Social prescribing: Difference between revisions

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'''Social prescribing''' is when [[health professional]]s refer patients to support in the community, in order to improve their health and wellbeing.<ref name="bmj-review">{{cite journal | vauthors = Bickerdike L, Booth A, Wilson PM, Farley K, Wright K | title = Social prescribing: less rhetoric and more reality. A systematic review of the evidence  | journal = BMJ Open | volume = 2017 | issue = 7 | pages =  | date = 13 December 2016 | pmid =  | doi = 10.1136/bmjopen-2016-013384 |doi-access=free}}</ref> The concept has gained support in the [[National Health Service|NHS organisations]] of the [[United Kingdom]] as well as in [[Ireland]]<ref>{{cite news | url=https://www.irishtimes.com/life-and-style/health-family/what-is-social-prescribing-and-how-it-can-benefit-your-health-1.3840354 | title= What is social prescribing and how it can benefit your health | publisher= Irish Times |date = 9 April 2019 |accessdate= 7 May 2019}}</ref> and the [[Netherlands]].<ref name="ft18"/>
{{Short description|A healthcare approach linking patients to non-medical support in the community}}


The goals of social prescribing are to reduce the rise of healthcare costs and easing pressure of [[general practice]] clinics.<ref name="bmj-review"/> A 2015 Commission in the UK estimated that about 20% of patient consultations were for social problems rather than medical problems.<ref>{{cite news|title=Plan to expand social prescribing in bid to tackle health inequalities|url=http://www.gponline.com/plan-expand-social-prescribing-bid-tackle-health-inequalities/article/1442837|accessdate=8 October 2017|publisher=GP Online|date=24 August 2017}}</ref>
'''Social prescribing''' is an innovative approach in healthcare that involves referring patients to non-clinical services to improve their health and well-being. This method recognizes the impact of social, economic, and environmental factors on health and seeks to address these through community-based interventions.


== Definition ==
==Overview==
Doctors can refer some of their patients to a social prescribing specialist or link worker who can then suggest local social groups which they can participate in to improve their health and wellbeing.<ref>{{cite web |title=Social Prescribing Network |url=https://www.westminster.ac.uk/patient-outcomes-in-health-research-group/projects/social-prescribing-network |website=Patient Outcomes in Health Research Group Projects |publisher=University of Westminster |access-date=7 May 2019}}</ref> These may include social enterprises, community businesses and local volunteer groups.
Social prescribing is designed to support individuals with a wide range of social, emotional, or practical needs, often related to long-term health conditions, mental health issues, or social isolation. It is a holistic approach that complements traditional medical treatments by addressing the broader determinants of health.


== Evaluation ==
==Mechanism==
A 2016 review in ''[[The BMJ]]'' concluded that further, more robust testing was needed to determine how effective it was, noting that evidence in favour of social prescription came from small trials that were open to a range of biases.<ref name="bmj-review"/> A study of social prescription programs at 23 GP surgeries in central London found it produced a strong improvement in qualitative outcomes such as making participants less isolated, while quantitative outcomes such as general health and wellbeing were largely unchanged.<ref>{{cite web |title=Social Prescribing: integrating GP and community health assets |url=http://www.health.org.uk/programmes/shine-2014/projects/social-prescribing-integrating-gp-and-community-health-assets |publisher=The Health Foundation |access-date=7 May 2019}}</ref> <ref>{{cite report |url=http://info.wirral.nhs.uk/document_uploads/evidence-reviews/Social%20Prescribing%20literature%20review%20v5.pdf |title=Social Prescribing: A review of the evidence |author=Sarah Kinsella |collaboration=Wirral Council Business & Public Health Intelligence Team |date=July 2015 |archive-url=https://web.archive.org/web/20170404130838/http://info.wirral.nhs.uk/document_uploads/evidence-reviews/Social%20Prescribing%20literature%20review%20v5.pdf |archive-date=2017-04-04 |url-status=dead}}</ref>
In a typical social prescribing model, healthcare professionals such as [[general practitioners]] (GPs), [[nurses]], or other primary care staff refer patients to a [[link worker]] or social prescribing coordinator. These link workers have a deep understanding of local community resources and work with patients to co-design a personalized plan that connects them to appropriate services.


