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Chapter 18 - Social Prescribing

from Section 4 - Clinical Skills in Lifestyle Medicine

Published online by Cambridge University Press:  01 May 2025

Richard Pinder
Affiliation:
Imperial College of Science, Technology and Medicine, London
Christopher-James Harvey
Affiliation:
Imperial College of Science, Technology and Medicine, London
Ellen Fallows
Affiliation:
British Society of Lifestyle Medicine
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Summary

Social prescribing is a personalised care approach that connects individuals to community resources for health and wellbeing. There is a rich history of social prescribing initiatives in the UK, including the Peckham experiment and the Bromley-By-Bow Centre. There are six types of social prescribing resources: physical activity, arts and crafts, nature, social support, statutory services, and education. The NHS model for social prescribing includes link workers, referral systems, workforce development, and outcome frameworks. Challenges in measuring the effectiveness of social prescribing are many: differentiating between outputs and outcomes. Economically evaluating social prescribing is complex, and robust evaluations are needed. Principles for future success emphasise quality research and multidisciplinary collaboration. A comprehensive understanding of social prescribing is crucial to unlock its full potential.

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Publisher: Cambridge University Press
Print publication year: 2025

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References

Glasziou, P., Moynihan, R., Richards, T. and Godlee, F., Too much medicine; too little care. BMJ. 2013;347:f4247. https://doi.org/10.1136/bmj.f4247.Google ScholarPubMed
Kontopantelis, E., Panagioti, M., Farragher, T., et al., Consultation patterns and frequent attenders in UK primary care from 2000 to 2019: A retrospective cohort analysis of consultation events across 845 general practices. BMJ Open. 20 December 2021;11(12)e054666. https://doi.org/10.1136/bmjopen-2021-054666.Google ScholarPubMed
All Age, Whole Population Approach to Personalised Care – NHS England [Internet]. NHS England [cited 5 July 2023].www.england.nhs.uk/wp-content/uploads/2019/02/comprehensive-model-of-personalised-care.pdf.Google Scholar
NHS England Personalised Care Group. Universal Personalised Care – Implementing the Comprehensive Model [Internet]. NHS England, 2019 [cited 5 July 2023]. www.england.nhs.uk/wp-content/uploads/2019/01/universal-personalised-care.pdf.Google Scholar
Social Prescribing – What Is Social Prescribing? [Internet]. NHS England; [cited 5 July 2023]. www.england.nhs.uk/personalisedcare/social-prescribing/.Google Scholar
Daykin, N., Mansfield, L., Meads, C., et al., What works for wellbeing? A systematic review of wellbeing outcomes for music and singing in adults. Perspect Public Health. 2018;138(1):3946. https://doi.org/10.1177/1757913917740391.CrossRefGoogle ScholarPubMed
Reagon, C., Gale, N., Enright, S., Mann, M. and van Deursen, R., A mixed-method systematic review to investigate the effect of group singing on health related quality of life. Complement Ther Med. 2016;27:111. https://doi.org/10.1016/j.ctim.2016.03.017.CrossRefGoogle ScholarPubMed
Lewis, A., Cave, P., Stern, M., et al., Singing for lung health-a systematic review of the literature and consensus statement. NPJ Prim Care Respir Med. 2016;26:16080. Published 1 December. https://doi.org/10.1038/npjpcrm.2016.80.CrossRefGoogle ScholarPubMed
Abbing, A., Ponstein, A., van Hooren, S., et al., The effectiveness of art therapy for anxiety in adults: A systematic review of randomised and non-randomised controlled trials. PLoS One. 2018;13(12):e0208716. https://doi.org/10.1371/journal.pone.0208716.Google ScholarPubMed
Coventry, P. A., Brown Jennifer, V. E., Pervin, J., et al., Nature-based outdoor activities for mental and Physical Health: Systematic Review and meta-analysis. SSM – Population Health. 1 December 2021;16:100934. https://doi.org/10.1016/j.ssmph.2021.100934.Google ScholarPubMed
Nguyen, P.-Y., Astell-Burt, T., Rahimi-Ardabili, H. and Feng, X., Effect of nature prescriptions on cardiometabolic and mental health, and physical activity: A systematic review. The Lancet Planetary Health. 1 April 2023;7(4)E313-E328. https://doi.org/10.1016/s2542-5196(23)00025-6.Google Scholar
Green Social Prescribing [Internet]. NHS England; [cited 5 July 2023]. www.england.nhs.uk/personalisedcare/social-prescribing/green-social-prescribing/.Google Scholar
Holt-Lunstad, J., Smith, T. B. and Layton, J. B., Social relationships and mortality risk: A meta-analytic review. PLoS Medicine. 2010;7(7):e1000316. https://doi.org/10.1371/journal.pmed.1000316.Google Scholar
Rico-Uribe, L. A., Caballero, F. F., Martín-María, N., et al., Association of loneliness with all-cause mortality: A meta-analysis. PLoS ONE. 2018;13(1):e0190033. https://doi.org/10.1371/journal.pone.0190033.CrossRefGoogle ScholarPubMed
Schutter, N., Holwerda, T. J., Comijs, H. C., et al., Loneliness, social network size and mortality in older adults: A meta-analysis. Eur J Ageing. 2022;19:10571076. https://doi.org/10.1007/s10433-022-00740-z.CrossRefGoogle ScholarPubMed
