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Social prescribing in County Durham. Good jobs and places to live, learn and play. Every child to have the best start in life. Our priorities 2018 - 2020. Mental Health at scale. Better quality of life through integrated health and care services. Our healthy workforce.
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Good jobs and places to live, learn and play Every child to have the best start in life Our priorities 2018 - 2020 Mental Health at scale Better quality of life through integrated health and care services Our healthy workforce Positive behaviour change – smoking, activity and food Excellent drug and alcohol service provision
Social prescribing • Social prescribing and community-based support is part of the NHS Long-Term Plan’s commitment to make personalised care business as usual across the health and care system. • Personalised Care means people have choice and control over the way their care is planned and delivered, based on ‘what matters’ to them and their individual strengths and needs.
Social prescribing • This happens within a system that makes the most of the expertise, capacity and potential of people, families and communities in delivering better outcomes and experiences. What is social prescribing? • Social prescribing enables all local agencies to refer people to a link worker.
NHS Long Term Plan • 1.40. As part of this work, through social prescribing the range of support available to people will widen, diversify and become accessible across the country. Link workers within primary care networks will work with people to develop tailored plans and connect them to local groups and support services. Over 1,000 trained social prescribing link workers will be in place by the end of 2020/21 rising further by 2023/24, with the aim that over 900,000 people are able to be referred to social prescribing schemes by then. • This number would suggest 9 link workers in County Durham • At the moment there are about 59.7 million patients registered with GPs who make over 240 million appointments a year. compared to the 900,000 a year promised for Social Prescribing. This means that in 5 years time social prescribing activity will be equivalent to .38% of appointments at GPs
The benefits Social prescribing particularly works for a wide range of people, including people: • with one or more long-term conditions (1/3 of residents) • who need support with their mental health (1 in 4 people ) • who are lonely or isolated (46% of County Durham) • who have complex social needs which affect their wellbeing ? • Consider this in the context of County Durham’s population of 523,000
More than a GP referral • When social prescribing works well, people can be easily referred to local social prescribing link workers from a wide range of local agencies, including general practice, local authorities, pharmacies, multi-disciplinary teams, hospital discharge teams, allied health professionals, fire service, police, job centres, social care services, housing associations and voluntary, community and social enterprise (VCSE) organisations. Self-referral is also encouraged.
The theory is good • Certainly there is good evidence that getting people involved in community life, keeping them active and improving social connections – all of which are hallmarks of social prescribing – is good for both health and wellbeing. • Link workers have strong knowledge of local community groups, map community assets, recognise gaps in community provision and find creative ways of encouraging asset-based community development approaches, alongside local commissioners and partners.
General practice Diagnosis of an illness Single point of contact? Link workers Prescribe a treatment for a disease The community Social factors
Fire and rescue service Frontline local authority services The community General practice Social model of health Single point of contact? Link workers Link workers Community resilience Social factors i.e. AiCD The community Assets
Locally, a great resource. www.durhaminsight.info
Community-centred approaches for health and wellbeing • Local government and the NHS, together with the third sector, have vital roles to play in building confident and connected communities as part of efforts to improve health and reduce health inequalities. • Community-centred approaches seek to mobilise the assets within communities, promote equity and increase people’s control over their health and lives. • Important to support communities and recognise the social model of health • Therefore are efforts required across the whole system?
