ESSENCE
ECONOMICS OF SOCIAL CARE COMPENDIUM

Social prescribing

Bundle contents: Social prescribing, link worker

Social prescribing is a way for GPs, nurses and other primary care professional to refer people to a link worker to help people in connecting people to community groups and statutory services for practical, social and emotional support. Link workers give people time, focusing on ‘what matters to me’ and taking a holistic approach to people’s health and wellbeing.

Case studies

Read the full case study for 'Social prescribing' here (HTML)

  • In England, social prescribing schemes have been (re-)introduced as a policy tool for reducing pressure on GPs and promoted as a solution for health service-budgeting constrains; they consist of link workers integrated into primary care structures, which support people in managing their health conditions and accessing resources in the community thus addressing the social determinants of health.
  • A large number of studies have investigated the impact on health and wellbeing outcomes as well as on healthcare resources; findings suggest that schemes have the potential to change health behaviour and outcomes; they can also enhance people’s self-confidence. However, not everyone accesses or benefits from social prescribing schemes; and those most vulnerable are less likely to benefit.
  • There is some evidence to suggest that social prescribing schemes can reduce demand on primary and secondary care service and offset the costs of the intervention.
  • Main gaps in evidence include: their relative cost-effectiveness compared to other interventions that seek to address the social determinants of health; how social prescribing schemes need to be designed and implemented in order to achieve good value for money, and which population they should target; the wider community impacts of schemes.

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NIHR School for
Social Care Research

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