Talk:Social Prescribing and Self Care Wiki

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Hi everyone just having a look around and seeing how easy it would be to talk to other Social Prescribers and Navigators. I am the Social Prescribing Coordinator in The London Borough of Bexley - Clocktower area. This Social Prescribing pilot has been running for just over 2 years and is still continuing and wef Sep 2017 it will be rolled out across all localities in Bexley. My area the Clocktower is overlooked by Mind in Bexley where I am based. Would be good to hear from others to share good practice, ideas and resource info. Looking forward to hearing from you all. I hope this is how it is supposed to work!! Jacqui Wheeler

Great to hear from you Jacqui - this is indeed just how it's supposed to work - there are talk pages for every page to allow discussion related to the topics on those pages. I don't know how many other Social Prescribing service providers are on here yet, but we're doing our best to let them all know about it :-) SamJoseph (talk)

Hello Jacqui and Sam. I am a Gp in East Merton and we are involved in a Social Prescribing pilot which started in January 2017 and will finish in December ( hopefully to continue). This is a great way of communicating and finding out what others are doing. I want to ask about evaluation of your work/pilot. How did you do it ? what was effective? Thanks Mohan

Hi Mohan, Good to hear from you. Our pilot started on the 1st April 2015 and we evaluated the first 82 clients. We revisited them 8 months after their initial consultation. So basically all clients up until 30th Nov 2015. When I am in the office tomorrow I will send you the link to the evaluation as I am writing this from my phone. I will also give you further details of how we did it and how the evaluation helped in the forthcoming roll out to the rest of the practices in the Borough of Bexley. Jacqui


Jacqui, Mohan - it would be great to showcase the schemes you are running on the wiki. If you have any further information then please email anything over to me at suzi.griffiths@nhs.net and I can post it on here for you. Warm wishes, Suzi

I will send you the link separately Suzi and also give some info here for Mohan at the East Merton Practice. It is a bit long winded but not sure where to add this info. SP in Bexley started on 1st April 2015 in 9 GP practices for an initial period of 15 months and extended twice and is still active intil Sep 2017 when a roll-out of the Pilot covering the rest of Bexley begins. Originally it was GP referral only and for clients aged 65 and over. As the pilot progressed it was decided that patients could also self-refer and get involved and the age criteria changed to age 18 and over. The clients must satisfy two of the following criteria.

                           Socially isolated - i.e. seeing friends or family less than once a week
                           Frequent users of primary care services or A&E
                           Struggling to manage a significant life change
                           Struggling to manage their health conditions
                           Or they are a carer

As the Social Prescribing assessor I would meet these patients/clients in their GP practice. However it is often the case that for one reason or another I need to assess the patient in their own home. When I meet the patient between us we create a specific prescription or action plans to improve their wellbeing by making referrals to organisations in Bexley that could provide services that help their individual needs. This could be from support groups, the services at Mind in Bexley such as Recovery College(such as:-workshops, groups, exercise classes, welfare rights, IAPS, etc.) , Age UK projects and activities, Carers Support projects, Alzheimer's Society resources, local library groups, befrienders for those that are isolated, home support services, benefit assessments, social events in the area and much more along with volunteering opportunities. The pilot is evolving and more and more groups are coming to light that could help the wellbeing of these individuals. On initial consultation we discuss lifestyle, how they look after themselves (Shopping, cooking, housework),and how they manage their symptoms, work and activities they are already involved with, money, where they live, if they access green spaces, family and friends and also how they are feeling (feeling lonely and wanting to engage more socially/). We also use the Warwick and Edinburgh Mental Wellbeing Scale (WEMWS) to create a wellbeing star.

On review we visit these clients again after at least 6 months of being involved in the study. The evaluation period for our Pilot was for the 82 clients that become involved between 01/04/2015 until 30/11/2015 (The first eight months). In the review intyerviews we asked about the referral service, had SP been explained, how they found the consultation, the plans that were agreed, if they engaged with these plans, the benefits to their wellbeing (quality of life, if they feel less isolated, more confident, better equipped, etc.). How often they see their GP, accessed A&E since the referral. The WEMWS questions are asked again. Data collected through GP's and CCG (GP appointments, A&E access, non- elective hospital admissions, length of stay, ambulance call outs, emergency pull chord use- all this compared six before SP and 6 months after SDP. Qualitative data from 50 in-depth interviews. Here is a links to the evaluation report and also short film for evaluation:- http://mindinbexley.org.uk/wp/wp-content/uploads/2017/06/Social-Prescribing-in-Bexley-Pilot-Evaluation-Report.pdf https://youtu.be/wodKQzXZMw4

I hope this is helpful. The links will be put up elsewhere also on this WIKI. Jacqui

https://www.kingsfund.org.uk/projects/nhs-65/alternative-guide-new-nhs-england


The above link is a very useful tool made by the Kingfund.org.uk. It explains, in animation, how the new commissioning of health services was set up. It explains it really well so thought I would add it here.

I don't think the above link works but you can search for it by just asking for the Alternative Guide to the New NHS in England on the web. Jacqui- Social Prescribing in Bexley.

Thanks for sharing Jacqui - the link works fine! Suzi, Project Manager HLP

Thanks Jacqui- Mohan here ( been on paternity leave and have needed to log in again with different details) I think the video is a great way of illustrating the impact on every day people. The stories to me are a great success . The paper provides some great evidence which show financial benefit for social prescribing which is great to see and will help fund any future pilots... Thanks again . will digest and ask further questions....Mohan