Proportion of Older People (65 and Over) Who Were Still at Home 91 Days After Discharge From Hospital Into Reablement/Rehabilitation Services

Identifying Attributes

Care Settings
Rehabilitation Care
Country
United Kingdom, Channel Islands and Isle of Man
Publishing Organisation
National Institute for Health and Care Excellence (NICE)
Type of Quality Indicator
Outcome
IOM Quality Dimension
Effectiveness
Domain
Functional Change

Defining Attributes

Definition

Measures the benefit to individuals from reablement, intermediate care and rehabilitation following a hospital episode, by determining whether an individual remains living at home 91 days following discharge.

Numerator

Number of older people discharged from acute or community hospitals to their own home or to a residential or nursing care home or extra care housing for rehabilitation, with a clear intention that they will move on/back to their own home (including a place in extra care housing or an adult placement scheme setting), who are at home or in extra care housing or an adult placement scheme setting 91 days after the date of their discharge from hospital. This should only include the outcome for those cases referred to in the denominator.

Denominator

Number of older people discharged from acute or community hospitals from hospital to their own home or to a residential or nursing care home or extra care housing for rehabilitation, with a clear intention that they will move on/back to their own home (including a place in extra care housing or an adult placement scheme setting).

Exclusions

Numerator exclusions: Those who are in hospital or in a registered care home (other than for a brief episode of respite care from which they are expected to return home) at the three month date and those who have died within the three months.

Use of Risk Adjustment
No
Risk Adjustments

None

Stratifications

None

Data Attributes

Type of Data Collection
Administrative data
Data Collection Methods

Short and Long-term Services (SALT) collection.

Frequency of Data Collection
Annually
Frequency of Data Collection in Days
365
Reporting Methods

Information for numerator will be collected from 1 January to 31 March as it refers to a 90 day follow up to the information presented in the denominator (1st October to 31 December).

Reporting Frequency
Annually
Reporting Frequency in Days
365
Indicator Has Recommended Targets
No

Source and Reference Attributes

Evidence Source

National Institute for Health and Care Excellence (NICE). NHS Digital Indicator Supporting Documentation (IAP00139): The proportion of older people (65 and over) who were still at home 91 days after discharge from hospital into re-ablement / rehabilitation services. Accessed; (August 3, 2023). Available from: www.nice.org.uk/Media/Default/Standards-and-indicators/National-Library-of-Quality-Indicators/IAP00139%20supporting%20documentation.docx.

Health & Social Care Information Centre (HSCIC), NHS England. NHS Outcomes Framework 2014/15: Domain 3 Helping people to recover from episodes of ill health or following injury Indicator specifications. Accessed August 3, 2023. Available from: data.england.nhs.uk/dataset/nhsof-3-6-ii-proportion-of-older-people-65-and-over-who-were-offered-rehabilitation-following-disch/resource/01036c6f-8e82-45a6-b2b9-0ff0353a8854.

City of York Council, United Kingdom. Proportion of older people (65 and over) who were still at home 91 days after discharge from hospital into reablement/rehabilitation services. Accessed August 3, 2023. Available from: www.data.gov.uk/dataset/9aa11e47-575d-4e7c-a1a4-9eb8f114e0fa/proportion-of-older-people-65-and-over-who-were-still-at-home-91-days-after-discharge-from-hospital-into-reablement-rehabilitation-services.

Link to Measurement Tools
Quality Indicator Confirmed to be Part of a Program Used to Monitor Quality and Safety of Care Among Older People at a Population-Level between 2012-2022
Yes
Assessed by the Australian Consortium for Aged Care Collaborators as Generally Containing Good Properties (Importance and Scientific Acceptability)
Yes
Australian Consortium for Aged Care Endorsed
No
Identified by PHARMA-Care Project
No
Upload Date
12 March 2025