Hot Topic: Social Prescribing

A Word version of this briefing aimed at health care professionals is available for LKS staff to share in their own organisations.  Please feel free to reproduce it (with acknowledgement) for your own purposes.

Impact on library policy/practice: 

  • LKS teams may be asked to try to locate or synthsise evidence to support the commissioning of specific social prescribing initiatives
  • LKS teams, in collaboration with public library services may be involved in the provision of some social prescribing initiatives (such as service-user or staff reading groups, digital literacy training, books on prescription schemes or similar – see the KfH PPI group’s Ideas Bank for more ideas) or in working with social prescribing co-ordinators to signpost to suitable opportunities (many public library services will have directories of community organisations)
  • LKS could work with occupational health teams to have staff referred to particular initiatives run by the library
  • Social prescribing, along with other initiatives in local STPs, may represent a shift away from secondary care and this may have implications for our user base which may become more community-based

What is social prescribing?

It is a means for GPs and other primary care professionals to refer patients to non-medical interventions that can be used to improve their physical or mental well-being. The kinds of options available for prescribing could include walking groups, knit and natter groups, cookery classes, adult learning, volunteering, and self-help reading (the Books on Prescription scheme is an example of social prescribing).

Social prescribing is mentioned in the NHS England document ‘Next Steps on the Five Year Forward View’ and in the General Practice Forward View as a means of reducing avoidable demand, with an aim to work with the voluntary sector and primary care to ‘design a common approach to self-care and social prescribing’ (1). A national clinical champion for social prescribing was appointed by NHS England in 2016.

Social prescribing is a feature of many local Sustainability and Transformation Plans (STPs).

What examples are there of social prescribing in practice?

There are plenty of examples, some of which are listed in the evaluation carried out by the University of York on pages 5-7 (2). The Commissioning Handbook for Librarians provides suggestions for searching for material about social prescribing (3) which will help identify more.

The Rotherham social prescribing service is a very large scheme, and was mentioned in the NHS Five Year Forward View as an emerging model for the future.

What’s the evidence for social prescribing?

A systematic review carried out in 2016 and published in BMJ Open (4) found that there was there was little good quality systematic evidence to inform the commissioning of social prescribing programmes, as did a previous review of 2015 published by the University of York’s Centre for Reviews and Dissemination (2).

There is some evidence that social prescribing schemes can make a difference to outcomes such as quality of life, levels of depression, and reduction in use of health services, and social prescribing schemes show high levels of satisfaction from users and health care professionals. However, much of the evidence is qualitative, is from self-reported outcomes, and is from small-scale schemes. Most studies focus on a particular intervention rather than social prescribing generally(5). Evidence on the cost-effectiveness of social prescribing is limited.

Further reading

  1. NHS England (2017). Next steps on the NHS Five Year Forward View. https://www.england.nhs.uk/wp-content/uploads/2017/03/NEXT-STEPS-ON-THE-NHS-FIVE-YEAR-FORWARD-VIEW.pdf
  2. University of York. Centre for Reviews and Dissemination (2015) Evidence to inform the commissioning of social prescribing. https://www.york.ac.uk/media/crd/Ev%20briefing_social_prescribing.pdf
  3. The Commissioning Handbook for Librarians (2017) Social Prescribing. http://commissioning.libraryservices.nhs.uk/hot-topics/social-prescribing
  4. Bickerdike L, Booth A, Wilson PM, et al. Social prescribing: less rhetoric and more reality. A systematic review of the evidence. BMJ Open 2017;7 http://bmjopen.bmj.com/content/7/4/e013384
  5. King’s Fund (2017) What is social prescribing? https://www.kingsfund.org.uk/topics/primary-and-community-care/social-prescribing

Primary audience: LKS staff and their wider organisations

Date last updated: May 2017

Due for review: May 2018

Group member responsible: JC

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