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What is Social Prescribing

Social prescribing can be adapted in many different ways across a number of different sectors. Sometimes called a community referral, social prescribing is a way to link individuals with non-clinical activities within their community to help improve their health and wellbeing.

The social prescribing approach enables health and social care professionals, community development workers, and more to refer an individual to a Social Prescribing Link Worker. Here the individual and the Link Worker can discuss their issues and what matters to them to co-produce social prescribing journeys, to empower individuals to be more proactive in managing their health and wellbeing in the future.

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Written by Claire Wardle

Social Prescribing – a definition

Defining what is social prescribing can be done in multiple ways. It is a community-based, holistic approach with the aim to bring together social and medical models to improve health and wellbeing.  

Social prescribing creates programmes to remove barriers for social, economic, and physical issues someone could be experiencing, whilst alleviating pressure on the NHS, particularly for GPs.

Currently almost 20% of GPs consultation time is spent on non-clinical issues, which in turn translates to approximately £400 million to the health service. Social prescribing therefore, recognises that people’s health can be impacted by a variety of social determinants and offers the opportunity to address people’s needs in a more holistic way.

Find out more about Social Prescribing solutions 

Group of people looking at plants

Why is social prescribing important? 

Social prescribing is important as it offers a non-clinical way for individuals to seek support and guidance in improving their mental health and wellbeing.  

Studies show that nearly 1 in 5 adults were likely to be experiencing some form of depression. 

As a result, the need for social prescribing within communities is continuing to grow and will be central to the NHS’ plan for primary care.

Social prescribing can help tackle issues such as loneliness, mental health, and social isolation and therefore promote a more holistic approach to managing healthcare. Through connecting individuals to numerous community activities and groups, social prescribing can improve the overall wellbeing for a community whilst helping reduce the demand for medical services, leading to more sustainable and effective healthcare systems in the future.

Social prescribing is continuing to develop more and more each year. Because of this the PRSB have been working hard to create social prescribing standards to be used nationally. This will enable the government, ICSs, social prescribing services, and other healthcare professionals to record social prescribing outcomes consistently across the board to help record and provide evidence for social prescribing so it can continue to grow further.

Equally, social prescribing is important as its model can be adapted into a variety of sectors including education and housing.

Here social prescribing in education can help provide students the support they need to overcome the pressures of moving to university and decrease drop-out rates. Similarly, social prescribing in housing can help individuals cope with the financial pressures of running a home, which has been exacerbated by the pandemic and cost-of-living crisis, to reduce the levels of homelessness across the UK.

Social prescribing is important therefore as it’s an approach and model that can be easily adapted to a variety of sectors which can help improve the health and wellbeing across all communities in a variety of different ways so no individual is left with their needs being unmet.

What is social prescribing history

The history of social prescribing 

The concept of social prescribing is not new. 

Some say that social prescribing has been around since the 1990s. Bromley Bow Centre 1 in London is seen as the first fully operational social prescribing initiative in 1984.  

In the NHS’ long plan of comprehensive care, social prescribing has been described as the logical extension of biopsychosocial model of healthcare.  

What is key in the transition of national rollouts of social prescribing and Link Workers is the partnership between the NHS and voluntary and community sectors for effective healthcare and promoting good wellbeing.

how does social prescribing work

A social prescribing model – How does it work?

Now social prescribing has been embedded within the comprehensive care model, multiple frameworks and models for social prescribing are emerging across the country.

When putting social prescribing into practice there is no concrete method as each patient’s needs will differ as well as the services available due to where you are in the country.

When putting social prescribing into practice there is no concrete method. This is because every individual will have different needs and will have different services available to them depending on where they are in the country.

The NHS have recommended these 6 steps to ensure best practice.  

  • Ensure the care is person-centred
  • Build partnerships locally and nationally from the start to have contacts to signpost clients to
  • Ensure there is equality by narrowing down inequalities and offer equal opportunities to all
  • Ensure carers involved are understood and supported
  • Get voluntary community and social enterprises involved to connect people back to the community 
  • Ensure volunteers and social action are recognised as key enablers.  

Additionally, some of our customers at Access Elemental Social Prescribing have also highlighted their top dos and don’ts when implementing social prescribing in a community. To find out what their steps for best practice are from their perspective, download our social prescribing guide today.

