Understanding the Importance of Social Prescribing in Healthcare

 
 
 
South
East
Locality -
Georgia
Ramirez
  Presentation for HCA    03/08/2017
 
What is Social Prescribing?
 
Linking people up with local services and
organisations that can improve people’s
health and wellbeing, like exercise groups,
ESOL classes, Nip, Befriending, welfare advice,
counselling, and volunteering opportunities.
 
Macmillan also offers Social Prescribing
specifically for people living with & beyond
cancer, they are based at the Bromley-By-Bow
Centre.
 
What is Social Prescribing?
 
Local History
Bromley by Bow Centre (2011)
The Mission Practice (2013)
The Macmillan scheme (2015
)
Since   July  2016 :
 
CCG support for borough-wide roll out
18 month project
6 Providers, including 2 existing
Steering Group, local expertise
10 social prescribers in post +  
1
 Macmillan
894 referrals made  between Oct 16  - Jan 17
599 referrals  made to community support services( including
signposting )
Ensuring scheme has been evaluated
 
Why is Social Prescribing
important
 
GPs spend nearly a fifth of their
consultation time dealing with non-medical
issues
cost of £395 million, an equivalent to the salaries
of 3,750 full-time GPs.
Almost three-quarters of GPs state that the
proportion of time they spend dealing with
non-health issues as part of consultations
has increased between 2015-2016.
The top three non-health issues
     GPs report their patients raising during
     consultations
personal relationship problems (92%)
problems with housing (77%)
problems with work/unemployment (76%)
 
Who should be referred?
 
Those suffering with severe
and enduring mental illness
Single parents/families
struggling to manage
(financially, emotionally, with
illness within the family etc.)
Recently bereaved and elderly
Those with depression and
anxiety
Those living with long term
conditions
 
Amongst these groups of people,
it may become clear that many
are frequent attenders in both
primary care and A&E – these
people are ideal candidates for
the service
Social prescribing should be seen
as a ‘toolkit’ to support health
improvement
Lifestyle services are also able to
support the improvement of
emotional wellbeing, so all
patients for the Health Trainers
service should be referred
through the social prescribing
scheme
 
Tower Hamlets Social Prescribers
 
 
Network 1
Alexandra Sayers 
alexandra.sayers@nhs.net
Wilma Bol 
wilma.bol@nhs.net
 
Network 2
Shamimuz Zaman 
shamimuz.zaman@nhs.net
 
Network 3
Rebeka Chowdhury 
rebeka.chowdhury@nhs.net
 
Network 4
 Fahima Soloman 
fahima.soloman@nhs.net
 
Network 5
Susan Amankwa 
susan.amankwa@nhs.net
 
Network 6
Anny Ash 
anny.ash@bbbc.org.uk
Fateha Khanam 
fateha.khanam@bbbc.org.uk
 
Network 7 
& 
Network 8
Davina
 
Ridsdale
 
davina.ridsdale@nhs.net
Tracy Tundervary 
tracy.tundervary@nhs.net
 
     South East Locality – a partnership
between Networks 7 & 8
 
Two social prescribers to assess and support people
referred to the service
Assessment looks at all possible factors that may be
affecting health and assesses needs of each individual
Once needs are identified, individuals are referred onto
appropriate support schemes, local projects and
services whilst receiving ongoing support from the
social prescribers
Use emotional wellbeing questions to assess and
measure progress and impact of the intervention
A volunteer mentoring arm of the service is being
developed to offer extra support to individuals and
families
 
    Where will social prescribing
happen?
 
Both social prescribers will be based out of
Newby Place and Docklands Medical Centre
They would like to spend time each week in
each practice across the locality in order to
embed the service within primary care
They will have 1-1 appointments wherever
clients are comfortable to be seen
 
Support services e.g.
 