== Examples ==
==Types of Activities==
In the London borough of Hackney, a social-prescribing scheme is in place. The local [[Clinical Commissioning Group]] (CCGs) tends to follow clinicians' lead, and so initiatives coming from doctors can make all the difference. Hackney CCG ran a tendering process for setting up social prescribing and got a service provider to implement it for them.
Social prescribing can involve a variety of activities, including:
* Participation in [[exercise]] classes or [[physical activity]] groups
* Engagement in [[art therapy]] or [[creative arts]] programs
* Joining [[support groups]] or [[self-help groups]]
* Volunteering opportunities
* Access to [[education]] and [[learning]] programs
* Gardening or [[horticulture therapy]]


== Resources ==
==Benefits==
It is proposed to establish a establish a National Academy for Social Prescribing in the UK.<ref name="ft18">{{cite news |title=Community activity as a path to better health |url=https://www.ft.com/content/4e971172-d82e-11e8-aa22-36538487e3d0?emailId=5c4ede5258d4740004049132 |accessdate=17 March 2019 |publisher=Financial Times |date=20 November 2018}}</ref>
The benefits of social prescribing are multifaceted. It can lead to improved mental health, reduced feelings of loneliness, and enhanced physical health. Patients often report a greater sense of purpose and community connection. Additionally, social prescribing can alleviate pressure on healthcare systems by reducing the need for medical consultations and interventions.


Healthy London Partnership has produced a report intended to help CCG commissioners make decisions about implementing social prescribing<ref>{{cite web |title=Steps towards implementing self-care |website=Healthy London Partnership |publisher=NHS |url=https://www.healthylondon.org/latest/publications/steps-towards-implementing-self-care |archive-url=https://web.archive.org/web/20170404043155/https://www.healthylondon.org/latest/publications/steps-towards-implementing-self-care |archive-date=2017-04-04 |url-status=dead}}</ref> and are also hosting a wiki specifically on Social Prescribing and Self Care.<ref>{{cite web |url=https://wiki.healthylondon.org |title=Social Prescribing and Self Care wiki |website=Healthy London Partnership |publisher=NHS |access-date=7 May 2019}}</ref>
==Challenges==
Despite its benefits, social prescribing faces several challenges. These include:
* Ensuring consistent funding and resources for community programs
* Training and supporting link workers
* Measuring outcomes and effectiveness
* Integrating social prescribing into existing healthcare systems


There are plans to recruit more than a thousand linkworkers in England.<ref>{{cite news |title=More 'social prescribers' to ease pressure on GPs |url=https://www.bbc.co.uk/news/health-46999922 |accessdate=17 March 2019 |publisher=BBC |date=28 January 2019}}</ref>  The NHS Long Term Plan committed to recruiting at least 1000 trained social prescribing link workers in primary care networks by April 2021, with more in the following three years, so that at least 900,000 people will be referred to social prescribing by 2023/24.
==Implementation==
Social prescribing is being implemented in various countries, with the [[United Kingdom]] being a notable leader in this field. The [[National Health Service]] (NHS) has incorporated social prescribing into its long-term plan, aiming to have link workers in every primary care network.


==See also==
==Related pages==
* [[College of Medicine (UK)]]
* [[Primary care]]
* [[Michael Dixon (doctor)]]
* [[Public health]]
* [[West Wakefield Health and Wellbeing Ltd]]
* [[Community health]]
* [[Mental health]]
* [[Preventive healthcare]]


== References ==
[[Category:Healthcare]]
{{reflist}}
[[Category:Public health]]
 
[[Category:Social care]]
[[Category:General practice]]
[[Category:Medical terminology]]
[[Category:Patient advocacy]]

Latest revision as of 19:26, 22 March 2025

A healthcare approach linking patients to non-medical support in the community


Social prescribing is an innovative approach in healthcare that involves referring patients to non-clinical services to improve their health and well-being. This method recognizes the impact of social, economic, and environmental factors on health and seeks to address these through community-based interventions.

Overview[edit]

Social prescribing is designed to support individuals with a wide range of social, emotional, or practical needs, often related to long-term health conditions, mental health issues, or social isolation. It is a holistic approach that complements traditional medical treatments by addressing the broader determinants of health.

Mechanism[edit]

In a typical social prescribing model, healthcare professionals such as general practitioners (GPs), nurses, or other primary care staff refer patients to a link worker or social prescribing coordinator. These link workers have a deep understanding of local community resources and work with patients to co-design a personalized plan that connects them to appropriate services.

Types of Activities[edit]

Social prescribing can involve a variety of activities, including:

Benefits[edit]

The benefits of social prescribing are multifaceted. It can lead to improved mental health, reduced feelings of loneliness, and enhanced physical health. Patients often report a greater sense of purpose and community connection. Additionally, social prescribing can alleviate pressure on healthcare systems by reducing the need for medical consultations and interventions.

Challenges[edit]

Despite its benefits, social prescribing faces several challenges. These include:

  • Ensuring consistent funding and resources for community programs
  • Training and supporting link workers
  • Measuring outcomes and effectiveness
  • Integrating social prescribing into existing healthcare systems

Implementation[edit]

Social prescribing is being implemented in various countries, with the United Kingdom being a notable leader in this field. The National Health Service (NHS) has incorporated social prescribing into its long-term plan, aiming to have link workers in every primary care network.

Related pages[edit]