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

What is Social Prescribing?

4

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

7

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

8

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.

11

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

12

Social Prescribing Local Picture

13

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

14

Table discussion

Engaging the whole system

15

Dr Nicholas Mistry / Ali MalikBarnet CCG

Key players to engage

16

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