Zoë FreedmanKeymaster17th February 2021 at 10:28 amPost count: 44
Some useful resources to find out more about the structure of the NHS:
What are ICS, STPs, PCNs etc.?
Zoë FreedmanKeymaster24th February 2021 at 12:03 pmPost count: 44
Here are Tim Anfilogoff’s answers to more of your questions:
What advice would you give arts/voluntary organisations trying to develop a social prescribing offer? Who do we approach first?
It will always depend on the area where you are but here are some thoughts:
• Who leads on Arts Development in the local authority/ies and what links do they have?
• Who commissions the voluntary sector in your LA/s? They should know
• Is your local CVS actively engaged in social prescribing locally? What networks can you link into/partner with
• There should be a social prescribing lead in your CCG (but this link may be broken because so many people have had to change roles during the pandemic)
• The regional co-ordinator from NASP and the Learning Co-ordinator for NHSE will have links to individual LWs (who will have links to individual PCN clinical directors)
• Is your Director of Public Health approachable (probably not at the moment because of the pandemic, but there is a very strong evidence base for the positive impact of art on health see https://www.culturehealthandwellbeing.org.uk/appg-inquiry/ )
• If nothing else works (or you could start here), Google SP and your geography and see what happens – you are bound to find someone who can help you network
What is the view on clinical effectiveness of SP within the CCG? It may be what people want, but how much consideration is there for what is effective?
• Evidence base for SP is developing, but there is already a lot of it. Post Covid I don’t think there are any clinicians now who don’t get the impact of social determinants on health, if only because of the much worse experience of BAME communities during Covid and the new extension of Clinically Extremely Vulnerable lists on the basis of social determinants shows this is increasingly understood
• I attach some slides I use locally on the evidence base – case studies are particularly useful where you don’t have lots of ‘hard’ data. GPs like to have their patients’ problems solved and in some cases it is really obvious how awful the outcomes would have been without SP (like the 5 cases in the slides). SP saved money and time for a range of agencies as well as improving the outcomes for the patient. And the role of SP in motivating people is critical. All very well being told to lose weight. It often takes a lot of support from peers and encouragement (and other problems being sorted) before it will happen
• Local GPs also tell me it’s not just about seeing patients less, as per some of the case studies, once social issues are addressed the medical issues can be addressed properly – there may be a surge of medical input, but leading to better outcomes, followed by a more stable, happier patient.
What’s the best way to get in touch with local SPLWs to tell them about your service?
• Incredibly variable and depends on your geography as set out above, but regional co-ordinator for NASP and Learning Co-ordinator for NHSE should be able to help if you can’t make links as set out above
• If you have (like we do in Herts) a county-wide single point of access to the voluntary sector that should be straightforward
• If you have a social prescribing service (as opposed to just single PCN employed LWs) it should be straightforward to start networking
• CVSs should be able to advise how to make contact
NB – all LWs will be very keen to hear about ‘prescriptions’ they can offer clients, but there is generally some work to be done on local networks to make this linking up easier. Herts Community database has 12,000 entries.
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