East of England Regional Social Prescribing Event Tuesday 7th February 2017 Dr Michael Dixon National Clinical Champion for Social Prescription (NHS England) Chair College of Medicine

Short Definition Enabling healthcare professionals to refer patients to a link worker, to co-design a non-clinical social prescription to improve their health and wellbeing.

What does Social Prescription offer? A non-biomedical solution/de-medicalisation Personalised care and treatment Patient activation/self-care Sweating local assets

The Patient The GP General Practice The Local Community The National Health Service

What is the model of SP?...

There isn’t just one.. Data from evaluations shows approx. 6 models of working Community hub Person – GP/HCP group in practice link worker in practice Comm/Voluntary Link worker in the community groups

More important to work with local assets, environment and understand key ingredients Gain the relationships, trust and shared vision

180 innovators were asked.. What do you think are the key ingredients to making a successful social prescribing service?

Preliminary Economics Preliminary data is gradually emerging around the country. Variety of methods used. ROI may take 2 years and beyond for health care funder. Who gets the return and when ~funders Social ROI – ‘In year’ return of £1.20 – £3.10 Cost of prevention angle not yet mapped

Funders CCG 49% Council / Local Authority 20% NHS/PH England 10% GP Practice 1% Wellcome Trust 1% Arts & Humanities Res Council 1% Locality 1% Lottery 1% Other Trusts/Foundations 10% Other Charities 2% Changing landscape - more LA involvement, STP requirements, NHS crisis (!)

Where the SPN began Investigating the theories that underpin Social Prescribing (SP) approaches to health creation - Wellcome Trust Seed Award January 2016 Conference of 100 innovators March 2016 – Launched report at House of Parliament April 2016 – Appointment of a National Clinical lead for Social Prescription Sep 2016: 400 members, regional groups, newsletters and a lot of enthusiasm January 2017: 700 members. National conference May 18, 2017