STS002b

Of existing clients who have received ‘Short term Support to Maximise Independence’ a breakdown of what followed the period of short term support.

Period 01/04/2021 – 31/03/2022 (all tables).

This measure is similar to STS002a except that only existing clients should be included, i.e. those in receipt of long term support at the point of the decision to provide a period of ST- Max (they will appear in measure LTS001a).

Some clients being referred for short term support will have been identified through review and will appear in the LTS002 measures with an outcome of ‘short term support to maximise independence’. Others will have been identified through other means, without formal review. Regardless of the route of access, the outcomes of these existing clients receiving short term support are of interest and can be compared to those outcomes for new clients in measure STS002a.

However, it is recognised that efforts to ‘re-enable’ or rehabilitate existing clients may be very different in nature to those programmes set up for potential clients contacting the council for the first time. This section will be updated in due course to reflect any ASCOF developments.

None identified. 

The changes to this measure are significant so please read the following sections carefully.

Table 1

Route of Access

The Routes of Access have the same meanings as STS001 and STS002a. Note that ‘Planned Entry (transition)’ does not appear as a route of access in measure STS002b because this route applies to new clients only (i.e. those who are not currently in receipt of adult community care long term support). The ‘Self-funder with depleted funds’ route is also unavailable for the same reason – all clients in this measure should be in receipt of long term support when the decision is made to provide ST-Max.

Sequel to Short Term Support

The sequels were redeveloped for 2017-18 to be more meaningful for existing clients. They are somewhat similar to the sequels used in LTS002a/b for reviews, capturing changes in the levels of care. Sequels are included for when ST-Max ends early - the meaning of ‘early cessation’ is the same as in STS002a.

Many existing clients will complete ST-Max and return to their long term support package. Any changes to the level of long term support they return to (e.g. if a reduction in their long term support was possible following ST-Max) can now be reflected through the appropriate sequel.

Early cessation of ST-MAX

Early cessation of service (not leading to long term support) - NHS funded care/End of Life/deceased

This applies when early cessation is NOT followed by a return to long term support provision by the council.

This sequel shows explicitly that further health care or palliative care was needed, or that the client died before ST-Max was completed.

Early cessation of service (not leading to long term support) – other reason

This sequel should be used for all other instances of ST-Max ending early where long term social care support does not resume. This is not expected to be a commonly used sequel as most ‘early cessation’ clients are expected to go on to receive ongoing health care or resume council support in their original setting.

Early Cessation of Service (return to long term support)

This is used when a client’s short term support ended early and long term services restarted, in any setting.

If the client is moving to residential or nursing care (from the community) then this sequel will also apply in Tables 1-3. Table 5 will additionally capture any change in setting.

This sequel should be selected only when the period of short term support was forced to be cut short in an unexpected or unplanned way. It can occur because of unexpected changes in client health, such as if the person suffers a stroke or other sudden event that means ST- Max is no longer appropriate.

Completion of ST-Max (Change in Setting)

Move to Nursing care (from community)

This should be chosen when clients complete ST-Max and then move to nursing care. It only applies to service users who were not already in residential or nursing care, i.e. who following ST-Max will move into a registered home offering nursing care support. For clients who are returning to nursing care following completion of ST-Max, ‘No Change in Long Term Support’ should be chosen. For clients who are moving to nursing care from residential, the sequel is ‘Level of Long Term Support Increased’ – see below.

Move to residential care (from community)

This should be chosen when clients will move to residential care following the conclusion of ST-Max support. This only applies to service users who were not already in residential or nursing care, i.e. who will move into a registered home following ST-Max. For clients who are returning to residential care following completion of ST-Max, ‘No Change in Long Term Support’ should be chosen. For clients moving to residential care from nursing care, the sequel ‘Level of Long Term Support Decreased’ will apply – see below.

Move to community

This sequel should be used when clients who completed ST-Max whose long term care package was based in residential or nursing care move into a community setting. This would usually be as a consequence of a reduction in care needs but may (rarely) result from a care home deregistering during the period of ST-Max.

Completion of ST-Max (No change in setting)

Level of Long Term Support Increased

This sequel will apply to community based users whose care package increases following completion of ST-Max and the resumption of long term support. It will also apply to residential care clients whose increased needs require nursing care following completion of ST-Max. For SALT purposes moves between residential and nursing care are not considered changes in setting.

No change in long term support

This sequel will apply to users who resume the same level of support following completion of ST-Max. It applies to community based clients as well as nursing care clients returning to nursing care (even if this involves a move to an alternative care home) and residential care clients returning to residential care (including moves to alternative homes or variations of support within that home).

Level of long term support decreased

This sequel will apply to community based users whose long term support resumes at a lower level following completion of ST-Max. It will also apply to nursing care clients whose decreased needs mean they ‘step down’ to residential care following completion of ST- Max. For SALT purposes moves between residential and nursing care are not considered changes in setting.

ALL Long Term Support Ended - no ongoing eligible needs

This sequel applies if NO long term support is required following the completion of ST-Max, i.e. the care package the client had before commencing ST-Max is reduced so that no component qualifies as ‘long term support’. For instance, clients who go on to receive community based short term support or ongoing low level support (e.g. equipment or home adaptations) are not classed as receiving long term support for SALT purposes and so this sequel would apply.

It also applies when a client will become a self- funding client (but not for a move to residential or nursing care when arranged under 12-week disregard or deferred payments arrangements).

As for measure STS002a, there can only be one sequel for each provision of short term support and there is a hierarchy that determines which sequel you should choose if more than one applies. The order in the data return workbook (when read from left to right) or in the table above (from top to bottom) is the order in which you should identify the most relevant outcome.

Short term Support followed by Short term Support

Measure STS001 distinguishes between short term support for the purpose of maximising the client’s independence and other forms of short term support that do not play a role in ‘rehabilitation’ or ‘reablement’. This measure includes the sequel ‘Short Term Support (other)’ to allow for the outcome of a ‘non-reablement’ period of support. If the sequel is another period of ‘ST-Max’ then for SALT purposes the period of short term support is not complete, and a sequel should only be recorded in measure STS002b when that support comes to an end.

Short term and Long term Support in the same year

It is possible that clients will be in receipt of a long term service and then be referred for a short term intervention designed to maximise their independence. Such cases should be captured in this measure and NOT in measure STS002a (which is for new clients only).

Total Clients in Table (Tables 2a and 2b only).

There is a count of ‘Total Clients in Table’ which compares the number of ST-Max service provisions and the number of people going through ST-Max (because more than one provision of ST-Max may be provided to a client during the year).

Early cessation of service.

Clients whose ST-Max ends early may return to their long term care package in the same or a different setting. The sequel in Tables 1-3 will be ‘Early Cessation of Service (return to long term support) - any setting‘. In order to capture moves to residential and nursing care for ASCOF 2A purposes, Table 4 gives more detail on the setting for these clients, capturing whether a move to residential or nursing care was involved, or no change in setting resulted.