Social Prescribing Model for Cheshire and Merseyside Aim Developing an integrated commissioning model for social prescribing that can be implemented in Cheshire & Merseyside in 2015. The Social Prescribing commissioning model would establish social prescribing as integral to a treatment pathway from prevention to maintenance and recovery and scale-up its provision. What is social prescribing? Social prescribing is a mechanism for linking people to non-medical sources of psychosocial and/ or practical support within the community. This can include arts, books, exercise, learning, befriending, volunteering, supported self-help as well as information and advice, e.g. debt, employment, domestic violence, relationship breakdown, legal advice. Why is it beneficial? Potential outcomes of social prescribing include: Increased self-reported mental wellbeing and life satisfaction Increased social contact Increased uptake of activities and skills in protecting mental health Reduced symptoms of distress Reduction in waiting lists for psychological interventions Reduced frequent attenders Reduction in inappropriate prescribing Increase in range of voluntary and community providers and patient choice Integration of commissioning Social prescribing is usually described as a preventative service for those with sub-clinical, low wellbeing and aligned to Step 1 of the NICE stepped care approach. However social prescribing can be used as an adjunct to clinical treatments and a beneficial part of wellbeing maintenance and recovery for patients at Steps 2, 3 and 4. Step 1 preventative programmes have largely been commissioned by public health teams, aligned to the overarching aims of improving population wellbeing. The benefits as indicated above make social prescribing relevant for the commissioners and providers of the higher intensity Steps 2, 3 and 4. The Recovery approach adopted by many mental health trusts often mirrors the social prescribing offer for higher intensity patients. Suite 1, Marwood, Riverside Park, 1 Southwood Road, Bromborough, Wirral CH62 3QX Tel: 0151 666 5123 www.champspublichealth.com This project provides the opportunity to explore an integrated approach to commissioning and one that includes the contribution from service users and the community, voluntary and faith sectors in addition to the Local Authority (LA) and Clinical Commissioning Groups (CCGs). Project Objectives Insight into primary care knowledge, practice, barriers and challenges in utilising and scalingup social prescribing. Insight into potential scaling-up of usage via community programmes, particularly for those who do not access primary care for wellbeing support. Identification of models of practice Developing a convincing business case for the proposed model Project Outcomes An integrated commissioning model for social prescribing that has the flexibility to be implemented in all nine local authorities on Cheshire & Merseyside in 2015 A scaling-up of the provision of social prescribing programmes An accelerated shift in the improved mental wellbeing of the sub-regional population Proportionately less demand on the upper tiers of mental health services Project Framework Champs, the public health collaborative service, and the Cheshire Merseyside Strategic Clinical Network (CMSCN) will jointly lead the project. A project team will be identified from key stakeholders including the CCGs, the LA public health teams, the community & voluntary sector, service user and community member representation, the Mental Health Trusts, IAPT services and community providers. Desk-top exercise A. National evidence-base of effectiveness of social prescribing B. Wellbeing data for Cheshire and Merseyside compiled C. Information on Social Prescribing interventions and models across Cheshire and Merseyside D. National examples of social prescribing models Field exercise E. Building the Economic Case for scaling-up social prescribing F. Support built for the project and key stakeholders identified G. Key stakeholders invited onto project steering group H. Project Implementation Document co-produced I. Project Implementation J. Development of an integrated commissioning model for social prescribing K. Securing commissioning Timeline 9 months Phases A- D completed Phase E Phase F –H Phase I Phase J Phase K April 30th 2014 May 31st 2014 May 31st 2014 June- 30th Sept 2014 October 2014 November & December 2014 Allocation of roles across Project Phases A Champs B Champs C Champs Information on Social Prescribing Interventions C/ D Strategic Clinical Network Models of practice locally and nationally E Champs/Sefton Public Health leading with input from SCN F SCN and Champs G SCN Champs H-K SCN/Champs/Key stakeholders Suite 1, Marwood, Riverside Park, 1 Southwood Road, Bromborough, Wirral CH62 3QX Tel: 0151 666 5123 www.champspublichealth.com
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