Social Prescribing Journey

 

For social prescribing journeys to take place and be successful there are multiple interfaces involved including:

  • Referral Agents – these could be GPs, Nurses, Housing Officers, Social Workers, Crisis Support Workers, Discharge Nurses, and Teachers or Tutors. Self-referral is also encouraged, and these referrals then get generated through our Access Elemental platform.
  • Referral Handlers – these could be Social Prescribing Link Workers, Community Navigators, Community Development Officers, and Wellness Managers. Referral handlers manage the referrals and co-produce social prescriptions with the individual.
  • Providers – such as: VCFS Providers, Facilitators of programmes, Services and Initiatives, and Programme Managers.
  • The individual themselves
  • Super Users – such as Commissioners and Overall Programme Managers. Super users will evaluate data and have the authority to access reports and data downloads to track engagement and wellbeing progress.

Access Elemental Social Prescribing journey in practice

Social prescribing journeys can differ slightly depending on the individual’s needs and which referral agent and referral handler is used. However Access Elemental Social Prescribing have the same 7 key stages:

  • Referral – Here referrals are made by the nominated referral agent and these are then generated through our Access Elemental platform and sent across to the relevant hub.
  • Assessment Arranged – At this stage the nominated referral handler will log onto our Access Elemental platform to locate and manage the referral to organise the first meeting with the individual.
  • Baseline Metrics – At the first meeting with the individual, the nominated referral handler will take baseline scores, such as wellbeing scores, and explain these to the individual so they can start co-producing the individual’s social prescriptions.
  • Social prescription – These are generated using the platform and our system then notifies the provider that a referral has been made to their service. All social prescriptions made are created according to the individual’s needs.
  • Further Visits – Then follow up visits with the nominated referral agent will take place. During these visits further health and wellbeing scores will be taken and recorded to track the individual’s progress. At this point if extra support is needed it gets provided.
  • Health risks reduced – The data collected from these follow up visits are then located on the platform for journeys to be tracked more efficiently.
  • Outcome – This data is then easily compared to identify whether engagement and wellbeing is improving in an individual.

This video demonstrates ‘Richard’s’ journey as an example of an Access Elemental Social Prescribing journey in practice.

Self-referral social prescribing journeys

Self-referral pathways are another example of a social prescribing journey. Self-referrals allow individuals to refer themselves to local social prescribing programme and be connected to a local social prescribing link worker. There are many benefits to our self-referral functionality including:

  • Providing a digital referral pathway for your patients/citizens
  • Empowering individuals to take more control over their health
  • Encouraging a culture of self-care and management
  • Reducing admin time for referral agents and GPs
  • Building a stronger community by connecting individuals to services and groups to the local community

The video (above/below) explains Lucy’s journey and how her health and wellbeing improved after she self-referred herself to a social prescribing link worker.

At Access Elemental Social Prescribing, our Population Plus module contains the self-refer functionality. This allows people like Lucy to be in better control of their health and wellbeing to help them now and in the future.

How do social prescribing journeys work in housing?

Housing is an example of a wider social determinant of health which social prescribing link workers help individuals overcome.

There are a variety of housing problems that can impact someone’s mental and physical health including:

  • Affordability
  • Availability
  • Housing quality

Housing is currently one of the three top issues we are currently facing in the UK and social prescribing in housing is one way we can help overcome these issues and improve someone’s mental health and wellbeing.

This video shows Peter’s journey and explains  how he was referred to social prescribing by a Housing Officer after becoming homeless. The video explains how social prescribing in housing helps Peter be supported in his community, gain financial advice and support, as well as guidance in how to reconnect with his community so he no longer feels isolated. 

For more information in how best to implement social prescribing in housing download our housing guide today.

Social prescribing services

Social prescribing is a very diverse goal-orientated scheme which depends on the individual. Social prescribing services act as a bridge between medical and social sectors to promote a holistic approach to healthcare by acknowledging the significance of social factors discussed above.