Council crisis grant
Crisis skylight
Crisis Tower Hamlets
ESOL at Simple Gifts & Idea Store
Fit4life
Foodbank
Free swimming on Fridays at 
Better Leisure Centres
Furry Tales
Gardening at Spitalfields city farm
Gateway Housing Association Employment Advisor
Girlygang
Goodgym
Green Care
Groundwork / 
Warmth scheme
Hackney community wellbeing
Headway East London
Health trainers
Healthwise (Hackney gym on referral)
Homestore in Stratford
Hot Spots Menopause Support
Idea Store
 Cooking Class
Idea Store Prime Time
Inspire
Jobcentre Disability employment advisor
 
Ability Bow
Antenatal classes at RLH
Applied and received fund at Hospital Saturday Fund for mattress
Arch76
AWLPA – Asian Women Lone Parents
Back to GP as suspected Psychosis
Bakery placement to recover from mental health at Centre for
Better Health
Become volunteer at THFN
Beside
Bethnal Green Walking group
Better Beginnings
Better Leisure Centre ‘For the girls’
Better Leisure Centres 
Young@heart,
Bikeworks All ability cycling in Victoria Park
Borrow my doggie to walk dog
Bowhaven
Buddhist centre
Carers Centre
Centre for Better Health
, in Hackney for affordable counselling
City & East London bereavement counselling
Citylit
Community Psychotherapy Network for group therapy / counselling
Compass Wellbeing,
Compassionate Neighbours (St. Jo)
Cooking class Idea Store
 
Support services e.g
 
Jobcentre Disability employment advisor
Legal advice centre
 Roman Road for Employment Solicitor
Linkage plus
Local life coaching options
Local link
Marijuana Anonymous,
MEND
Men's Shed at Oxford House
MIND
Minerva centre
Mission Practice Chaplain
Mission Practice Happiness course
Muay Thai boxing in Oxford House for people with Mental Health
issues (SUIP)
NAbled
Nia - counselling for women
Nopanic.org.uk helpline
'Our Parks'  free yoga
Outward  (for people with LD)
Oxford House Carpentry Club
Parenting Course Tower Hamlets FIS
Playgroup at St. John's primary school
Praxis
Providence Row self harm group
Recovery college
Rethink Mental illness carers support
SCT Hanbury project for people
recovering from addiction
Neighbours in poplar
 
Shelter
Silver songbirds at St. Joseph’s Hospice
Simple Gifts UCSA
 community centre 50+ exercise & lunch club
Slimming world
Spear employment support for 16-24 year olds
St. Hilda’s
 older people club & women’s yoga
St. Hilda's
 gym class
St. Peter’s Church Parish nurse for her DIY Health for mums
St. Peter's community Centre for Bengali 50+ women
Step Change debt support
Step Forward
Streetlife
Sundial Centre
 computer class
Tai Chi at 
St. Joseph’s hospice
THCAT/now RESET
This way  up from QSA
Toynbee Hall debt support
Upskill
Urban rambling Walking group
Volunteer Centre
Walking football Mile End Park
Welfare advisor from Limehouse Project at Mission Practice
WHFS
Xl mentoring,
Zacchaeus project
 – Local Community Centre for 50+
Patients Story
 
Young male depressed and “ready to give up” due to difficult housing situation and no purpose in life, Living in
hostel where staff are racially abusing him, having epileptic fits 4 to 5 times a week so unable to stay in room as its
very small and he can hurt himself during a seizure, Depressed and socially isolated
.
 
The Social Prescriber  met with the gentleman face to face and maintained communication via phone.
Lengthy appointment where patient opened up to life situation including suffering PTSD. Feeling that no
one is giving him a chance and judging him on his past. Finding it hard to care for mother with Bi-polar and
look after himself. He felt  he had no purpose in life. Talked about what makes him happy and what is
important in his life. Passionate about starting a career where he can work with youth’s and guide them
making the right decision. Stressed about mother’s condition and ability to care for her as well as keeping
his self safe
.
 
Island Advice Centre has helped  the client secure a larger room in the hostel  and accommodated to
keep him safe in the case of a Fit. They have also helped him apply for PIP.
He has enrolled with Level 3 IT skills course and Level 2 Health and Social Care at Hackney College,
accessing support from colleges in house Student support scheme including Mental health support and
Housing Support.
Re-think is helping him get carers support for his mother and have offered him respite support as and
when needed.
 
