Independent Living LB Hillingdon

In the London Borough of Hillingdon the number of people over 80 is 10,625, projected increase by 13% by 2020. The overall strategy is to reduce the reliance on long-term residential/nursing placements enabling people to remain living in their own homes rather than be placed in institutional care.


  • The councils’ adult social care team, working in partnership with the local NHS and Tunstall, is providing a model of care incorporating technology and reablement services to reduce reliance on residential care
  • Accessibility telecare free to everyone over 80
  • The highest number of referrals for the service, after self referrals, come from hospital discharge teams

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Clinical outcomes

  • This transformational approach is delivering an improved quality-of-life, helping more people to live independently in their own homes.
  • Not only has the telecare and reablement service delivered significant financial savings, it also supports LB Hillingdon’s mission to enable residents to live healthy, safe lives in the home of their choice.

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Economic outcomes

  • Cost savings – £4.95m saved (April 2011 – March 2014)
  • Prevention – residential and nursing home placements halved
  • Reduction in long-term residential and nursing care placements from 8.08 per week in 2010 to 2.13 by end 2014/15
  • Reablement with telecare has led to steady reduction in homecare hours purchased of 10% from April 2011 to date, forecast continued year-on-year reduction of 7.8%

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