  • Support to improve physical health  e.g. exercise classes, walking groups, yoga

  • Employability/volunteering/learning a new skill  e.g. cooking classes

  • Tackling money/housing issues/benefits issues  e.g. budgeting classes

  • Coping with a condition  e.g. support groups

  • Improving emotional wellbeing e.g. through art therapy workshops, or other creative activities

  • Green social prescribing e.g. gardening projects, nature walks

What are social prescribing services

Social prescribing examples – How is it used? 

Lots of activities or organisations can be used in social prescribing depending on the goals agreed in a support plan and the patient’s location. Here are two social prescribing examples to help you understand how social prescribing is used. You can also find more information about Social Prescribing solutions

Coping with a condition 
  • A patient is newly diagnosed with diabetes, and they feel overwhelmed with the information they have been given and are not coping well with their new diagnosis
  • The patient researches more on their condition and feels worse about it due to how the condition is presented in the media
  • They get referred to Link Worker and they connect the patient to local cooking classes to teach people how to cook nutritious and balanced meals
  • The patient starts to feel happier, eat better, and their condition improves because of that
Improving emotional wellbeing 
  • A patient is suffering badly with social anxiety and is referred to a social prescribing Link Worker  
  • They discuss the patient’s triggers, and it is clear that social situations and meeting lots of new people in one go is not good for the patient
  • The Link Worker refers them to a local art class as they expressed how they enjoy painting as a hobby
  • The patient enjoys spending time there and builds confidence to speak to other people there
  • The patient’s confidence grows further, and they join more classes to meet more new people

Social prescribing – What are the benefits? 

The main benefits of social prescribing are: 

  • It helps reduce health inequalities
  • It supports people with a wide range of social, emotional or practical needs
  • It improves physical and mental wellbeing by focussing on what matters to the individual
  • It creates connections with community assets and community members
  • Allows individuals to co-create their own enriched, personalised care pathway
  • Focuses on those most likely to benefit from social prescribing e.g. people with mild or long-term mental health problems, vulnerable groups, people who are socially isolated, and those who frequently attend either primary or secondary health care
Benefits of social prescribing infographic

Benefits for people

  • Supports people with a wide range of social, emotional or practical needs. 
  • Improves physical and mental wellbeing by focussing on what matters to the individual
  • Creates connections with community assets and community members
  • Allows individuals to co-create their own enriched, personalised care pathway
  • Enhances mental health
  • Creates a sense of belonging through building social connections within their community
  • Receive more personalised support
  • Improved social engagement – e.g. individuals benefit from increased social engagement which can positively impact their emotional health and overall quality of life
  • A better opportunity of expanding social networks
  • Reduced dependency on healthcare – e.g. reduced GP and hospital attendance
  • Focuses on those most likely to benefit from social prescribing e.g. people with mild or long-term mental health problems, vulnerable groups, people who are socially isolated, and those who frequently attend either primary or secondary health care
what are the benefits of social prescribing

Benefits of social prescribing for Healthcare and PCNs

  • A more holistic approach to patient care
  • Deliver better person-centred care
  • Relieve pressure on medical/clinical services
  • Improved patient outcomes
  • Better use of resources
  • Better collaborative care through following a co-production approach
  • Offers more preventative care
  • Improves patient satisfaction
  • Relieves pressure on GPs and gives them ‘more than medicine’ options
  • Develops the capacity of health and wellbeing professionals and others across multiple sites by reducing administrative tasks and freeing up more time to support citizens
  • Offers potential cost savings e.g. Lorn and Oban Healthy Options saved over £800,000 across 5 years from reduced GP attendance because of social prescribing

Benefits of social prescribing for housing

  • Improved wellbeing for residents
  • Enhanced community cohesion
  • Reduced social isolation
  • More support for vulnerable groups
  • Promotes healthier lifestyles
  • Better collaborative relationships e.g. improved wellbeing and community cohesions may have a more positive impact on housing services due to residents being more satisfied
  • Strengthened support networks
  • Provide better support for residents to manage their money better to prevent the risk of homelessness or falling into fuel poverty which could be exacerbated by the cost-of-living crisis

For more information on the benefits of social prescribing in housing download our guide today.