Community services signposted and referred into
1. Island Advice Centre
2. Hackney Community Centre
3. Re-think
 
Patient quotation ..’
Having the right support helped me make the right decisions and feel
confident to take the right steps. I feel like my life is worthwhile now.’
 
PROBLEM
In 2010, Ian spent a lot of time in bed,
watching telly. A couple of years later he would
go to a day centre, if motivated by a support
worker. But then he jumped in front of a bus,
as he was hearing voices. He was admitted to a
psychiatric hospital for mania with psychotic
symptoms.
INTERVENTION
When he came for his care plan review a year
later he was referred to me as he shared with
his GP that he was extremely bored and didn’t
really see people. He likes gardening and fixing
bikes.
RESULT OF INTERVENTION
I referred him to a Bike Social Enterprise
course, which he really enjoyed. Now he is a
volunteer gardener and volunteers 2-4 days a
week. I’ve referred him to a project that helps
people with mental health issues back into
work, as he would like to and is able to do a
paid job, with a little bit of support.
Case
Study
 
IAN, 61,
WITH BIPOLAR DISORDER
 
PROBLEM
Nurun is a Mum of a 6 & 4 year old and
husband works a lot, was always busy with the
children and didn’t prioritise her own health.
She was forgetful with her medication. If she
didn’t change her lifestyle, she would have had
to go on dialysis...
INTERVENTION
I met her via the Diabetes One Stop Clinic, with
her husband, and I chatted to her about places
to do exercise, but she struggled to go to
places where she couldn’t bring her children.
RESULT
MEND, A post-natal weight management runs
in the Mission Practice surgery (where she can
take her children with her), and although her
youngest is too old for her to qualify, I
negotiate a place for her, informing them how
important it is for her to improve her health,
and they accepted her. Since then her Diabetes
has slowly improved.
 
NURUN, 33,
UNCONTROLLED DIABETES
Case
Study
 
Thank you for attending our presentation, we hope you can now
understand Social Prescribing a bit better, all the best.
                                          Dee & Tracy
 
Any Questions ?
Slide Note
Embed
Share

Social prescribing is a valuable approach that connects individuals with local services to enhance their health and well-being. It offers a diverse range of support, from exercise groups to counseling, aimed at addressing non-medical issues like personal relationships, housing problems, and employment issues. By reducing the burden on GPs and providing tailored services to various vulnerable groups, social prescribing plays a crucial role in improving overall health outcomes.


Uploaded on Sep 11, 2024 | 0 Views


Download Presentation

Please find below an Image/Link to download the presentation.

The content on the website is provided AS IS for your information and personal use only. It may not be sold, licensed, or shared on other websites without obtaining consent from the author. Download presentation by click this link. If you encounter any issues during the download, it is possible that the publisher has removed the file from their server.

E N D

Presentation Transcript


  1. South South East East Locality Locality - - Georgia Ramirez Presentation for HCA 03/08/2017

  2. What is Social Prescribing? Linking people up with local services and organisations that can improve people s health and wellbeing, like exercise groups, ESOL classes, Nip, Befriending, welfare advice, counselling, and volunteering opportunities. Macmillan also offers Social Prescribing specifically for people living with & beyond cancer, they are based at the Bromley-By-Bow Centre.

  3. What is Social Prescribing? Local History Bromley by Bow Centre (2011) The Mission Practice (2013) The Macmillan scheme (2015) Since July 2016 : CCG support for borough-wide roll out 18 month project 6 Providers, including 2 existing Steering Group, local expertise 10 social prescribers in post + 1 Macmillan 894 referrals made between Oct 16 - Jan 17 599 referrals made to community support services( including signposting ) Ensuring scheme has been evaluated

  4. Why is Social Prescribing important GPs spend nearly a fifth of their consultation time dealing with non-medical issues cost of 395 million, an equivalent to the salaries of 3,750 full-time GPs. Almost three-quarters of GPs state that the proportion of time they spend dealing with non-health issues as part of consultations has increased between 2015-2016. The top three non-health issues GPs report their patients raising during consultations personal relationship problems (92%) problems with housing (77%) problems with work/unemployment (76%)

