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Social Prescribing Across West Yorkshire and Harrogate

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Social Prescribing Across West Yorkshire and Harrogate Mapping Social Prescribing Across West Yorkshire & Harrogate ICS Summary Characteristics of social Harrogate Wakefield Leeds Kirklees Bradford Calderdale prescribing scheme A Commissioned YES YES YES YES YES YES service with a feedback link Living Well can Live Well Social Prescribing service in Social prescribing The Community Staying Well is the from link support adults who Wakefield place across NHS Leeds CCG service in place. Connectors social social prescribing workers to are currently not area. Currently 3 schemes Better IN Kirklees prescribing service model in commissioners eligible for on-going Commissioned by reflecting previous 3 CCG commissioned for Calderdale. It is to identify gaps social care support Public Health areas – the schemes work Care navigators in Bradford CCGs with provided by the in services and and who: closely together sharing best place in primary care some joint funding from local authority unmet need. • are lonely and / or Fund available to practice and ensuring that the Local Authority. and funded by the socially isolated; micro-commission there is ‘no wrong front door Local Areas local authority • had a recent loss of to meet gaps in for Leeds’. Coordinators The provider sends and CFfC. a support provision locally currently being through quarterly network, ; compared to NHS Leeds CCG recruited. monitoring reports There is also work • had a loss of identified need. commissioning a single model which include feedback underway to confidence due to a for the city to start Community Plus about gaps in services develop the recent change September 2019 (when provide community and issues which the thinking on social • require face-to-face current contracts end). connections , group CCG follows up. prescribing and information and capacity how other local advice Current service: development and navigators (such PEP, Connect Well and individual support to as the Better Connect for Health are the build community Living Team and current commissioned social resilience linking into Gateway to Care), prescribing services - these PCN and in primary schemes are led by 3 lead care homes and voluntary sector Kirklees Integrated the community organisations; Barca- Leeds/ wellness model integration group Leeds Mind/ Community Links (KIWM)- currently in to develop a local design, go live first integrated model. phase April 2019 Page 1 of 5 Characteristics of social Harrogate Wakefield Leeds Kirklees Bradford Calderdale prescribing scheme Website https://www.northyorks. http://www.livewell South and East Leeds: https://www.touchston https://haleproject.org.uk/r https://stayingwellh gov.uk/living-well-north- wakefield.nhs.uk/ https://www.connectforhealthle esupport.org.uk/catego educing-isolation/social- ub.com/ yorkshire eds.org.uk/ ry/topics/social- prescribing/ prescribing/ Leeds North: https://www.commlinks.co.uk/se http://www.kirklees.go rvices/leeds/connect-well/ v.uk/beta/health-and- well-being/better-in- Leeds West: kirklees.aspx http://leedspep.org/ http://www.kirklees.go v.uk/beta/voluntary- and-community- support/community- plus.aspx http://lacnetwork.org/ Whole Adults only 18+ 18 years and over. PEP, Connect Well and Referrals through Whole population population Anyone living with a Yes it links in with Connect for health are open Community plus- all Practice staff aged 18 and eligible or long term physical or community to adults over 18 registered ages using the following above is eligible. targeted. mental health anchors, self with a GP Practice in Leeds KIWM – adults over referral guidelines: If targeted are condition. Inc. alcohol management (Connect for Health is 14+) 18years • Patient has frequent there a number and drug issues and courses and other appointments which could of schemes in unpaid carers, LD, VCS activities New commissioned service be due to other factors place to meet sensory impairment. across the district. will be 16+ registered with a such as stress, lack of self- whole The referral route Leeds GP care knowledge or lack of knowledge of more populations is either self appropriate services. needs? referral or Referrals accepted from GP’s • Patient has debt, does Whats the through another and GP Practice staff, self not eat well/heat their referral route? provider such as referrals; a smaller number of home adequately or does Does it link to the GP. referrals from third sector and not access financial support other services? health and care professionals. that would support health. Page 2 of 5 Characteristics of social Harrogate Wakefield Leeds Kirklees Bradford Calderdale prescribing scheme • Patients who have social isolation, low mood, carer stress and are willing to be directed to more appropriate services or group activities. • Less suitable patients are those who have severe and or enduring mental health problems, drug/alcohol related issues or are reluctant to accept outside services. 1:1 support Yes Yes Yes Yes Yes we offer between Yes available? one and six 1:1 sessions in the person’s home or in the community. Health coaching Motivational Yes The link workers use Yes – via KIWM Health coaching is part Would refer to available? Interviewing motivational interviewing of the approach our the Better Living Techniques used to techniques and Leeds Better Community Connectors team at the self-motivate. Conversations approach use in their motivational Council interviewing techniques. commissioner NYCC and HaRRD CCG Wakefield Council NHS Leeds CCG Kirklees Council Bradford Districts CCGs Calderdale Maria Green- Sue Wilkinson Collette Connolly Council Andrew Lynch Commissioning Manager Jill Greenfield Head of commissioning Dangerfield Public Health Proactive Care Team Head of Local (self-care & prevention) Acting Head of Manager NHS Leeds CCG Integrated M: 07432 719843 Commissioning mgreenlynch@wa t: 0113 843 5479 Partnerships T: 01274 237302 NHS Harrogate and kefield.gov.uk e: [email protected] Jill.Greenfield@kirkl collette.connolly@bradf Rural District CCG ees.gov.uk ord.nhs.uk Page 3 of 5 Characteristics of social Harrogate Wakefield Leeds Kirklees Bradford Calderdale prescribing scheme andrew.dangerfiel [email protected] Provider NYCC NOVA The 3 schemes are led by 3 KMBC HALE is the lead provider Calderdale lead voluntary sector Touchstone working in partnership Council Rebecca Bibbs employ Living Well organisations; PEP - Barca- with other VCS Co-ordinators. Live Well Leeds/ Connect for Health- providers. Cath Simms Wakefield Leeds Mind/ Connect Well - www.haleproject.org.uk Manager/Care Cath.Simms@northyo Community Links Navigation rks.gov.uk Lead South West Yorkshire Partnership NHS Foundation Trust rebecca.bibbs@s wyt.nhs.uk Contact for more Jane Baxter at Pam Sheppard Sue Wilkinson information [email protected] Commissioning Manager Proactive Care Team et NHS Leeds CCG Suites 2-4, Wira House, West Park Ring Road, Leeds LS16 6EB t: 0113 843 5479 e: [email protected] Page 4 of 5 NOTES *Link workers definition Socialactivity prescribing metrics definition: enables all local agencies to refer people to a link Impact of social prescribing worker. “Local people can benefit from social prescribing in primary care If you are making business cases for social prescribing we have our earlier Linkwith workers support givefrom people link workers time and (or focusequivalent on what role) matters through to community the resource which critically examines the evidence for the economic impact of personconnector as identifiedschemes. Socialthrough prescribing shared decision can be countedmaking orwhere personalised a referral social prescribing. careis made and by support a primary planning. care professional They connect to apeople local, nonto community-clinical service groups to andmeet agencies their wider for practicalsocial needs and e.g. emotional community support. support, benefits advice, therapeutic gardening and peer support groups” Making Sense of Social Prescribing Link workers collaborate with local partners to support community This guide was co-produced last year, this resource groupsThe two to key be metrics accessible are: and sustainable and help people to start new groups. Number of beneficiaries across the demonstrator sites. [SNOMED codes) Page 5 of 5 .
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