Reablement pathways

“Excellent exercises and very good physiotherapists. They were very patient and thorough in their approach and explained all the exercises well and were most encouraging. Now I know what to practice and how to continue the exercises daily”
– Patient feedback

HomeLink Healthcare’s re-ablement experience:

HomeLink Healthcare is a clinician-led organisation that has been providing Hospital at Home services since 2016.

HomeLink Healthcare’s re-ablement pathway:

  • supports patients in their own homes to increase their independence and mobility  
  • reduces waiting lists for community physiotherapy services  
  • avoids patients being admitted to hospital because they couldn’t access timely physiotherapy support needed to enable them to stay in their own home.  

Therapy-led support is offered through experienced and caring physiotherapists, occupational therapists, nurses and rehabilitation support workers.  

We work in conjunction with local partner organisations or as the sole provider of care.  


What are the key features of the re-ablement approach? 

  • Re-ablement focuses on a person’s strengths to promote and maximise independence and wellbeing. 
  • Re-ablement builds confidence after a spell of illness, deterioration in health, an injury, a hospital admission or an acquired disability. 
  • Re-ablement is different to traditional home care services as it involves care providers standing back and encouraging the promotion of self-care skills that may have been lost. 
  • Re-ablement supports people to regain or retain skills to enable them to manage with minimal or no support. 
  • Re-ablement is short-term and intensive; typically provided for up to six weeks. 
  • Re-ablement is not means-tested – the service is free to people who meet the locally defined eligibility criteria. 
  • Re-ablement focuses on restoring independent functioning, rather than resolving healthcare issues. 
  • Re-ablement aims to prevent re-admission to hospital or premature move to a care home. 
  • Re-ablement is usually provided in a person’s own home, but may be provided in an intermediate care facility. 
  • Re-ablement is about setting and working toward meaningful goals. 
  • Re-ablement aims to reconnect people with their communities to reduce social isolation. 
  • Re-ablement can help to reduce the amount of care the person needs from carers and family. 
  • Re-ablement reduces the need to visit the hospital emergency department  


Our collaboration with four NHS organisations across Norfolk and Waveney ICS frees up two hospital wards every day and was shortlisted for a 2023 HSJ Partnership Award.

Download the case study and you’ll learn:

  • The impact that can be achieved on increasing hospital capacity, improving patient flow, reducing delayed discharges and delivering great patient outcomes
  • The benefits of working collaboratively with an expert Hospital at Home provider
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How does the HomeLink Healthcare reablement service work? 

When patients are referred to us we use the Barthel index to assess functional independence, and EQ-5D-5L – a self-assessed, health-related, quality-of-life questionnaire. 

Our trained and qualified therapists, reablement support workers and healthcare assistants will visit people in their own homes according to an agreed schedule. During the visit, our staff will carry out the agreed reablement interventions, and report against KPIs and outcome measures.  

Where appropriate we can provide access to mobility aids, assistive technology, and digital solutions to support rehabilitation and reablement in the place that patients call home. We are also able to provide wrap around care if required.  

What impact does reablement have for patients and the NHS? 

In the nine months from October 2021 to June 2022, our Lewisham reablement service saw 297 patients and delivered 2,323 visits. As a result, a waiting list of 203 patients in October 2021 was reduced by 85% to just 30 by June 2022.   

At the same time, the agreed outcome measures show that patients are less dependent, report better health, and are more mobile, better able to self-care, more able to carry out their usual activities, in less pain or discomfort, and less anxious or depressed. 

Our partnership with Lewisham Adult Therapy Team saw a waiting list of 203 reduce by 85% to 30 in just 18 weeks. The partnership was shortlisted for a Chief Allied Health Professionals Officers (CAHPO) award. Read the case study here 

Work with us

Find out more about the process of commissioning HomeLink Healthcare to set up a hospital at home service.

Get in touch

To speak to a member of our team about our reablement services, call us on (020) 3137 5370 or contact us. You can tell us about your situation, and we can tell you more about our experience of supporting our NHS partners with reablement and how we might be able to help you. 


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“Excellent exercises and very good physiotherapists. They were very patient and thorough in their approach and explained all the exercises well and were most encouraging. Now I know what to practice and how to continue the exercises daily”

Patient feedback

“You did everything exceptionally and allowed me to leave hospital six weeks earlier than planned because of the service you provided.


Patient feedback

“I want to thank you from the bottom of my heart, and let you know that the work you do makes a true difference to people’s lives and wellbeing.”

Dr Vassiliki Bravis Consultant, Imperial College London

Got a question? Contact us on (020) 3137 5370

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