numbers of older adults receiving intensive levels of support at home. In 2002, this figure was 14%. In April 2010, 28.3% was achieved, exceeding the SOA target of 28%.

An objective evaluation of the Edinburgh model was commissioned by the Scottish Government Joint Improvement Team and published in November 2009. This indicated better outcomes and high levels of satisfaction from service users, family/ carers, staff and managers as well appropriately reducing care hours that can then be used to meet growing need.

The team continue to track the subsequent referral and service use patterns of the original re-ablement study cohort and control groups.

The evaluation also included the establishment of a multi agency checkpoint group, including older people to act as “a critical friend”.


What added value has the SOA process brought to the delivery of these benefits?
A local outcome in the Edinburgh Partnership SOA aims to ensure that ‘Older People have improved health and wellbeing’. The Joint Capacity Plan for Older People, ‘Live Well in Later Life’, is one of the crucial plans which will ensure delivery of that outcome. The focus on achieving this outcome from all partner agencies has made the improvement in service possible.

Good practice and lessons learned:

The home care re-ablement service has received a number of national awards over the last year notably runner up for both the Convention of Scottish Local Authorities (COSLA) award for innovation and the Glasgow Herald Society Award. The approach has also received interest from a number of Scottish local authorities and is the cornerstone of the Scottish Government ‘Reshaping Care for Older People’ initiative. The Scottish Government Joint Improvement Team has initiated national workshops and a learning network for local authorities and their partners on a step by step guide to implement home care re-ablement as a means of replicating the City of Edinburgh Council’s award winning approach.

Other relevant information:

Partnership monthly performance reports on the Home Care and Support Service and the summary performance report to senior officers both include a new measure of the reduction in hours of support required between the start and the end of the re-ablement service. This measure is not yet fully implemented but it is expected to be available shortly.

Last Reviewed: 01/06/2011