1. AGENDA 1
Welcome
Yvonne Elliott, Deputy Chief Executive Officer PCS 2
Current Sheffield Model of Social Prescribing
Emma Dickinson, Commissioning Manager – People Keeping Well 3
Understanding the Network contract DES and the Social Prescriber role
Anthony Gore, Clinical Director of Care Outside of Hospital 4
How we are working together on this
Guy Weston, Health Services Manager, SOAR
Maddy Wood, GP Neighbourhood Coordinator, SOAR 5
Table discussions:
What do we already have across the city?
What do we want these additional roles to do?
How do we want to utilise these roles in practice?
What are the risks and unknowns? 6
Summary and next steps
All 7
Optional extra time to continue discussions, network and meet informally
3.30pm-4.30pm

2. Social Prescribing in Sheffield
Emma Dickinson
Sheffield City Council

3. What is Social Prescribing? , the social model of health
– this is the perceived view of SPx …
– it is also about … .

4. NHSE Definition of SPx
Social prescribing is a way for local agencies to refer people to a link worker. Link workers give people time, focusing on ‘what matters to me’ and taking a holistic approach to people’s health and wellbeing.
They connect people to community groups and statutory services for practical and emotional support
In Sheffield, we understand SPx to be more than just ‘connecting’ – importantly it is more about:
Making friends and developing purpose and confidence
Enabling people to resolve life problems

5. SPx – nothing new in Sheffield
Today is about an opportunity to understand how you might use this additional resource to complement what already exists
You may know it as; People Keeping Well, Health Trainers, Community Health Champions, Community Support Workers
The Sheffield Model is not ‘one size fits all’ but is flexible, responsive and built locally in the Neighbourhood
BUT they use the following key principles …
Supporting the person to identify and implement solutions
Listening and Coaching
Person centred approaches

6. Social Prescribing in Sheffield – if we were to draw a picture…
Council staff e.g. housing, communities, social care
Advocacy support
Advice on housing, health, social care
Support to check benefit entitlements and complete forms
Carers
Life admin
District Nurse / Occupational Therapist
People Keeping Well – local VCF organisation
Health Trainer / coach
Encouragement to live an active life
Smoking cessation
Healthy weight
Chronic pain groups
Managing long term conditions
Self-care
Healthy lifestyles GP
VCF
Activities
Craft, knitting, social groups, gardening
Dementia cafes, carers groups, sporting memories
Cooking and food groups
Health walks, exercise sessions
Activities
Family / friend / self
5 Ways to Wellbeing

7. Dr Anthony Gore and Yvonne Elliott
Social Prescribing   Navigating the NHSE model – a support guide for Primary Care Networks
Adapted from : SY&B Social Prescribing Steering Group, April 2019
Dr Anthony Gore and Yvonne Elliott

8. Framework for General Practice Contract
The new Framework for General Practice notes that:
By 2024, social prescribing link workers will have become an integral part of the core general practice model.
As part of the Primary Care Network DES, PCNs will have to deliver a national service specification for personalised care (including social prescribing).
Minimum activity levels will increase gradually over time. Both the complex care and personalised care service specifications commence in 2020/21 with requirements and expectations increasing over the following three years in line with workforce expansion.
Many networks may choose to fund a local voluntary sector organisation to employ the link workers and run the service of behalf of the network.

9. Reimbursement Scheme Starts 1 July 2019, reviewed after five years.
Estimated 20,000+ additional posts in five specific different primary care roles.
Clinical Pharmacists and Social Prescribing Link Workers.
100% of the actual ongoing salary costs and on costs for social prescribing link workers is reimbursable up to band 5 Agenda for Change pay scale (£34,113 including on costs, 2019/20).
Additional people only. A baseline survey of current link workers will be carried out in May.
No specific NHSE funding has been announced so far to cover other costs e.g. training, travel. (approximately additional 20-30% of the salary and on costs).
The scheme also doesn’t include funding to cover the costs of onward referrals from link workers to community groups.

