What does a sustainable future for social prescribing

What does a sustainable future for social prescribing look like? Marie Polley & Bev Taylor

v Understanding of what SP is and isn’t v Transparent and simple movement of people between sectors v A link worker for every GP practice v VCSE is appreciated and appropriately funded v Governance and quality assurance v Core outcomes that appropriately reflect social prescribing v Social prescribing network manager.

Social Prescribing Models 1. Referral to a commissioned ‘one-stop connector service’ Referral Agency: GP, Integrated Care team, Library staff, self referral Social Prescribing Connector Scheme; hosted in the VCSE sector, employs link workers Prescription: Community Groups - gardening, singing, dance, peer support – funded 2. Collaborative Practices: GP surgeries as community ‘hubs’, invite citizens in to work collaboratively, as ‘health champions’. 3. In-house ‘community link workers/ navigators’ – employed by GP practices or federations of GP practices. 4. Active Signposting: ‘Care Navigators’ in GP practices, having different conversations with patients, signposting them to community support, as well as pharmacy, physiotherapists and care providers. www. england. nhs. uk

NHS England Commitment: “ We will work collaboratively with the voluntary sector and primary care to design a common approach to self-care and social prescribing, including how to make it systematic and equitable” (p. 45 Next Steps for the Five Year Forward View) www. england. nhs. uk 4

NHS England Social Prescribing Work We will work co-productively with partners to; • Map social prescribing at CCG level • Create a Common Outcomes Framework to measure the impact of social prescribing. • Enable Regional Social Prescribing Networks to share good practice and support innovation in social prescribing. • Create a Kite Mark for local social prescribing schemes, which sets quality assurance standards. www. england. nhs. uk

Asset-based community development • Our aim: to enable all GPs across England to refer to a link worker service, connecting people to community support. • This only works where the voluntary, community and social enterprise groups are nurtured and supported. • We need to fund VCSE groups to receive referrals, not just the connectors. www. england. nhs. uk 6

Describe the service Common Outcomes Framework www. england. nhs. uk 7 Impact on the person and their carers Impact on the NHS and Social Care Impact on the community

Impact on the person & their carers “Has wellbeing improved? ” • Which Wellbeing Measures are being used? • Which are most effective, including recognising health inequalities? Safe? www. england. nhs. uk Active? 8 Connected? Creative?

Impact on the System • • • On GP consultations On Urgent Care - A&E On Hospital Care On Medication use On the need for Social Care On ability on keep/ find a job www. england. nhs. uk 9

Impact on the community • More volunteers? • Are VCSE organisations better supported? • Are community networks stronger/ more resilient? www. england. nhs. uk 10

What are your thoughts? www. england. nhs. uk 11