Understanding the Importance of Social Prescribing in Healthcare
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.
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South South East East Locality 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 DavinaRidsdale 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 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+
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.
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. Case Study NURUN, 33, UNCONTROLLED DIABETES
Any Questions ? Thank you for attending our presentation, we hope you can now understand Social Prescribing a bit better, all the best. Dee & Tracy