10. Potential Hosting Options
Link workers employed, supervised and managed by PCN.
PCN sub-contracts existing social prescribing services to undertake extra activity and increase their number of link workers.
Link workers part of PCN multidisciplinary team but employed by Social Prescribing provider.
Additional link workers employed by PCN host organisation and seconded to the existing social prescribing service.
Additional link workers employed by existing SP services and seconded to PCNs.
PCN sub-contracts provision of the additional link worker activity to another provider e.g. GP Federations.

11. Social Prescribing Link Worker Role
Key responsibilities from the draft job description:
Take referrals from a wide range of agencies.
Provide personalised support to individuals, their families and carers to take control of their wellbeing, live independently and improve their health outcomes.
Draw on and increase the strengths and capacities of local communities, enabling local VCSE organisations and community groups to receive social prescribing referrals.
Work collectively with all local partners to ensure that local VCSE organisations and community groups are sustainable and that community assets are nurtured.

12. Predicted KPIs
The new specification is likely to require PCNs to deliver the following KPIs: Primary Care Networks will be monitored via a primary care network dashboard that indicates comparative performance. 1
Number wte link workers per 10,000 population
1 per 10,000 population by end 22/23 2
% of population who have accepted a social prescribing referral (ie being supported by social prescribing) each year
1% 20/21 
2%  21/22
3% 22/23 3
% of GP practices within primary care network who are able to refer to and involve link workers in practice meetings
100% from 20/21 4
% of link workers (funded by NHSE) who have received accredited training
90% by 22/23

13. Care Navigation and Social Prescribing Link Workers
Both Care Navigation and Social Prescribing:
Look beyond the presenting ‘issue’/request
Present alternatives to a clinical intervention, including social alternatives
Reduce avoidable GP appointments - care navigation diverts people from a GP appointment in the first instance to a more suitable alternative, social prescribing may reduce unnecessary repeat presentations from the same person.
But, fundamentally different:
Purpose
Type of intervention
The person i.e. attributes, skills, motivation
Training
Base of operation
Knowledge/relationship with community services.

14. Additional Considerations
SY&B engagement identified emerging themes from stakeholders:
Current social prescribing schemes are well regarded.
Current unmet need and great potential for future expansion.
Key patient cohort and referral pathways to develop.
Children and young people.
Social prescribing link worker activity cannot keep increasing without concurrent investment in the services that they refer people on to (particularly voluntary sector).
How the voluntary sector can support people when developing all relevant care pathways.

15. Social Prescribing Joint Learning Network How We Are Working Together: PCN & Neighbourhood VCS Organisation
Guy Weston (Health Services Manager- SOAR)
Maddy Wood (GP Neighbourhood Coordinator- SAPA and North2)

16. 1. Our Approach (the basics):
Reaffirming an existing relationship
Being open minded about perceptions of SOAR
Positioning & utilising existing assets
Joint discussions (& encouraging wider involvement)
Managing expectations.

17. 2. Key components of a neighbourhood VCS Organisation
SOAR
Management & coordination of services
Workforce management (inc clinical supervision)
Workforce development
Existing partnerships (& referral routes)
Micro commissioner (local activity)
Existing university partnerships
Marketing presence
(inc www)
Monitoring & Evaluation Systems
Governance & quality assurance
What can a neighbourhood VCS organisation (of size and maturity) offer a PCN?

18. 3. Key Actions: Face to face meetings
Nature of the contract- Full cost recovery, VAT
How to evolve the Social Prescribing system
Consistent approach
Sharing information- challenges and successes across the PCNs/North locality/City.

19. 4. Contact:
Guy Weston: Maddy Wood: Tel

20. Table Discussions
Based on what you have heard today discuss how you think PCNs should approach the role of Social Prescribing to support Primary Care Networks in Sheffield as part of the new Network Contract DES