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Can social prescribing provide the missing link?

  • Jane South (a1), Tracy J. Higgins (a2), James Woodall (a1) and Simon M. White (a2)

Abstract

Background

The voluntary sector has long been recognised as making an important contribution to individual and community health. In the UK, however, the links between primary health care services and the voluntary and community sector are often underdeveloped. Social prescribing is an innovative approach, which aims to promote the use of the voluntary sector within primary health care. Social prescribing involves the creation of referral pathways that allow primary health care patients with non-clinical needs to be directed to local voluntary services and community groups. Such schemes typically use community development workers with local knowledge who are linked to primary health care settings. Social prescribing therefore has the potential to assist individual patients presenting with social needs to access health resources and social support outside of the National Health Service.

Aim

The aim of this paper is to explore the concept of social prescribing and discuss its value as a public health initiative embedded within general practice.

Methods

The rationale for social prescribing and existing evidence are briefly reviewed. The paper draws on a case study of a pilot social prescribing scheme based in general practice. Data collected during the development, implementation and evaluation of the scheme are used to illustrate the opportunities and limitations for development in UK primary health care.

Findings

The potential for social prescribing to provide a mediating mechanism between different sectors and address social need is discussed. The paper argues that social prescribing can successfully extend the boundaries of traditional general practice through bridging the gap between primary health care and the voluntary sector. The potential for wider health gain is critically examined. The paper concludes that social prescribing not only provides a means to alternative support but also acts as a mechanism to strengthen community–professional partnerships. More research is needed on the benefits to patients and professionals.

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Copyright

Corresponding author

Correspondence to: Jane South, Centre for Health Promotion Research, Queen Square House, G08, Leeds Metropolitan University, Leeds LS1 3HE, UK. Email: j.south@leedsmet.ac.uk

