What is the value of social prescribing?

Main Article Content

Richard Kimberlee

Abstract

General practice is in crisis. Across the UK different models of social prescribing have evolved to meet the growth in patient attendance. Although there is growing evidence of their efficacy there is little evidence of their value. Analysing one holistic social prescribing intervention this research adopts a social return on investment approach. Using an impact questionnaire, including validated items impact of the programme was assessed on 128 new patients over 12 months. This was followed up with semi-structured interviews with 40 patients; analysis of GP attendance data and the recording of other social outcomes. Data collected show statistically significant improvement in: Public Health Questionnaire 9 (p=<0.001), Generalized Anxiety Disorder 7 (p=<0.001), the Friendship Scale scores for social isolation (p=<0.001); the Office National Statistics’ Wellbeing measures (item range p=<0.05 to p=<0.001) and the International Physical Activity Questionnaire item for moderate exercise. There was a social return on investment of £2.90 for every £1 invested. Getting a broader perspective on value is vital to developing the business case to encourage commissioners to invest in social prescribing. Understanding and monetising broader social impact is vital to describing the full value of social prescribing.

Article Details

How to Cite
Kimberlee, R. (2016). What is the value of social prescribing?. Advances in Social Sciences Research Journal, 3(3). https://doi.org/10.14738/assrj.33.1889
Section
Articles

References

Gerada, C. (2013) Final keynote speech to the Royal College of General Practitioners Annual conference, 3rd October 2013, Harrogate, London.

http://www.rcgp.org.uk/annualconference

Accessed 8th August 2015.

Campbell, D. (2013) Hard pressed GPs say they can no longer guarantee safe treatment, Guardian, 15th June 2013.

Addicott, R. and Ham, C. (2014) Joining up services in the community GPs leading the way

Kings Fund: London.

Popay, J. Kowarzik, S. Mallinson, S. Mackian, S and Barker, J. (2007) Social problems, primary care and pathways to help and support: addressing health inequalities at the individual level. Part II: lay perspectives. Journal of Epidemioloigical Community Health, 2007 November; 61(11): 972–977.

Hart, J., Thomas, C., Gibbons, B., Edwards, C., Hart, M., Jones, J., Jones, M. and Walton, P. (1997) Twenty five years of case finding and audit in a socially deprived community, BMJ 1991;302:1509.

Scottish Development Centre for Mental Health (2007) Developing Social Prescribing and Community Referrals for Mental Health in Scotland, Edinburgh: The Stationery Office.

CSIP (2007) Social prescribing for mental health – a guide to commissioning and delivery, CSIP North West. http://www.mhne.co.uk/files/MHNE126.pdf

Accessed 17th August 2015.

Dayson, C. and Bashir, N. 2014 The social and economic impact of the Rotherham Social Prescribing Pilot Summary Evaluation Report Sheffield Hallam University Centre for Regional Economic and Social Research.

http://www.shu.ac.uk/research/cresr/sites/shu.ac.uk/files/social-economic-impact-rotherham-summary.pdf

Accessed 22nd August 2015

Stickley, T. and Eades, M. (2013) Arts on Prescription: a qualitative outcomes study, Public Health 127(8): 727-734.

Age UK (2012) Social Prescribing A model for partnership working between primary care and the voluntary sector, http://www.ageconcernyorkshireandhumber.org.uk/uploads/files/Social%20Prescribing%20Report%20new.pdf

Accessed 14th August 2015

Kimberlee, R. (2015) What is social prescribing? Advances in Social Sciences Research Journal, Volume 2, No1.

Dowrick, C., Bellon, J. and Gomez, M. (2000) GP frequent attendance in Liverpool and Granada: The impact of depressive symptoms, British Journal of General Practice, 50: 361–5.

Kimberlee, R. (2013) Developing a Social Prescribing Approach for Bristol, A report for Bristol Clinical Commissioning Group, October 2013.

