Four pilot schemes will look at different approaches that can provide more support to patients who need time off work, addressing both health issues and wider challenges that affect their health and wellbeing.
Under the current system, GPs usually issue fit notes based on short consultations and with little time to understand the sometimes complex factors that mean someone is unable to work.
In the new trials, patients who need time off to recover will still get it, with sick pay offered in the same way as it is currently. But they will also be offered a referral to a link worker, a work and health coach or another relevant professional who may be able to provide more holistic support.
While the four pilot schemes will test different approaches, the teams supporting patients will work together to provide a range of help, including three-way conversations with patients and employers - covering reasonable adjustments and keeping people connected to their workplaces.
Where link workers are part of the trials, they will be able to focus on what matters to each person, what their goals are, and connect them to the most relevant local support – from housing support to debt advice to activities and groups that can support wellbeing and mental health.
The trials have been designed with patient and GP representatives, and will be refined based on what works. They will be voluntary, with patients able to decide whether to take part.
Launched in four existing WorkWell sites, the pilots will be backed by £3 million of new investment in the first year.
Commenting on the new programme, Charlotte Osborn-Forde, NASP’s Chief Executive, said:
It's encouraging that social prescribing is embedded in these ‘fit note’ pilots, with new investment for Social Prescribing Link Workers to support patients holistically and connect them to community support which can improve their health.
"Link workers can support people with social issues that affect their health, including loneliness, isolation and problems with debt or housing. They focus on what matters to people and connect them to community-based support - including advice on money or housing, carers' support, physical activity groups or local activities. There is strong evidence that this approach can benefit wellbeing and mental health.
"No one who is unable to work should be pressured into doing so, and it is important that employers take responsibility for creating healthy workplaces and supporting staff. But we hope that this voluntary scheme will help join the dots between the NHS, employers and communities, and ensure people get the right support for wider issues affecting their health."
Alongside the announcement, NASP and the Royal College of Occupational Therapy are also publishing new guidance on how Social Prescribing Link Workers and Occupational Therapists can work together most effectively.
