Update NESTA Social Prescribing Project

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Presentation transcript:

Update NESTA Social Prescribing Project Chris Drinkwater Chair, NESTA Steering Group

Condition specific care pathways COPD, Diabetes, Obesity, Mental Illness, Older People, Learning disability Social Medical Initial assessment/stabilisation Annual care planning Lead Non-Traditional Provider Menu of activities related to needs/dependency Self care Minimal support Moderate support High support Own programme Direct access to services with initial induction and regular review Link worker personalised programme and intensive review

The Plan 1.Develop a link work service within existing voluntary organisations which will enable HCPs to refer (vulnerable) people with LTCs to non clinical community services and networks. 2.Raise awareness and equip HCPs to use this service through roll out of care planning training and support to all local practices. 3.Develop and maintain a comprehensive web-based information resource to support this programme - www.healthsignpostdirectory.org.uk

Commissioning the Link Work Service More than signposting – ability to engage, support and challenge people to change behaviours. Key competencies – understanding your community and understanding behaviour change. Aim to create autonomy rather than reinforce dependency. Costs, case load, work with volunteers.

The plan 200 patients to be recruited from 6 practices 5 Link work providers; - Age UK Newcastle - HealthWORKS - Carers Centre - Search - West End Befrienders

Progress to Date Around 100 patients New client group often with complex high level needs – particularly mental health. Majority being referred to HealthWORKS (73%), Age UK (22%) and Carers Centre (6%). 70% referrals over 50s Age UK – men 50s-60s, living alone and not in work Pilot community buddy service Preferred activities – DIY courses/furniture restoration.

Commissioning Activities Group rather than individual based What sort of activity? For how long? What sort of quality control? Who holds the activity budget – patient, link worker, commissioner? How do you reward/incentivise outcomes?

Annual Local Service Review Commissioners, referrers, service users and service providers. What does the annual review data tell us? What is working well and what needs to change? Is the service cost-effective?