Social Prescribing in Secondary Care

Social Prescribing in Secondary, Social and Integrated Care

Connecting Secondary Care to the Community Sector


West lancashire social prescribing ccg
Tameside CCG social prescribing
Mersey care social prescribing ccg
EMIS social prescribing ccg

The benefits of social prescribing for primary care are clear, reducing GP workload and avoidable GP appointments. However, with increased pressures facing both primary and secondary care, social prescribing also offers the opportunity to:

Reduce attendance at secondary care services

Cut repeat attendances at A&E

Decrease readmission rates

Reduce admissions for those with low to moderate mental health issues

Improve discharge delays

Provide a more holistic and patient centred approach to patient care planning and recovery

Embedding a social prescribing strategy can also improve resource and ability to meet targets through reduced demand and improved efficiency across the healthcare system.

Social Prescribing offers a wide range of non-medical short and long-term support through community activities, the attendance at which may in turn:

  • Improve physical fitness

  • Improve general wellbeing

  • Improve physical fitness

  • Reduce social isolation

  • Reduce anxiety and depression

  • Improve independence and self-management of long-term conditions

Our social prescribing platform allows secondary care professionals to:

Connect patients to suitable social prescribing programmes in their communities

Evaluate the impact of a referral for an individual or across a community cohort

Contribute to achieving public health objectives of STPs

Reduce avoidable GP appointments, saving time, cost and resources

social prescribing products and services

Secondary Care Social Prescribing in Action

Tameside and Glossop Integrated Care Foundation

Recognising the benefits that social prescribing can have on secondary care, Tameside and Glossop Integrated Care Foundation Trust (T&G ICFT) have launched a social prescribing programme that enables secondary care professionals in Tameside and Glossop to effectively make one-click social prescribing referrals to The Bureau, a local VCSE organisation that provides a range of community services aimed at improving wellbeing, and Action Together, another VCSE organisation that provides services to thousands of people in Oldham and Tameside.


Using Elemental’s Core social prescribing platform, The Bureau and Action Together regularly receive referrals from secondary care professionals, such as community paramedics, physiotherapists, practice nurses and stroke specialists to their services including community activities, befriending programmes, life skills workshops and healthy minds classes.


Secondary care professionals can track the status of referrals at different stages, enriching the conversations they have with individuals and allowing a seamless pathway to and from secondary and community care.


A major benefit for T&G ICFT is that they now have the ability to access, report and showcase detailed data analytics which helps to shape social prescribing services and evidence outcomes.

1/3 of referrals they receive come from secondary care, mainly from their Adult Social Care team. The majority of referrals made are for mild-moderate mental health.

Social Prescribing in Action

West Lancashire CCG

In Skemersdale, Community Specialist Paramedics are using social prescribing to empower people to enhance their own health and wellbeing through community-based programmes and services.

Kieran Potts said “As a Community Specialist Paramedic, I work for the North West Ambulance Service, linking in with the Skelmersdale Social Prescribing team and West Lancashire CCG. I am regularly finding that patients I see with long term medical conditions not only require medical support, but also social support. As part of our joint working, I have witnessed collaboration of the highest standard, focusing on providing holistic health and social care for our West Lancashire population.”

By working together and liaising with other health and social care colleagues, Skemersdale Social Prescribing team have been able to reduce calls for a particular patient to the ambulance service by 92% and subsequently, the patient is experiencing a positive shift in her physical and mental wellbeing.


Free Ebook: A Guide to Social Prescribing in Secondary Care

sp guide for secondary care

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Clapham Park Group Practice

“Social prescribing should be available for all GPs to offer their patients. One barrier to universal cover has been the lack of a quality platform for referring, recording and signposting patients, so we’re delighted to be piloting Elemental Software for our partnership with AgeUK.”

- Clapham Park Group Practice GP & Clinical Champion for the RCGP Clinical Priorities Programme, Clapham Park Group Practice

We can help

We know that every social prescribing programme for secondary care is different as it responds to the needs of each unique community and some communities are at different stages in their social prescribing journeys.

Depending upon where you are with your social prescribing project, we can help you;

Map what is already happening across your community

Identify the assets available in your community and what’s missing

Deliver on your ambitions to deliver on The Five Year Forward View

Access and apply for partnership opportunities

Identify what gaps exist i.e. training, partnerships etc

Overcome challenges or barriers for social prescribing in health services

Understand and outline potential opportunities and benefits

Help develop your vision and strategy – where you want to be and how you are going to do this

Determine the best way to roll out implement social prescribing for health care services in your area

More than just a platform

Our team has helped over 100 organisations shape and deliver their approach to social prescribing across England, Scotland, Wales, Ireland, the Middle East and soon to be Finland.

We were selected to help the Mayor of London, Sadiq Khan, develop his vision for social prescribing in London. 

Some of the team who will be supporting you in your quest to mainstream social prescribing are listed below:


Jennifer Neff


Jennifer has over 17 year’s experience in extensive engagement and consultation with vibrant and diverse stakeholder groups drawn. Her work has informed strategies for renewal – economic, physical and social, building stronger and more vibrant communities.


Leeann Monk


Leeann has over 15 years experience in community development & health, engaging and activating the hardly reached across areas of disadvantage in particular families, older people at risk of isolation, carers and children at risk of or suffering from obesity.


Clare Cooper

Project Manager

Clare has held a number of roles in community health improvement aiming to reduce health inequalities and improve the health and well-being of the community.

enhanced social prescribing

Denise Dillon

Head of Projects

Over 16 years experience working within the community and voluntary sector, working in community development, mental health, training and project management working with some of the most marginalised communities in Northern Ireland.


Phil Veasey

Community Partner

Phil has a strong background in scaling high impact, sustainable strategies and programmes in local communities including ‘Sportivate’ – a major Olympic Legacy Programme and The National Mini Tennis Programme, now the way children are introduced to the sport globally.

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