Barnet Innovation Group (BIG) Social Prescribing 19 th July 2018 - - PowerPoint PPT Presentation

Barnet Innovation Group (BIG)

Social Prescribing

19th July 2018 North London Business Park

Welcome

1

Ali Malik

Director of QIPP, Planning and Performance – Barnet CCG

Overview of the session

1

An introduction to Social Prescribing

2

Barnet’s current SP models / interventions

3

Engaging the whole system

4

Establishing an integrated coordination process

5

Wash up and next steps

Table discussion – is this what we should be doing? Table discussion – how should we better engage the system? Table discussion – ideas on what’s needed and how

Seher Kayikci Seher Kayikci Jeff Lake / Dr Nicholas Mistry Ali Malik / Conan Cowley Dan Glasgow / Ali Malik

An introduction to Social Prescribing

3

Seher Kayikci

Senior Health Improvement Specialist – London Borough of Barnet

What is Social Prescribing?

4

Background

5

• Marmot Review (2010) ‘Fair Society, Healthy Lives’
• The Five Year Forward View (NHS England, 2014)
• Department of Health (2015) Policy paper: 2010 to 2015

government policy: long term health conditions

• The King’s Fund (2016) Understanding pressures in general

practice

• The Care Act (2014)
• Mayor of London (2017) ‘Better Health For All Londoners’ Draft

Health Inequalities Strategy

Drivers

6

Ten high impact actions to release capacity in general practice

Data from 5,128 consultations

7

GPs judged 26%

• f their consultations

to be potentially avoidable … 18% are about how the practice manages its workload

What is Social Prescribing?

Social Prescribing Network defines social prescribing as: ‘A means of enabling GPs and other frontline healthcare professionals to refer patients to a link worker - to provide them with a face to face conversation during which they can learn about the possibilities and design their own personalised solutions, i.e. ‘co-produce’ their ‘social prescription’- so that people with social, emotional or practical needs are empowered to find solutions which will improve their health and wellbeing, often using services provided by the voluntary, community and social enterprise sector’.

• https://www.youtube.com/watch?v=O9azfXNcqD8

8

Impact

Rotherham CGG projects a ROI of £3.38 for every £1 spent after five years.

https://www.westminster.ac.uk/file/107671/download

• Aim: to build a Common Framework for Measuring the Impact
• f Social Prescribing

9

Demand assessment

% reduction

GP consultations Average 28% (2% – 70%) A&E attendance Average 24% (8%-27%) Emergency hospital admissions 6% - 36% Outpatient referrals Up to 64% Mental health care Mixed results

Our current SP models and initiatives

10

Seher Kayikci / Jeff Lake

London Borough of Barnet

Social Prescribing Models

• 1. Referral to a commissioned ‘one-stop connector service’
• 2. Community-Centred Practices: GP surgeries as

community ‘hubs’, invite citizens in to work collaboratively, as ‘health champions’.

• 3. In-house ‘community link workers/ care navigators’ –

employed by GP Practices.

• 4. Direct referral: GPs and other healthcare professionals refer

patients directly to social prescribing services.

11

Referers

GP , Integrated Care team, Library staff, self referral

Connectors

Community navigator or ‘link worker’, employed in the VCSE sector

Prescription

Community Groups -gardening, singing, dance, peer support – funded/non-funded

Social Prescribing Developments

• Social prescribing is included in 75% of Sustainable

Transformation Plans (STPs).

• Healthy London Partnership Provide intensive support to the

five STP areas in London, mapping current provision and defining plans to embed social prescribing by 2020.

• Nearly half of all Clinical Commissioning Groups (CCGs) are

investing in social prescribing ‘connector’ programmes.

• 1in 5 GPs regularly refer patients to social prescribing. 40%

would refer if they had more information about available services (July 2017, GP Online Survey).

• Social prescribing secondary care pilot is underway

12

Social Prescribing Local Picture

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• 1. Over 1,200 charities operating in Barnet (JSNA 2015)
• 2. A wide-range of Care Navigation, Link Working,

Community Access, Coaching and Peer Support roles

• 3. Directory of Community Services (LBB)
• 4. Reimagining Mental Health - Barnet Wellbeing Hub and

Link Workers (Barnet CCG)

• 5. Community Centred Practice – Practice Health

Champions (Public Health)

• 6. Touchpoint (Lottery Fund - Inclusion Barnet)
• 7. Prevention and Wellbeing Co-ordinators (Adult Social

Care)

Our current SP models and initiatives

14

Table discussion

Engaging the whole system

15

Dr Nicholas Mistry / Ali Malik

Barnet CCG

Key players to engage

16

GPs / Primary Care Acute Providers Community Providers Individuals eligible for SP Adult Social Care Voluntary Sector Patient Groups

Engaging the whole system

17

Table discussion

Establishing an integrated coordination process

18

Dan Glasgow / Conan Cowley

Barnet CCG

Key discussion areas

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• How could you ensure there is sufficient capacity to

signpost and support additional service users?

• How could a model within Barnet be sustainable?
• How can technology be used to join-up processes /

services?

• How could a model be implemented within Barnet?

Wash up and next steps

20

Ali Malik

Barnet CCG