References

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Abbott, S. 2002: Prescribing welfare benefits advice in primary care: is it a health intervention, and if so, what sort? Journal of Public Health Medicine 24, 307312.
Adams, J., White, M., Moffat, S., Howel, D.Mackintosh, J. 2006: A systematic review of the health, social and financial impacts of welfare rights advice delivered in healthcare settings. BMC Public Health 6 doi:10.1186/1471-2458/6/81.
Aylward, N.James, K. 2002: Prescriptions for learning project, 2nd evaluation report. Nottingham: Nottingham HAZ.
Bolton, M. Undated: Voluntary sector added value: A discussion paper. Retrieved 18 February 2008 from http://www.ncvo-vol.org.uk/policy/index.asp?id=1372&terms=negotiating
Bromley NHS Primary Care Trust. 2001: Penge & Anerley Community Health Project. “A social pill for every ill”: seminar report. London: Bromley NHS Primary Care Trust, Penge and Anerley Community Health Project, NHS Beacon Services.
Brown, M., Friedli, L.Watson, S. 2004: Prescriptions for pleasure. Mental Health Today, June, 2023.
Busby, H., Elliott, H., Popay, J.Williams, G. 1999: Primary care and public health – a necessary relationship. Health and Social Care in the Community 7, 239241.
Clarke, K., Sarre, S., Glendinning, C.Datta, J. 2001: Providing family support in primary care: evaluation of the WellFamily service. Manchester: University of Manchester.
Coid, D.R., Williams, B.Crombie, I.K. 2003: Partnerships with health and private voluntary sector organizations: what are the issues for health authorities and boards? Public Health 117, 317322.
Crombie, I.K.Coid, D.R. 2000: Voluntary organisations: from Cinderella to white knight? British Medical Journal 320, 419.
Crowley, P., Green, J., Freake, D.Drinkwater, C. 2002: Primary Care Trusts involving the community: is community development the way forward? Journal of Management in Medicine 16, 311322.
Daykin, N.Naidoo, J. 1997: Poverty and health promotion in primary health care: professionals’ perspectives. Health and Social Care in the Community 5, 309317.
Depart ment of Health. 2002: Shifting the balance of power: the next steps. London: Department of Health.
Department of Health. 2004: Making partnerships work for patients, carers and service users. London: Department of Health.
Department of Health. 2006: Practice based commissioning: practical implementation. London: Department of Health.
Department of Health. 2007: Welcoming social enterprise into health and social care. A resource pack for social enterprise providers and commissioners. Leeds: Department of Health.
Faulkner, M. 2004: Supporting the psychosocial needs of patients in general practice: the role of a voluntary referral service. Patient Education and Counselling 52, 4146.
Fawcett, B.South, J. 2005: Community involvement and Primary Care Trusts: the case for social entrepreneurship. Critical Public Health 15, 191204.
Fisher, B. 2001: Community development in primary care. In Gillam, S., and Brooks, F., editors. New beginnings. Towards patient and public involvement in primary health care. London: Kings Fund.
Friedli, L.Watson, S. 2004: Social prescribing for mental health. Durham: Northern Centre for Mental Health.
Godinho, J., Rathwell, T., Gott, M., Giraldes, M.R.Daley, J. 1992: Tipping the balance towards Primary Health Care: understanding and investigating the agenda for change. European Journal of Public Health 2, 134142.
Grant, C., Goodenough, T., Harvey, I.Hine, C. 2000: A randomized controlled trial and economic evaluation of a referrals facilitator between primary care and the voluntary sector. British Medical Journal 320, 419423.
Greasley, P.Small, N. 2005: Providing welfare advice in general practice: referrals, issues and outcomes. Health and Social Care in the Community 13, 249258.
Gulbrandson, P., Fugelli, P., Sandvik, L.Hjortdahl, P. 1999: Influence of social problems on management in general practice: multipractice questionnaire survey. British Medical Journal 317, 2832.
Johnson, N., Jenkinson, S., Kendall, I., Bradshaw, Y.Blackmore, M. 1998: Regulating for quality in the voluntary sector. Journal of Social Policy 27, 307328.
Levenson, R.Johnson, L. 2000: Improving health at local level. The role of primary care. London: Kings Fund.
Lewis, J 1999: The concepts of community care and primary care in the UK: the 1960s to the 1990s. Health and Social Care in the Community 7, 333341.
Milligan, C. 1998: Pathways of dependence: the impact of health and social care restructuring – the voluntary experience. Social Science and Medicine 46, 743753.
Milne, D., McAnaney, A., Pollinger, B., Batemen, K.Fewster, E. 2004: Analysis of the forms, functions and facilitation of social support in one English county: a way for professionals to improve the quality of health care. International Journal of Health Care Quality Assurance 17, 294301.
Patton, M.Q. 1987: How to use qualitative methods in evaluation. London: Sage.
Peckham, S.Exworthy, M. 2003: Primary care in the UK. Policy, organisation and management. Basingstoke: Palgrave Macmillan.
Peckham, S., Turton, P.Taylor, P. 1998: The missing link. Health Service Journal May, 2223.
Reason, P. and Heron, J. 2004: A layperson’s guide to co-operative inquiry. Centre for Action Research in Professional Practice, University of Bath. Retrieved 14 February 2008 from http://www.bath.ac.uk/carpp/publications/coop_inquiry.html
Rogers, B.Robinson, E. 2004: The benefits of community engagement. A review of evidence. London: Active Citizenship Centre, Home Office.
Royal College of General Practitioners. 2005: Inner city general practice. RGCP Information Sheet No. 20.
Secretary of State for Health. 2006: Our health, our care, our say: a new direction for community services. London: The Stationary Office.
Sherratt, M., Jones, K.Middleton, P. 2000: A citizens advice service in primary care: improving patient access to benefits. Primary Health Care Research and Development 1, 139146.
Social Services Inspectorate. 2000: Towards a common cause – ‘A compact for care’. Inspection of local authority social services and voluntary sector working relationships. London: Department of Health.
Taylor, M. 1997: The best of both worlds. The voluntary sector and local government. London: Joseph Rowntree Foundation.
Vedsted, P.Christensen, M.B. 2005: Frequent attenders in general practice care: a literature review with special reference to methodological considerations. Public Health 119, 118137.
Wakeling, D. 1999: Unlimited menu? The crisis care continuum and the non-statutory sector. Journal of Mental Health 8, 547550.
Ward, D. 2001: Working with non-statutory agencies. Journal of Community Nursing 15.
Weir, B. 2002: Partnership working for health. A baseline survey of partnerships for health improvement and health care between voluntary and statutory sectors. Retrieved 18 February 2008 from http://www.vhscotland.org.uk/library/vhs/Partnership%20working%20for%20Health,%20December%202002%20report.pdf
Woodall, J. and South, J. 2005: The evaluation of the CHAT social prescribing scheme in Bradford South & West PCT. Centre for Health Promotion Research, Leeds Metropolitan University.
Zantinge, E.M., Verhaak, P.F.M.Bensing, J.M. 2005: The workload of GPs: patients with psychological and somatic problems. Family Practice 22, 293297.

Keywords

Can social prescribing provide the missing link?

  • Jane South (a1), Tracy J. Higgins (a2), James Woodall (a1) and Simon M. White (a2)

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