White, J., Kinsella, K. and South, J. (2010) An Evaluation of Social Prescribing Health Trainers in South and West Bradford, Leeds Metropolitan University.

http://healthtrainersengland.com/wp-ontent/uploads/2014/06/Bradford_SPHT_report_201021.pdf

Accessed 10th August 2015

Grant, C., Goodenough, T., Harvey, I. and Hine, C. (2000) A randomized controlled trial and economic evaluation of a referrals facilitator between primary care and the voluntary sector, BMJ, 320, 419–23.

Thornett, A. (2000) The economic consequences of treating psychosocial disorders, BMJ, 320:7232. www.bmj.com/cgi/letters/320/7232/419

Accessed 20th August 2015.

Cabinet Office (2009) A guide to Social Return on Investment, Cabinet Office and SROI Network.

Friedli, L., Jackson, C., Abernethy, H. and Stansfield, J. (2007) Social prescribing for mental health – a guide to commissioning and delivery, CSIP North West.

http://www.mhne.co.uk/files/MHNE126.pdf

Goodhart, C., Layzell, S., Cook, A. and Graffy J. Family Support in General Practice, J R Soc Med, 1999;92:525-528.

Care Forum (2012) An Evaluation of New Routes: A Social Prescribing Service in Keynsham:

years from October 2009 to September 2012. The Care Forum, Bristol.

Friedli, L., Jackson, C., Abernethy, H. and Stansfield, J. (2007) Social prescribing for mental health – a guide to commissioning and delivery, CSIP North West.

http://www.mhne.co.uk/files/MHNE126.pdf

Phillips, J. (1991) Handbook of Training Evaluation and Measurement Methods, Houston: Gulf Publishing Company.

Arvidson, M., Lyon, F., McKay, S and Moro, D. (2010) The ambitions and challenges of SROI, Working paper 49. Third Sector Research Centre.

Knapp, M., McDaid, D., & Parsonage, M. (Eds.). (2011). Mental health promotion and mental illness prevention: The economic case, London: Department of Health.

http://cep.lse.ac.uk/textonly/research/mentalhealth/RL414d.pdf

Accessed 16th August 2015.

Emerson, J. (2000) Social return on investment: exploring aspects of value creation in the non profit sector in Social Purpose Enterprises and Venture Philanthropy in the New Millennium, vol. 2., The Roberts Foundation, San Francisco. pp. 131–173.

Greenspace Scotland (2009) Social Return on Investment (SROI) Analysis of the Greenlink, a partnership project managed by the Central Scotland Forest Trust.

http://www.greenspacescotland.org.uk/SharedFiles/Download.aspx?pageid=133&mid=129&fileid=133

Accessed 13th August 2015.

Cabinet Office (2009) A guide to Social Return on Investment, Cabinet Office and SROI Network.

National Institute of Health and Clinical Excellence (2011) Common mental health disorders: identification and pathways to care implementing NICE guidance: Costing Report, NICE Clinical Guideline 123.

Knapp, M., McDaid, D., & Parsonage, M. (Eds.). (2011) Mental health promotion and mental illness prevention: The economic case, London: Department of Health.

http://cep.lse.ac.uk/textonly/research/mentalhealth/RL414d.pdf

Accessed 16th August 2015.

National Institute of Health and Clinical Excellence (2011) Common mental health disorders: identification and pathways to care implementing NICE guidance: Costing Report, NICE Clinical Guideline 123.

Kimberlee, R. (2013) Developing a Social Prescribing Approach for Bristol, A report for Bristol Clinical Commissioning Group, October 2013.

Department of Work and Pensions (2012) The Work Programme: The First Year, London: DWP.

Knapp, M., McDaid, D., & Parsonage, M. (Eds.). (2011) Mental health promotion and mental illness prevention: The economic case, London: Department of Health.

http://cep.lse.ac.uk/textonly/research/mentalhealth/RL414d.pdf

Accessed 16th August 2015.

South West Forum (2015) Proving Our Value – Social Prescribing

http://southwestforum.org.uk/social-prescribing-study

Accessed 20th August 2015.

Cawston, P (2011). Social prescribing in very deprived areas, British Journal of General Practice, 61: 350.

British Academy (2014) If you could do one thing: Nine local actions to reduce health inequalities, http://www.britac.ac.uk/policy/Health_Inequalities.cfm.

Accessed 27th July 2015.