Social prescribing

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107 Londoners have responded | 30/01/2019 - 30/04/2019

People walkin in a park

Social prescribing

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Social prescribing is about helping people to find ways to improve their health and wellbeing by linking them up with what is going on in their local area. It enables people to access services that meet their wider emotional, physical and social needs.

Together with the Healthy London Partnership, NHS England and the Social Prescribing Network for London and following engagement, City Hall has developed a draft social prescribing vision for London.

We'd love to hear what you think.

Have you heard of social prescribing before and what do you think about it? Do you know if it’s available in your area? Would you use a social prescribing service if it were offered to you?

The discussion ran from 30 January 2019 - 30 April 2019

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Comments (169)

Avatar for - Monarch butterfly

I work with Incredible Edible Lambeth and we are right behind social prescribing; we know that getting out and about and growing food is not only good for your physical health but also your mental health. Time spent in Nature is one of the...

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I work with Incredible Edible Lambeth and we are right behind social prescribing; we know that getting out and about and growing food is not only good for your physical health but also your mental health. Time spent in Nature is one of the best things we can all do for our health. We have developed walking trails to visit green spaces in Lambeth. Check us out at www.incredibleediblelambeth.org

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We have been researching the impact of Museums on Prescription for the past few years and found that museum programmes improved
psychological wellbeing, increased self-esteem, optimism and hope, and reduced social isolation.

More...

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We have been researching the impact of Museums on Prescription for the past few years and found that museum programmes improved
psychological wellbeing, increased self-esteem, optimism and hope, and reduced social isolation.

More information is available here:
https://culturehealthresearch.wordpress.com/museums-on-prescription/
https://culturehealthresearch.files.wordpress.com/2017/10/mopguide.pdf

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Thanks everyone for all your comments and suggestions.

Some of you have aked where you could find more information. You can find out more about what social prescribing services are available in your area from your local voluntary sector service council, your local council webpages (their directories of services).

Your local GP surgery may also be able to direct you to a nearby service if they do not provide one themselves.   

Would you welcome being signposted to social activities in your local area by your doctor, health profesional or others? Why or why not?

Talk London

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This idea is new to me, so I am plainly not aware of it being available in Wandsworth. Clearly some people who approach GP's have problems or causes for their illness that are not wholly or partly medical. Having a way to address those non...

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This idea is new to me, so I am plainly not aware of it being available in Wandsworth. Clearly some people who approach GP's have problems or causes for their illness that are not wholly or partly medical. Having a way to address those non-medical causes or contributory factors would be nice. Any such service needs to know where the boundaries of it's responsibility lie, and that will be a challenge. High housing costs leading to debt and stress and anxiety requires lower cost housing, sharing costs with an additional tenant or a better pay, none of which are medical or close to it. Services like Citizen's Advice Bureau once provided one kind of support, but their funding has been cut. Libraries provide a range information on how to find things out, but there are less of those now.  To be more positive, guidance and support on diet and exercise and where to find support to improve those are closer to the remit of general practice. 

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Avatar for - Monarch butterfly

Never heard if it but agree with previous commentator that it sounds brilliant! How is it funded? And can anyone benefit?

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Never heard if it but agree with previous commentator that it sounds brilliant! How is it funded? And can anyone benefit?

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Hi Sassina and thanks for sharing your views.

The majority of activities that the social prescriber(or link-worker) refers someone to are free to them to attend, for example exercise or gardening clubs. Others may make a small charge (for materials) for example. Many social prescribing projects are funded by the NHS, local authority or charities to provide services.   

What sort of health, wellbeing and social conditions and issues do you think might benefit the most from a social prescribing aproach?

Talk London

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think ok idea

but concept was developed to reduce hospital admissions so placing it in primary care isnt going to do this

surely this is just adding to GPs workload?

totally agree with addressing underlying issues for people

recommend...

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think ok idea

but concept was developed to reduce hospital admissions so placing it in primary care isnt going to do this

surely this is just adding to GPs workload?

totally agree with addressing underlying issues for people

recommend much better use of older people to help connect communities eg voluntereing with kids etc

how much will it cost?

will it widen inequalities wont those with greatest health literacy eg the well off benefit more than those in most deprived

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Avatar for - Adelie penguin

I think its a great idea and much of the work I do could be categorised as social prescribing as I work on free community workshops that are based on gardening, art or considering the environment and public realm.  In my experience there...

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I think its a great idea and much of the work I do could be categorised as social prescribing as I work on free community workshops that are based on gardening, art or considering the environment and public realm.  In my experience there are a lot of people who would like this type of activity to happen on an informal, drop-in basis.

My questions would be:

Where does someone get the information about projects from?

How can someone offering free workshops promote them to people looking to get involved?

Could a network of people work together to start their own, small community groups based around green spaces etc.

 

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Thanks everyone for joining in this discussion. Some of you have mentioned the voluntary sector and asked how they are involved.

