Social prescribing
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There are many things that can affect our health and wellbeing that cannot be treated by a medical prescription.
What is social prescribing?
Social issues like loneliness, isolation, money worries, problems with housing, employment or caring responsibilities can impact negatively on our health and wellbeing.
Social prescribing is about finding out what matters to you. It is about helping you to find the right support when you need it, connecting you with activities, groups and services in your local community that can help address some of the challenges and issues that you may be struggling with.
A recent international study carried out by researchers in Canada in which Scotland participated has developed an internationally accepted definition of social prescribing:
“a means for trusted individuals in clinical and community settings to identify that a person has non-medical, health-related social needs and to subsequently connect them to non-clinical supports and services within the community by co-producing a social prescription - a non-medical prescription, to improve health and wellbeing and to strengthen community connections.”
What types of social prescribing exist?
Broad
Social prescribing can be as simple as being made aware of support that exists which can be accessed for an issue someone is facing. For example:
Broad social prescribing can be where a conversation identifies the need for non-medical support and an individual is told about support services or where an individual recognises, they need help and is able to access it for themselves.
Medium
The next type of social prescribing that someone may access is a service or programme to address a specific issue or need. For example:
Medium social prescribing can be where a health professional or a support worker recognises an individual needs support and actively directs them or signposts them to services or an organisation that could help. For example, a referral to an exercise programme where there is a single issue and support is targeted primarily to that issue. This may also involve additional signposting if appropriate but is not part of the planned intervention.
Specific
And lastly, there is a type of social prescribing that involves a link worker such as a Community Link Worker who collaborates with individuals to access local sources of support. For example:
Specific social prescribing involves a referral to a dedicated link worker who will work with individuals to identify what is important to them, co-produce a social prescription and support them to access the right non-medical services or community support. The link worker will also help remove barriers to accessing services or support and is likely to work with an individual over an extended period of time.
The Community Link Worker service
A Community Link Worker is a member of the wider GP practice team that can provide support and advice on many social issues that may be affecting your health and wellbeing. They have a wide range of knowledge on local services and community-based groups and activities.
Community Link Workers can help you find the right support and provide you with information on a wide range of social issues that can impact on health and wellbeing, this might include:
- housing issues
- employment and learning
- support groups
- money worries
- physical activity
- long-term conditions
- caring for relatives and friends
- improving emotional wellbeing
- social isolation
About Community Link Workers (video)
Hear all about the Community Link Worker service and what it can offer patients, from Dr Camilla Dawson and Community Link Workers Lucy Tedham and Yvonne Banks. Lorna Stewart who has used the service talks about how the service has helped and supported her.
Find out more about the Community Link Worker service at Change Mental Health.
Social prescribing in the Argyll and Bute area
We Are With You have been commissioned by NHS Highland to provide the Community Link Worker service in the Argyll and Bute HSCP area. The service went live in April 2022 and is currently available at 12 GP practices across Argyll and Bute.
The Community Link Workers support people with a variety of social, financial, mental health and practical issues. This gives GPs and nursing staff more time to deal with your medical issues. It could be anything from helping you with benefits, housing, bereavement, anxiety and low mood to helping you join activities in your community.
See more information from We Are With You about Community Link Workers in Argyll and Bute.
Read an overview of the Community Link Worker service in Argyll and Bute.
Community Link Worker service in Argyll and Bute (video)
Rachel McLean, the team lead for Community Link Workers in Argyll and Bute, introduces the service. Watch another video about the Community Link Worker service in Dunoon, Argyll and Bute.
Social prescribing in the Highland area
Change Mental Health have been commissioned by NHS Highland to provide the Community Link Worker service in the Highland HSCP area. The service went live in April 2022 and is currently available at 27 GP practices across the area (as at February 2024).
Two social prescribing network events were held in 2023 in the Highland area, bringing together partners representing primary and secondary care, and 3rd sector organisations, to start a conversation on what is happening around social prescribing and how this can be developed.
View or download a report from these events: Developing Social Prescribing in Highland (pdf, November 2023).
View or download a report on Year 1 of the Community Link Worker project (pdf, December 2023).
See also the Annual Report of the NHS Highland Director of Public Health 2023 - Medication and Public Health - Do the Right Thing.