SOCIAL PRESCRIBING WORKSHOP 4 th December 2014

Social prescribing in Bexley Funded by CCG and Council Lots of support politically Initial pilot in Clocktower locality Manageable size Forward thinking practices Distinct and appropriate population

Clocktower locality GP Practices Bexley Group Practice Bellegrove Road Surgery Bursted Wood Surgery Crooklog Surgery Little Heath Surgery Ingleton Avenue Surgery Welling Medical Practice The Albion Surgery Westwood Surgery

How will social prescribing work in Bexley? GP refers Individual meets co- ordinator Individual accesses voluntary sector support

Referral Usually by GP Others in surgery – nurses, receptionists Patients are eligible for social prescribing if They are over 65 and have one or more LTC OR They are a carer of the above AND they meet 2 or more of the following conditions: Socially isolated ie seeing friends, family or neighbours less than once a week Frequent users of primary care services or A& E Struggling to manage significant life change Struggling to manage their health conditions

Meeting with the co-ordinator Initial phonecall Meeting in a local surgery Up to one hour Explores life’s circumstances and challenges for individual Holistic approach Together identify issues, goals and draw up plan

Accessing support Plan will include Actions the individual can take themselves Accessing support from the voluntary sector o Going to groups – may need some hand holding initially o Volunteers coming to them or helping with tasks

Mind’s role Mind will operate and co-ordinate social prescribing in Bexley o Employ the co-ordinator o Liaise with the GP practices and the voluntary sector o Hold the data Information Governance

What outcomes are we aiming for? Broad improvements in people’s quality of life 5 ways to wellbeing Wellbeing Emotional Social Physical Spiritual Psychological

Purpose Social prescribing empowers primary care and the local voluntary and community sector to partner for good in local people’s lives For the health sector: a means to address the non-health needs and struggles of some of your patients For the voluntary and community sector: access to hundreds to individuals who need your support, who you may not have found, and who wouldn’t have found you.

What is Information Governance? Information Governance is to do with the way organisations ‘process’ or handle information. It covers: personal information, i.e. that relating to patients/service users and employees, corporate information, e.g. financial and accounting records. Information Governance provides a way for employees to deal consistently with the many different rules about how information is handled

Information Governance Incorporates: Looking after sensitive data Laws and guidelines How information is processed How information is kept How information is shared How to handle Person Identifiable Data (PID) and Patient Confidential Data (PCD)

What is an IG Toolkit? The IG Toolkit is an online system which allows NHS organisations and partners to assess themselves against Department of Health Information Governance policies and standards. It also allows members of the public to view participating organisations' IG Toolkit assessments It draws together the legal rules and central guidance and presents them in one place as a set of information governance requirements.

What is the purpose of the information governance assessment process? Enable organisations to measure their compliance against the law and central guidance and to see whether information is handled correctly and protected from unauthorised access, loss, damage and destruction The main aim is to demonstrate that the organisation can be trusted to maintain the confidentiality and security of personal information. This in-turn increases public confidence that ‘the NHS’ and its partners can be trusted with personal data.

Organisations are required to provide IG assurances via the IG Toolkit as part of business/service support processes or contractual terms. For these organisations annual IG Toolkit assessments are required for either or both of two purposes: o To provide IG assurances to the Department of Health or to NHS commissioners of services; o To provide IG assurances to HSCIC as part of the terms and conditions of using national systems and services including N3, Choose and Book etc.. Non-NHS organisations

Depending on the services provided, these organisations are referred to in the IG Toolkit as a ‘Commercial Third Party’, an ‘NHS Business Partner’, an ‘Any Qualified Provider’, a ‘Voluntary Sector Organisation’ or a social enterprise/community interest company acting as a ‘Community Health Provider’. These organisations will: o have access to NHS patients and/or to their information; o provide support services directly to an NHS organisation; and/or o have access to national systems and services, including N3, Choose and Book etc..

What information do you hold? You may hold very sensitive personal information, such as medical details, or information about ethnicity, religion or criminal records. This makes it particularly important to ensure that both paid staff and volunteers are educated in how to keep such records safe. Many organisations experience data protection breaches because staff and volunteers who are processing data do not fully understand their obligations to protect the personal data that they hold.

A significant proportion of organisations visited did not have minimum requirements for password complexity or did not enforce regular password changes either automatically. Over a third of charities visited did not have annual refresher training in relation to data protection for all staff who handle personal data A large proportion of charities did not have adequate security in place for manual records containing personal data

ICO findings charitable and volunteer organisations Over a half of charities visited did not have formal retention schedules in place More than a third of organisations also lacked processes for the regular weeding of personal data held within manual records to ensure they were not excessive, irrelevant or out of date Approximately half of charities had failed to disable USB ports and DVD/CD drives on computers to prevent unauthorised removal of personal data or the upload of malicious code

A significant proportion of organisations visited did not have minimum requirements for password complexity or did not enforce regular password changes either automatically. Over a third of charities visited did not have annual refresher training in relation to data protection for all staff who handle personal data A large proportion of charities did not have adequate security in place for manual records containing personal data

A similar number of charities did not have secure fax or printing procedures, such as pin-coded printing or swipe cards A significant proportion of charities lacked robust procedures for controlling access to personal data for new starters, those moving to different positions within the organisation and those leaving it.

Data Breaches

The ICO’s five top tips Tell people what you are doing with their data and who it will be shared with. This is a legal requirement. Give staff the correct training on how to store and handle personal data. Use strong passwords to protect data, including upper and lower-case letters, one digit and, ideally, a symbol. Encrypt all portable devices such as laptops and memory sticks. Keep personal data only for as long as it is needed and then delete or destroy it.

Further Information Health & Social Care Information Centre Information Commissioners Office Information Governance Toolkit Information Governance Training Tool - learning.connectingforhealth.nhs.uk/igte/inde x.cfm learning.connectingforhealth.nhs.uk/igte/inde x.cfm

Any questions?

What do my organisation and our clients get out of it? Referrals from GPs – improved access Increased awareness of voluntary sector services Improved health and well-being of a larger number of service users Assessment & appropriate referral Evidencing the impact of prevention Evidence of savings

Questions for Groupwork What are the benefits for my organisation in taking part? What are the challenges – where will we need support? What other organisations should be involved in Social Prescribing?