  5. Who should be referred? Those suffering with severe and enduring mental illness Single parents/families struggling to manage (financially, emotionally, with illness within the family etc.) Recently bereaved and elderly Those with depression and anxiety Those living with long term conditions Amongst these groups of people, it may become clear that many are frequent attenders in both primary care and A&E these people are ideal candidates for the service Social prescribing should be seen as a toolkit to support health improvement Lifestyle services are also able to support the improvement of emotional wellbeing, so all patients for the Health Trainers service should be referred through the social prescribing scheme

  6. Tower Hamlets Social Prescribers Network 1 Alexandra Sayers alexandra.sayers@nhs.net Wilma Bol wilma.bol@nhs.net Network 2 Shamimuz Zaman shamimuz.zaman@nhs.net Network 3 Rebeka Chowdhury rebeka.chowdhury@nhs.net Network 4 Fahima Soloman fahima.soloman@nhs.net Network 5 Susan Amankwa susan.amankwa@nhs.net Network 6 Anny Ash anny.ash@bbbc.org.uk Fateha Khanam fateha.khanam@bbbc.org.uk Network 7 & Network 8 DavinaRidsdale davina.ridsdale@nhs.net Tracy Tundervary tracy.tundervary@nhs.net

  7. South East Locality a partnership between Networks 7 & 8 Two social prescribers to assess and support people referred to the service Assessment looks at all possible factors that may be affecting health and assesses needs of each individual Once needs are identified, individuals are referred onto appropriate support schemes, local projects and services whilst receiving ongoing support from the social prescribers Use emotional wellbeing questions to assess and measure progress and impact of the intervention A volunteer mentoring arm of the service is being developed to offer extra support to individuals and families

  8. Where will social prescribing happen? Both social prescribers will be based out of Newby Place and Docklands Medical Centre They would like to spend time each week in each practice across the locality in order to embed the service within primary care They will have 1-1 appointments wherever clients are comfortable to be seen

  9. Support services e.g. Council crisis grant Crisis skylight Crisis Tower Hamlets ESOL at Simple Gifts & Idea Store Fit4life Foodbank Free swimming on Fridays at Better Leisure Centres Furry Tales Gardening at Spitalfields city farm Gateway Housing Association Employment Advisor Girlygang Goodgym Green Care Groundwork / Warmth scheme Hackney community wellbeing Headway East London Health trainers Healthwise (Hackney gym on referral) Homestore in Stratford Hot Spots Menopause Support Idea Store Cooking Class Idea Store Prime Time Inspire Jobcentre Disability employment advisor Ability Bow Antenatal classes at RLH Applied and received fund at Hospital Saturday Fund for mattress Arch76 AWLPA Asian Women Lone Parents Back to GP as suspected Psychosis Bakery placement to recover from mental health at Centre for Better Health Become volunteer at THFN Beside Bethnal Green Walking group Better Beginnings Better Leisure Centre For the girls Better Leisure Centres Young@heart, Bikeworks All ability cycling in Victoria Park Borrow my doggie to walk dog Bowhaven Buddhist centre Carers Centre Centre for Better Health, in Hackney for affordable counselling City & East London bereavement counselling Citylit Community Psychotherapy Network for group therapy / counselling Compass Wellbeing, Compassionate Neighbours (St. Jo) Cooking class Idea Store