Social Prescribing: Reference Guide and Technical Annex for Primary Care Networks [Internet]. NHS England; [cited 5 July 2023]. www.england.nhs.uk/long-read/social-prescribing-reference-guide-and-technical-annex-for-primary-care-networks/#the-social-prescribing-link-worker-role.Google Scholar
Social Prescribing: Options for Outcome Measurement [Internet]. Richmond Group of Charities; [cited 5 July 2023]. https://richmondgroupofcharities.org.uk/sites/default/files/dtrt_summary_of_learning_about_outcomes_measurement_for_social_prescribing.pdf.Google Scholar
Code of Practice for Employers of Social Prescribing Link Workers and Social Prescribing Link Workers Professional Standards [Internet]. National Association of Link Workers; [cited 5 July 2023]. www.nalw.org.uk/wp-content/uploads/2022/05/NALW_Code-of-Practice-for-employers-of-social-prescribing-link-workers-and-social-prescribing-link-workers_May-2022.pdf.Google Scholar
Polley, M., A Review of the Evidence Assessing Impact of Social Prescribing on Healthcare Demand and Cost Implications. [Online] 2017. https://westminsterresearch.westminster.ac.uk/download/e18716e6c96cc93153baa8e757f8feb602fe99539fa281433535f89af85fb550/297582/review-of-evidence-assessing-impact-of-social-prescribing.pdf.Google Scholar
Harmonised Concepts and Questions for Social Data Sources [Internet]. Government Statistical Service, 2017 [cited 5 July 2023]. https://analysisfunction.civilservice.gov.uk/.Google Scholar
Warwick Medical School, Validation of English Version of WEMWBS in Different Populations [Internet]. University of Warwick; [cited 5 July 2023]. https://warwick.ac.uk/fac/sci/med/research/platform/wemwbs/research/populationvalidation.Google Scholar
Vidovic, D., Reinhardt, G. Y. and Hammerton, C., Can social prescribing foster individual and community well-being? A systematic review of the evidence. Int J Environ Res Public Health. 2021;18(10):5276. https://doi.org/10.3390/ijerph18105276.Google ScholarPubMed
Pescheny, J. V., Randhawa, G. and Pappas, Y., The impact of Social Prescribing services on service users: A systematic review of the evidence. Eur J Public Health. 2019;30(4):664673. https://doi.org/10.1093/eurpub/ckz078.CrossRefGoogle Scholar
Greene, J. and Hibbard, J. H., Why does patient activation matter? An examination of the relationships between patient activation and health-related outcomes. J Gen Intern Med. May 2012;27(5):520526. https://doi.org/10.1007/s11606-011-1931-2.CrossRefGoogle ScholarPubMed
Hibbard, J. H., Mahoney, E. R., Stockard, J. and Tusler, M., Development and testing of a short form of the patient activation measure. Health Serv Res. December 2005;40(6 Pt 1):19181930. https://doi.org/10.1111/j.1475-6773.2005.00438.x.CrossRefGoogle Scholar
The Social Prescribing Service in the London Borough of Waltham Forest – Final Evaluation Report [Internet]. University of East London, 2017 [cited 5 July 2023]. https://repository.uel.ac.uk/download/d3ec62380e7d5b7df0ed83dee6a6cbaca008a847e81c97ce10641635e6554ac7/737495/final%20report%20-%20SP%20in%20Waltham%20Forest%20.pdf.Google Scholar
Tierney, S., Wong, G., Roberts, N., et al., Supporting social prescribing in primary care by linking people to local assets: A realist review. BMC Medicine. 2020;18(1):49. https://doi.org/10.1186/s12916-020-1510-7.CrossRefGoogle ScholarPubMed
Measuring Your Impact on Loneliness in Later Life [Internet]. Campaign to End Loneliness; [cited 5 July 2023]. www.campaigntoendloneliness.org/wp-content/uploads/Loneliness-Measurement-Guidance1.pdf.Google Scholar
Community Navigation in Brighton & Hove – Evaluation of a Social Prescribing Pilot [Internet]. Brighton & Hove Impetus, 2015 [cited 5 July 2023]. https://ihub.scot/media/1656/cn-full-evaluation-nov-2015.pdf.Google Scholar
Liebmann, M., Pitman, A., Hsueh, Y-C, Bertotti, M. and Pearce, E., Do people perceive benefits in the use of social prescribing to address loneliness and/or social isolation? A qualitative meta-synthesis of the literature. BMC Health Serv Res. 2022;22(1):1264.CrossRefGoogle ScholarPubMed
Grant., C. Goodenough, T., Harvey, I. and Hine, C., A randomised controlled trial and economic evaluation of a referrals facilitator between primary care and the voluntary sector. BMJ. 2000;320(419):23.CrossRefGoogle ScholarPubMed
Pescheny, J. V., Gunn, L. H., Randhawa, G., and Pappas, Y., The impact of the Luton social prescribing programme on energy expenditure: A quantitative before-and-after study. BMJ Open. 2019;9(6):e026862.CrossRefGoogle ScholarPubMed
Sumner, R. C., Sitch, M. and Stonebridge, N., A Mixed Method Evaluation of the Nature on Prescription Social Prescribing Programme [Internet]. University of Gloucestershire, 2021 [cited 5 July 2023]. https://eprints.glos.ac.uk/9744/.Google Scholar
Loftus, A. M., McCauley, F. and McCarron, M. O., Impact of social prescribing on general practice workload and polypharmacy. Public Health. 1 July 2017;148:96101. https://doi.org/10.1016/j.puhe.2017.03.010.CrossRefGoogle ScholarPubMed
Who European Office for Investment for Health and Development: Biennial Report 2016–2017 [Internet]. World Health Organization, 1970 [cited 5 July 2023]. https://apps.who.int/iris/handle/10665/346102.Google Scholar

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