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Support with leaving hospital (Short-term care)

Date updated: 18/12/2023

Contact Adult Social Care on 020 7332 1224 or email Adult Social Care (Monday to Friday, 9am to 5pm) or call 020 8356 8855 outside normal working hours.

Whether you have just left hospital or are recovering from a recent illness or injury, our Reablement service provides short-term, intensive support to help you with everyday tasks. It also works to restore the skills, confidence and independence you may have lost.

It’s delivered in your home and local community, and focuses on helping you to achieve everyday tasks so your independence, health and wellbeing aren't affected in the long term.

The City of London Reablement Service has been rated overall 'Good' by the Care Quality Commission. For further details including the full report please visit Care Quality Commission.

Find the Reablement Service leaflet on our leaflet web page.

You may be able to use the Reablement Service if you live in the City of London, are aged over 18 and feel like you would benefit from services that will help you to gain or regain your independence.

You may be referred to us by the hospital you are in, your GP or another professional.

Alternatively, you can contact us for an assessment if you feel that some help will boost your confidence and ability to get on with everyday tasks. Call the Adult Social Care Team on 020 7332 1224 (9am-5pm, Monday to Friday), call 020 8356 8855 at any other time, (including Bank Holidays and weekends) or email Adult Social Care.

The City Corporation's Adult Social Care Team provides the Reablement service which includes an Occupational Therapist, Strengths-based Practitioner and a commissioned Care Provider.

We provide the service in partnership with health services and, where appropriate, with community health professionals, such as district nurses and physiotherapists.

Before leaving hospital, health or social care professionals will discuss your needs and discharge arrangements with you, and your family or carer if you would like them to be involved.

To help you get home quickly, we will no longer carry out comprehensive assessments in hospital. Instead, our team will support your recovery after your discharge and continue your assessments out of hospital.

This means you can get better with the support of our team. They will help you get back to your usual activities and assess your longer-term needs in the right place.

  • Speak to your ward staff about what needs to happen when you get home
  • Consider what support you might want when you get home and how family and friends may be able to assist you and involve your family or carer in any conversations
  • Think about what your goals are for your recovery at home
  • Organising your transport home on your discharge day and who will meet you when you get home

There are a range of care and support services we can offer.

Reablement Service

If you are new to care services or have the potential to improve then you will be offered a Reablement Service.

Reablement is a type of short-term, intensive care that helps you adjust to daily activities such as cooking, washing, dressing, and going shopping. It is an individual approach and works with your strengths and what goals you would like to achieve as no two people are the same and not everyone will have the same goals.

Carers will attend your home to help you with the tasks identified as goals and practice those with you.  They help you to remain motivated and engaged to reduce the level of care you need and regain your independence.

We can provide:

  • Equipment to assist you with getting around and other everyday tasks
  • Advice on how to best manage your personal care
  • Support to help you regain your confidence and independence

The Reablement Team will discuss your needs with you to find out what you feel able to do and what may be causing you some difficulty. Together, we will complete an assessment of your needs and draw up a plan outlining the care, support and therapy you need to improve your current abilities at home.

Your plan will be based on your individual circumstances. It will be tailored to meet your needs, focused on helping you to remain in your own home and live as independently as possible.

Telecare Service

You may be referred to telecare services in the community. Telecare is a monitoring service that offers remote support to vulnerable people who live alone in their own homes. For example, a falls alarm or pendant alarm. There may be a small fee for this service.

If you had a care package prior to being admitted to hospital, we will aim to return you to the same care provider.

Sometimes, people may need to be discharged into a care home, for a period of time, to meet immediate care and support needs. This will enable you to make decisions on your longer term care arrangements.

Reablement services are free of charge for up to six weeks. If your needs continue after this time, the Reablement Team can discuss further steps with you.

Once you are able to achieve those everyday living tasks and feel that you have regained your independence, the Reablement Team can refer you to local services that can offer you further support.

If your needs are greater and you need some ongoing care and support, the Reablement Team can put you in touch with a social worker who can advise on the best way forward.