The voluntary sector play a key role in developing and delivering social prescribing services. Many of the services provided are not new, voluntary sector organisations have been providing them successfully for years. What is new is that there is growing evidence that social prescribing can significantly improve people’s health and well-being, particularly those with complex and long term needs, particularly  given the co-ordination role that link-workers play to join different services together for people.

One of the Mayor’s key ambitions for the Social Prescribing Vision is to ensure that the voluntary sector are seen as an equal partner in the design and delivery of social prescribing in London and are funded accordingly.

What sort of health, wellbeing and social conditions and issues do you think might benefit the most from a social prescribing approach?

Talk London

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It's not the prescribing that brings the benefit, that is only the first step. Regular, purposful and prolonged particpation in the activity being prescribed has to happen for benefits to be realised. 

I'am a Director of a charity offering...

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It's not the prescribing that brings the benefit, that is only the first step. Regular, purposful and prolonged particpation in the activity being prescribed has to happen for benefits to be realised. 

I'am a Director of a charity offering these services. We have evidence that there is no standardised approach from the statutory sector in social prescribing and they certainly don't view us as equal partners. The biggest barrier at the moment is a lack of funding. We are being asked to provide increased services with no additional monies. 

 

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I have not heard of Social Prescribing before. I think it sounds like a good idea for people who are new to the London area, have just retired or for some other reason are short of things to do. Personally I have no need to use this type of...

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I have not heard of Social Prescribing before. I think it sounds like a good idea for people who are new to the London area, have just retired or for some other reason are short of things to do. Personally I have no need to use this type of service because I am involved in many things since I retired. These include my local church, a drama society, the National Women's Register, the Friday London Walkers, a book group and a local residents' association. I also like to keep in contact with old friends and family.

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Avatar for - Adelie penguin

Superficially this sounds attractive - but it is nothing new.  GPs, nurses, senior reception staff, librarians, council workers... all have been signposting people to local activites and resources for years.  Clealry this is a sensible...

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Superficially this sounds attractive - but it is nothing new.  GPs, nurses, senior reception staff, librarians, council workers... all have been signposting people to local activites and resources for years.  Clealry this is a sensible thing to do.  I However, I see two problems with the current initiative.

One is that by calling it "prescribing" it implies there is some right to have these activities or services, possibly funded by the NHS.  This is not the case: it is simply signposting  to activities or services which are provided by Councils and the voluntary sector.  These bodies  will apply their own restictions and funding requirements.

Secondly, the vicious cuts to Council funding (which often also supports local charities and voluntary sector) means that there are ever fewer such activities to which we can signpost people.

As a GP, I am seeing ever more people who are not quite old/sick/poor enough to qualify for support.  They know as well as I do that what they need is decent housing/work/benefits and not a prescription for antidepressant; but these problems are not going to fixed by attending a community singing group either.  I fear that "social prescrubig" is little more than a glossy distraction.

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Avatar for - Adelie penguin

Superficially this sounds attractive - but it is nothing new.  GPs, nurses, senior reception staff, librarians, council workers... all have been signposting people to local activites and resources for years.  Clealry this is a sensible...

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Superficially this sounds attractive - but it is nothing new.  GPs, nurses, senior reception staff, librarians, council workers... all have been signposting people to local activites and resources for years.  Clealry this is a sensible thing to do.  I However, I see two problems with the current initiative.

One is that by calling it "prescribing" it implies there is some right to have these activities or services, possibly funded by the NHS.  This is not the case: it is simply signposting  to activities or services which are provided by Councils and the voluntary sector.  These bodies  will apply their own restictions and funding requirements.

Secondly, the vicious cuts to Council funding (which often also supports local charities and voluntary sector) means that there are ever fewer such activities to which we can signpost people.

As a GP, I am seeing ever more people who are not quite old/sick/poor enough to qualify for support.  They know as well as I do that what they need is decent housing/work/benefits and not a prescription for antidepressant; but these problems are not going to fixed by attending a community singing group either.  I fear that "social prescrubig" is little more than a glossy distraction.

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Avatar for - Monarch butterfly

I have not heard of this social prescribing. I am in Brent area and would like to know more information.  Currently I am basically helping my two disabled friends and would like to get a better life for them. Where can I get in contact with...

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I have not heard of this social prescribing. I am in Brent area and would like to know more information.  Currently I am basically helping my two disabled friends and would like to get a better life for them. Where can I get in contact with the right people. 

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You can find out more about what social prescribing services are available in your area from your local voluntary sector service council, your local council webpages (their directories of services).

Your local GP surgery may also be able to direct you to a nearby service if they do not provide one themselves.   

What kind of activities are you looking for?

Talk London

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Social prescribing would be a good idea, if it had not coincided with the Government's austerity measures.  Local community groups have been decimated by cuts in LA funding.  There are few local voluntary organisations left.

