Market Position Statement 2025 - 2040 Community-Based Services - Reablement
Market Ratings
The diagrams below are a judgement by commissioners and providers of the supply, quality and stability of the reablement provision in Walsall.
Market Rating – Supply Of Reablement Services
Current supply of reablement in Walsall is good from the perspective of commissioned provider supply. There are more constraints with Trust workforce in terms of therapists and other staff for ICS reablement. It is planned that ICS and ASC community reablement becomes a single service.
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Market Rating – Quality Of Reablement Services
The quality of reablement services is judged as not as good as it could be from an ICS reablement rehabilitation perspective. The current service is not delivering a rehabilitation model rather it is similar to a homecare service. A Trust recent review has shown what outcomes could be achieved if care calls were more enablement and therapy focussed. However, the quality of ASC commissioned reablement via two key providers is judged as good.
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Market Rating - Workforce Stability
Workforce stability in ICS reablement services is rated as amber. This is primarily because of two reasons: need for more NHS therapy and ICS staff against a rise in demand and some instability in homecare provider services as a result of international recruitment policy changes, therefore demand and capacity research. In the external market, workforce can become unstable if providers face market sustainability issues.
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Overall Current Market Status
The current ICS reablement market in Walsall is rated as amber overall. It is sufficient in terms of supply but not at the quality required overall as a market in terms of the reablement and rehabilitation outcomes sought. The current ASC commissioned community reablement is rated ‘Green/Amber’. The aim is that the two arms of reablement become one offer.
There is generally good quality provision in the Borough as exemplified by key providers, but there needs to be a new approach to driving up the reablement outcomes of commissioned ICS provision in the Borough and an approach to working among partners and with providers on this working collaboratively. There is a key opportunity with the strategic re-commissioning of the CBS Framework in 2027.
The stability of the Walsall reablement workforce also needs investment. Demand is growing for reablement services and sufficiency of supply is dependent on sufficient, trained and skilled workforce.
Provider Dimension
Reablement is a LOT on the CBS Framework. There has been some recommissioning of the community reablement service in 2024 and the main contract will be re-commissioned in 2027.
Distance From Vision Of The Future
The vision for reablement of the future needs drafting with providers and partners and options for preferred models as of 2027. There will be market engagement and co-design with providers on this.
Market Risks
- Workforce instability and pipeline recruitment
- Demand increasing year on year
- Budget is not meeting demand – the ICS reablement service is breaking even currently
- Winter and system wide demand pressures
Market Opportunities
- Block contracts for specialist reablement providers to really focus on the ethos and practice of reablement and rehabilitation with a skilled, dedicated workforce for this while recognising the risks attached to focussing on fewer providers.
- These providers to be part of Multi-Disciplinary Teams (MDTs) working in tandem with the NHS Trust and the Council on reablement
- Shared training and competency development for this service
- More and different use of TEC in reablement services
- 2027 re-commissioning of the CBS Framework to underpin specifications in what is needed from this service.