  10. Support services e.g Jobcentre Disability employment advisor Legal advice centre Roman Road for Employment Solicitor Linkage plus Local life coaching options Local link Marijuana Anonymous, MEND Men's Shed at Oxford House MIND Minerva centre Mission Practice Chaplain Mission Practice Happiness course Muay Thai boxing in Oxford House for people with Mental Health issues (SUIP) NAbled Nia - counselling for women Nopanic.org.uk helpline 'Our Parks' free yoga Outward (for people with LD) Oxford House Carpentry Club Parenting Course Tower Hamlets FIS Playgroup at St. John's primary school Praxis Providence Row self harm group Recovery college Rethink Mental illness carers support SCT Hanbury project for people recovering from addiction Neighbours in poplar Shelter Silver songbirds at St. Joseph s Hospice Simple Gifts UCSA community centre 50+ exercise & lunch club Slimming world Spear employment support for 16-24 year olds St. Hilda solder people club & women s yoga St. Hilda's gym class St. Peter s Church Parish nurse for her DIY Health for mums St. Peter's community Centre for Bengali 50+ women Step Change debt support Step Forward Streetlife Sundial Centre computer class Tai Chi at St. Joseph s hospice THCAT/now RESET This way up from QSA Toynbee Hall debt support Upskill Urban rambling Walking group Volunteer Centre Walking football Mile End Park Welfare advisor from Limehouse Project at Mission Practice WHFS Xl mentoring, Zacchaeus project Local Community Centre for 50+

  11. Patients Story Young male depressed and ready to give up due to difficult housing situation and no purpose in life, Living in hostel where staff are racially abusing him, having epileptic fits 4 to 5 times a week so unable to stay in room as its very small and he can hurt himself during a seizure, Depressed and socially isolated. The Social Prescriber met with the gentleman face to face and maintained communication via phone. Lengthy appointment where patient opened up to life situation including suffering PTSD. Feeling that no one is giving him a chance and judging him on his past. Finding it hard to care for mother with Bi-polar and look after himself. He felt he had no purpose in life. Talked about what makes him happy and what is important in his life. Passionate about starting a career where he can work with youth s and guide them making the right decision. Stressed about mother s condition and ability to care for her as well as keeping his self safe. Community services signposted and referred into 1. Island Advice Centre 2. Hackney Community Centre 3. Re-think Island Advice Centre has helped the client secure a larger room in the hostel and accommodated to keep him safe in the case of a Fit. They have also helped him apply for PIP. He has enrolled with Level 3 IT skills course and Level 2 Health and Social Care at Hackney College, accessing support from colleges in house Student support scheme including Mental health support and Housing Support. Re-think is helping him get carers support for his mother and have offered him respite support as and when needed. Patient quotation .. Having the right support helped me make the right decisions and feel confident to take the right steps. I feel like my life is worthwhile now.

  12. PROBLEM In 2010, Ian spent a lot of time in bed, watching telly. A couple of years later he would go to a day centre, if motivated by a support worker. But then he jumped in front of a bus, as he was hearing voices. He was admitted to a psychiatric hospital for mania with psychotic symptoms. INTERVENTION When he came for his care plan review a year later he was referred to me as he shared with his GP that he was extremely bored and didn t really see people. He likes gardening and fixing bikes. RESULT OF INTERVENTION I referred him to a Bike Social Enterprise course, which he really enjoyed. Now he is a volunteer gardener and volunteers 2-4 days a week. I ve referred him to a project that helps people with mental health issues back into work, as he would like to and is able to do a paid job, with a little bit of support. Case Study IAN, 61, WITH BIPOLAR DISORDER

  13. PROBLEM Nurun is a Mum of a 6 & 4 year old and husband works a lot, was always busy with the children and didn t prioritise her own health. She was forgetful with her medication. If she didn t change her lifestyle, she would have had to go on dialysis... INTERVENTION I met her via the Diabetes One Stop Clinic, with her husband, and I chatted to her about places to do exercise, but she struggled to go to places where she couldn t bring her children. RESULT MEND, A post-natal weight management runs in the Mission Practice surgery (where she can take her children with her), and although her youngest is too old for her to qualify, I negotiate a place for her, informing them how important it is for her to improve her health, and they accepted her. Since then her Diabetes has slowly improved. Case Study NURUN, 33, UNCONTROLLED DIABETES

  14. Any Questions ? Thank you for attending our presentation, we hope you can now understand Social Prescribing a bit better, all the best. Dee & Tracy

Related


More Related Content

giItT1WQy@!-/#giItT1WQy@!-/#giItT1WQy@!-/#giItT1WQy@!-/#giItT1WQy@!-/#giItT1WQy@!-/#giItT1WQy@!-/#