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Social prescribing would be a good idea, if it had not coincided with the Government's austerity measures.  Local community groups have been decimated by cuts in LA funding.  There are few local voluntary organisations left.

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Avatar for - Sea turtle

I hadn't heard of it before but think its a very good idea. My main concerns would be who will fund the advisors?  
I know there are a lot of my activities in my area but no central location to find out about them.

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I hadn't heard of it before but think its a very good idea. My main concerns would be who will fund the advisors?  
I know there are a lot of my activities in my area but no central location to find out about them.

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I am delighted with this idea.  So many people, especially in London, are lonely and don't know what is out there or who to contact.   I remember years ago my GP prescribing subsidised visita to the gym at Ironmonger Baths (for a...

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I am delighted with this idea.  So many people, especially in London, are lonely and don't know what is out there or who to contact.   I remember years ago my GP prescribing subsidised visita to the gym at Ironmonger Baths (for a physical medical condition).  She was obviously ahead of her time and now I'm sure would be very willing to participate in community prescriptions.   I am a little concerned about the funding though, it's ok to say groups can be set up but someone has to initiate it (a local development worker?) and they should be paid but out of what budget?  Hopefully not by the NHS as their funds are dwindling so fast. 

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There is a lot of good in this idea. It's very easy to feel isolated in London, especially if one is new. Loneliness, stress, and depression are social problems with medical consequences. Opportunities for people to experience community are...

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There is a lot of good in this idea. It's very easy to feel isolated in London, especially if one is new. Loneliness, stress, and depression are social problems with medical consequences. Opportunities for people to experience community are really important.

Charities that participate in this endeavor should revisit their own volunteering guidelines and how they treat potential volunteers. If someone takes the time to contact an organization, the organization should acknowledge that person within a few days. Having extensive NGO experience in the US, I was surprised by how many charities have trainings that may only occur a couple of times in a year or such exacting criteria for volunteering that many are turned away. I can imagine someone who is lonely and tries to take a positive step like volunteering would feel rejected and demoralized if the charity doesn't even acknowledge them.

I'm glad that the idea of social prescriptions is being put forward. It has a great deal of potential.

 

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I hadn't heard of this but I think it's a great idea. Co-incidentally, I'm reading a book called 'Being Mortal' by Atul Gawande which is a very nice book about how people can prepare themselves for big changes in life they didn't expect. I...

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I hadn't heard of this but I think it's a great idea. Co-incidentally, I'm reading a book called 'Being Mortal' by Atul Gawande which is a very nice book about how people can prepare themselves for big changes in life they didn't expect. I'd recommend it. 

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Hi Anewland and thanks for sharing.

What sort of health, wellbeing and social conditions and issues do you think might benefit the most from a social prescribing approach?

Talk London

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yes, I have heard about it.

Great idea to get residents active, connected and involved in local groups and activities.  This should be expanded to cover all areas.

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yes, I have heard about it.

Great idea to get residents active, connected and involved in local groups and activities.  This should be expanded to cover all areas.

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Thanks everyone for sharing your views in this discussion.

What do you think are the main benefits of a social prescribing approach, for people? What might be the benefits for the NHS?

And what do you think are the main drawbacks of social prescribing, firstly for people and secondly for the NHS?

Talk London

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The NHS should not be funding social prescribing. The drawbacks for people are that in practice, far too often they will be social prescribed something when a referral for tests or medical treatment would have been the right way to go...

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The NHS should not be funding social prescribing. The drawbacks for people are that in practice, far too often they will be social prescribed something when a referral for tests or medical treatment would have been the right way to go. Illness may be left untreated until it is too late, or until it has become a chronic permanent condition. Also, it is clear already that those contracted to provide the socially prescribed activity may be just milking the tax-paid system rather than properly providing useful preventative activities for an effective period. Also, It is not always enough to make people feel good. This can be misleading, and it could result in genuine illness not being recognised. There are a lot of providers of activities and treatments of which the effectiveness is very dubious indeed, and that includes most counselling. Counselling can help in the short term, but is not a treatment. The benefits for the NHS, but ONLY if the NHS does not fund it, come with the preventative effects of people keeping in good health. The drawbacks to the NHS are those of funding it, and the costs of the inevitable late diagnoses of problems that needed medical treatment.

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All woul be great if Mayor would read our thouts not only said what he woun't.

He did not listened when we ask not to ingaded low qualification specialist from abroun in NHS and Surgeries particularly.

He did not listened about Christmas...

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All woul be great if Mayor would read our thouts not only said what he woun't.

He did not listened when we ask not to ingaded low qualification specialist from abroun in NHS and Surgeries particularly.

He did not listened about Christmas Eve and transport on Christmas Day that was been cuted off, too soon before midnaight not after 2 am as been asked.

new Years Eve was terible because he did not wan't to published restricted areas, tickets wasn't awaylable by gates as promised, crew did not now directions shortest routes was'n been calculated.

I did said and I will repet please can you listen us, Mayor Sigid Khan?

 

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