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Barnet Innovation Group (BIG)
Social Prescribing
19th July 2018
North London Business Park
Welcome
1
Ali MalikDirector of QIPP, Planning and Performance – Barnet CCG
Overview of the session
1 An introduction to Social Prescribing
2 Barnet’s current SP models / interventions
3 Engaging the whole system
4Establishing an integrated coordination
process
5 Wash up and next steps
Table discussion
– is this what we should be doing?
Table discussion
– how should we better engage the system?
Table discussion
– ideas on what’s needed and how
Seher Kayikci
Seher Kayikci
Jeff Lake /
Dr Nicholas Mistry
Ali Malik /
Conan Cowley
Dan Glasgow /
Ali Malik
An introduction to Social
Prescribing
3
Seher KayikciSenior Health Improvement Specialist – London Borough of Barnet
Background
5
• Marmot Review (2010) ‘Fair Society, Healthy Lives’
• The Five Year Forward View (NHS England, 2014)
• Department of Health (2015) Policy paper: 2010 to 2015 government policy: long term health conditions
• The King’s Fund (2016) Understanding pressures in general practice
• The Care Act (2014)
• Mayor of London (2017) ‘Better Health For All Londoners’ Draft Health Inequalities Strategy
Drivers
6
Ten high impact actions to release capacity in general practice
Data from 5,128 consultations
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GPs judged 26%
of their consultations
to be potentially avoidable
… 18% are about
how the practice
manages its workload
What is Social Prescribing?
Social Prescribing Network defines social prescribing as:
‘A means of enabling GPs and other frontline healthcare professionals to refer patients to a link worker - to provide them with a face to face conversation during which they can learn about the possibilities and design their own personalised solutions, i.e. ‘co-produce’ their ‘social prescription’- so that people with social, emotional or practical needs are empowered to find solutions which will improve their health and wellbeing, often using services provided by the voluntary, community and social enterprise sector’.
• https://www.youtube.com/watch?v=O9azfXNcqD8
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Impact
Rotherham CGG projects a ROI of £3.38 for every £1 spent after five years.https://www.westminster.ac.uk/file/107671/download
• Aim: to build a Common Framework for Measuring the Impact of Social Prescribing
9
Demand assessment % reduction
GP consultations Average 28% (2% – 70%)
A&E attendance Average 24% (8%-27%)
Emergency hospital admissions 6% - 36%
Outpatient referrals Up to 64%
Mental health care Mixed results
Our current SP models and initiatives
10
Seher Kayikci / Jeff LakeLondon Borough of Barnet
Social Prescribing Models
1. Referral to a commissioned ‘one-stop connector service’
2. Community-Centred Practices: GP surgeries as community ‘hubs’, invite citizens in to work collaboratively, as ‘health champions’.
3. In-house ‘community link workers/ care navigators’ –employed by GP Practices.
4. Direct referral: GPs and other healthcare professionals refer patients directly to social prescribing services.
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ReferersGP, Integrated Care
team, Library staff, self
referral
ConnectorsCommunity navigator or
‘link worker’, employed
in the VCSE sector
PrescriptionCommunity Groups -gardening,
singing, dance, peer support –
funded/non-funded
Social Prescribing Developments
• Social prescribing is included in 75% of Sustainable Transformation Plans (STPs).
• Healthy London Partnership Provide intensive support to the five STP areas in London, mapping current provision and defining plans to embed social prescribing by 2020.
• Nearly half of all Clinical Commissioning Groups (CCGs) are investing in social prescribing ‘connector’ programmes.
• 1in 5 GPs regularly refer patients to social prescribing. 40% would refer if they had more information about available services (July 2017, GP Online Survey).
• Social prescribing secondary care pilot is underway
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Social Prescribing Local Picture
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1. Over 1,200 charities operating in Barnet (JSNA 2015)
2. A wide-range of Care Navigation, Link Working, Community Access, Coaching and Peer Support roles
3. Directory of Community Services (LBB)
4. Reimagining Mental Health - Barnet Wellbeing Hub and Link Workers (Barnet CCG)
5. Community Centred Practice – Practice Health Champions (Public Health)
6. Touchpoint (Lottery Fund - Inclusion Barnet)
7. Prevention and Wellbeing Co-ordinators (Adult Social Care)
Our current SP models and initiatives
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Table discussion
Engaging the whole system
15
Dr Nicholas Mistry / Ali MalikBarnet CCG
Key players to engage
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GPs / Primary
Care
Acute
Providers
Community
Providers
Individuals
eligible for
SP
Adult Social
Care
Voluntary
Sector
Patient
Groups
Engaging the whole system
17
Table discussion
Establishing an integrated
coordination process
18
Dan Glasgow / Conan CowleyBarnet CCG
Key discussion areas
19
• How could you ensure there is sufficient capacity to signpost and support additional service users?
• How could a model within Barnet be sustainable?
• How can technology be used to join-up processes / services?
• How could a model be implemented within Barnet?
Wash up and next steps
20
Ali MalikBarnet CCG