Benefits of social prescribing in employment

  • Improved employee wellbeing
  • Reduced stress and burnout levels
  • Enhanced mental health
  • Increased job satisfaction
  • Better support and encouragement for a work-life balance
  • Encourage more manageable personal and professional growth
  • Strengthened workplace culture
  • Reduced absenteeism
  • Enhanced employee engagement
  • Higher staff retention

Benefits of social prescribing in education

  • Improved wellbeing in students, teachers, and lecturers alike
  • Higher student retention
  • Lower student drop-out rates
  • Potential cost savings e.g. the money lost from students dropping out of university is reduced
  • Increased resilience
  • Reduced social isolation
  • Increased attendance
  • Greater engagement in school/university life
  • Offers the opportunity for better performance in academic results
  • Strengthened community
  • Better support for more vulnerable students

Benefits of social prescribing for local governments and ICSs

  • Ensures a person led approach that focuses on the whole person 
  • Strengthens relationships and promotes cross-sectoral cohesion
  • Reduces the use of NHS services and contributes to a range of broader government objectives, for example in relation to employment, volunteering and learning
  • Can demonstrate return on investment and social value
  • Improved population health
  • More cost-effective health and social care
  • Reduced health inequalities
  • Greater efficiency e.g. ICSs can streamline their care delivery better reducing the duplication of services and ensuring services are used effectively
  • Offers better health promotion and prevention e.g. preventative care initiatives can contribute to healthier communities to reduced the demand for reactive health services
  • Offers better outcomes based commissioning through data-driven decision making

Benefits for VCSE providers

  • Provides options for Link Workers and facilitates ease of referral both within and beyond the VCSE sector
  • Creates effective practice and successful partnership models and promotes cross sectoral cohesion
  • Addresses the social determinants of health and serves the entire community with a high-quality range of social assets
  • Can evidence success and provide suitable outcomes to help prove the case for levering in additional funding
  • Locally focussed and driven towards addressing the needs of individuals through accessible activities and programmes
  • Increased visibility and engagement e.g. gaining better visibility in healthcare and social care can increase engagement with potential beneficiaries
  • Encourage multi-funding streams instead on relying on one single funding stream
  • Encoaurages more colloaborations with other organsiations to improve outcomes further
  • Enhanced service reach
  • Offers the opportunity to integrate with top clinical health and social care systems to create a better joined-up approach for the community
  • Create stronger and more sustainable partnerships
  • Offers the opportunity to secure future funding more effectively

More social prescribing FAQs

How do you measure the impact of social prescribing?

There is currently no standardised best practice for measuring the impacts of social prescribing. But, evidence for social prescribing shows there tends to be more positive impacts than negative ones.   

Whether it’s using quantitative data, qualitative, or a mixture of the two, measuring the impacts of social prescribing outcomes is important because it allows social prescribers to see what works well and what doesn’t for each individual.   

Spreadsheets or digital social prescribing – which is best?

Both spreadsheets and digital social prescribing platforms offer ways to record, look at, and analyse the data from different clientele’s social prescribing journeys or to analyse the programme as a whole.  

For smaller projects spreadsheets are an easy and effective way to measure and track achievements. While many social prescribing services have found using digital platforms very useful for both an increase in demand as well as a more efficient way to manage and monitor referrals. Social prescribing is very different for different people, it provides help and support to people of all ages and backgrounds. Read more about Spreadsheets VS Digital Social Prescribing Platform in our article.

How can Social Prescribing improve Mental Health?

Mental health continues to be a significant public health issue with approximately 1 in 4 people in the UK experiencing a mental health problem each year. Research by the Mental Health Foundation found that 78% of GPs had prescribed an antidepressant in the previous three years, despite believing that an alternative treatment might have been more appropriate. 

One way social prescribing can help is by supporting people to access non clinical services as part of a package of care. As a result, individuals are connected to multiple sources of support for social issues related to their mental health which contributes to improved psychological and social wellbeing. 

Claire Wardle Writer on Health and Social Care

By Claire Wardle

Writer on Health and Social Care

Claire Wardle is a Writer of Health and Social Care for the Access Group’s HSC team. With a Linguistics degree and a strong background in digital content creation, Claire’s expertise in SEO allows engaging, informative and easy-to read content to be produced.

Claire’s versatile approach to digital content marketing allows all questions surrounding health and local government to be answered concisely with all the up-to-date information required.

Read more about how we support Social Prescribing