Community Reablement

Short term multi-disciplinary intervention to enable Patient to become more independent in their own home, reducing the need for a long term package of care and preventing admissions to Hospital or Residential or Nursing Homes. Enabling people to become more integrated into community activities.

Who can refer to the service?

Can be referred by Health & Social Care Professionals both hospital & community based.

Patients & Carers can contact Common access point to discuss needs for possible referral through this point.

Referral criteria/Exclusion criteria

Patients need to be:

Not appropriate for:

Who will they be seen by?

Can be seen by a variety of Therapists depending on need. This can include Dietitian, OT, Pharmacy Technician, Physiotherapist, SALT, Social Worker. May be seen by Nurse if need arises and no DN input. Also Care support workers who will follow plan put in place by Therapists.

Must need input from more than 1 Therapy to meet criteria for service

What can people expect from the service?

Assessment and intervention from any of the above Therapies needed. Linking with Patients and Carers to work towards patient centred goals to ensure they reach their full potential in the time period allowed. May liaise with GP, DN, Hospital Consultants if needed. Care support that will carry out Treatment plans set by Therapists to rehabilitate to be as independent as possible.

Who does the service signpost/refer to?

Can be referred on to various services as needed including Care & repair, Fire service ( home Safety Checks), National Exercise Referral Scheme (NERS), Telecare, Out patients Physiotherapy, Day Hospital, etc.

May be referred for ongoing support if needed ( will be a charge for ongoing support).

Contact details

Professionals can access via referral form below.

Carers /Patients would need to contact Common Access Point on 01656 642279, who will decide which is the most appropriate service for needs.

Referral form >

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  • Local and national support organisations

    Organisation Contact number Website
    Age Cymru 08000 223 444 Age Cymru
    Ageing Well in Wales 02920 445030 Ageing Well in Wales
    Alzheimers Society 0300 222 1122 Alzheimers Society
    Age connects morgannwg 01443 490650 Age connects morgannwg
    Older people’s commisioner for Wales 08442 640670 Older people's commisioner for Wales
    Welsh Local Government Association 029 2046 8600 Welsh Local Government Association
    Bridgend County Care and Repair 01656 646755 Bridgend County Care and Repair
    Bridges into Work 2 01656 815317
    Communities First Bridgend 01656 642605 Communities First Bridgend
    Careers Wales 0800 028 4844 Careers Wales
    Adult Community Learning 01656 642729
    BAVO 01656 810400 BAVO
    Local Community Coordinators 07815 579082 Local Community Coordinators