janet wheatley
TRANSCRIPT
Rotherham Social Prescribing Service
Janet Wheatley: CEO Voluntary Action Rotherham
Rotherham Social Prescribing Service:
Connects people with long term conditions, referred through case management teams, to sources of support in their community
5 VCS Advisors, employed by VAR, linked to 36 GP practices, work with referred people to find a service or activity that meets their needs
19 VCS organisations receive funding to provide a menu of 20 different services and activities
Provides a gateway to a wider pool of VCS services that are not directly funded through social prescribing, predominantly provided by local community centres and groups
2
PRESCRIPTION•Exercise / healthy lifestyles•Self-management programmes•Social and leisure•Arts and crafts•Befriending/mentoring•Confidence building•Learning/training•Money – benefits, debt, fuel poverty•Housing/adaptations•Carers support•Dementia support•Transport/mobility•Advocacy
Why are we doing it?Strengthening individuals, strengthening communities
• NHS Efficiency Challenge - reduces pressure on NHS and social care
• Improves outcomes for patients with long term conditions and their carers
• Recognition that patients need support with non-medical issues - creates a wider range of options for primary care and patient
• Shift of focus to prevention and early intervention - increases independence, resilience of individuals and communities
• Supports integration and personalisation
• Doing things differently – ‘more of the same’ is not an option
Feedback
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Rotherham Social Prescribing Model
GP
VCSA
VCS provider Service 1
VCS provider Service 3
VCS provider Service 2
SPS Funded
SPS Funded
Patient attends peer-led group
Patient continues to access service (external funding sustains service)
Patient referred on to sustainable
activities / service
No sustainable outcome for
patient
SPS funded
Provider Service
SP
S R
efer
ral
in
Re
ferr
al
Ou
t
VC
SA
FO
LL
OW
UP
Social Prescribing Patient Journey
SPS funding
Patient continues to access service
(patient self funds)
Towards Independence
Maintaining Independence
Sustainable funding
Activity 2014-15
1392 referrals into SPS (3067)
1554 referrals out to funded VCS (3643)
574 referrals out to non-funded VCS (1052)
651 referrals out to non-VCS (1241)
36 GP practices (all)
Highest – 328 referrals 65% aged 75+ (66%)
61% female (61%)
30% aged 85+ (31%)
13% aged under 60 (12%)
3% BME (3%)
Referrals out – top categories
Advice and Information (Benefits) 387
Community Activities (Social, education, exercise, leisure)
378
Befriending Plus 354
Transport 233
Therapeutic 166
Community Hubs 144
Advocacy and Support 111
Dementia Support 109
Carer Respite 71
Hospital Episodes - 12 month cohort
Inpatient Admissions:
• All patients: 21 per cent reduction
• Patients referred to funded VCS provision: 25 per cent reduction
A&E Attendance:
• All patients: 20 per cent reduction
• Patients referred to funded VCS provision: 24 per cent reduction
Outpatients:
• All patients: 21 per cent reduction
• Patients referred to funded VCS provision: 29 per cent reduction
Wellbeing Improvements
• 83% of patients made progress in at least one outcome area
Cost/Benefits
For an annual investment of £500,000:
£415,000 potential cost savings in first year post-referral
£870,000 to £1.9M potential full cost savings (dependent on length benefit sustained/drop-off rate)
£660-742,000 – potential social value of well-being gains in year post-referral
£350,000 additional welfare benefits claimed
£280,000 external funding accessed
£180,000 – estimated value of volunteer contribution
Potential wider savings for primary and social care
Outcomes for patients and carers
• Quantitative and qualitative evidence points to a range of improvements for patients and carers:
–improved mental health
–greater independence
-reduced isolation and loneliness
–increased physical activity
–welfare benefits • Social Prescribing represents an important first step to engaging
with community based services and wider statutory provision
• Without Social Prescribing many patients and carers would be unaware of or unable to access these services
Outcomes for the public sector
• Pilot delivered in the context of austerity measures, rises in long term health conditions and the use of unplanned hospital care, and an ageing population
• Social Prescribing was targeted at those most at risk of requiring unplanned hospital care
• Reducing attendances and admissions is an important measure of success
• There are positive signs, with reductions of up to a fifth after 12 months. Translates into cost reductions for commissioners
• Broader outcomes such as satisfaction with care and patient experience,
Outcomes for the VCS
• Opportunity for smaller organisations to access NHS funding/demonstrate impact
• Funding to expand capacity/develop new services – not happened in other areas of UK - £907,000 given out in grants / spot purchases
• Greater ability to attract external funding - £327,000• Additional funding from CCG – mental health, dementia, carers• Showcased contribution of VCS to health and wellbeing priorities• Promoted greater collaboration between VCS• Improved sustainability – groups, community centres, organisations• Catalyst for innovation and social action
GP quote: supportive
and insightful
Patient quote: I feel there is much more to life and I feel happier
Patient quote: it has been fantastic, getting out of the house, meeting nice people, we are back in society, love it!
GP quote: fantastic feedback from
patients and their families
GP quote: reduces our workload and reassures that all
that can be done is donePatient quote: so many
housebound and disabled people have a better quality of life now because of all you
Patient quote: something to look
forward to. Feel I’m doing something to improve myself and
my situation
GP quote: patients who are responsive to voluntary
sector referrals have notably had less need for presentation to us
Volunteer quote: the reward for me is seeing people become brighter, more
talkative, looking forward to having visitors and making a
new circle of friends
GP quote: unequivocally patients benefit. Having spoken to patients
they, like me, welcome and appreciate the service
Patient quote: gets me doing things I never
thought possible
Patient quote: I feel more confident, I’m
taking my medication, physical condition
under control
Further Information
Links to the full evaluation reports
http://www.shu.ac.uk/research/cresr/sites/shu.ac.uk/files/social-economic-impact-rotherham.pdf
http://www.shu.ac.uk/research/cresr/sites/shu.ac.uk/files/social-economic-impact-rotherham-summary.pdf
Further support from VAR
Janet Wheatley: [email protected]/Linda Jarrold : [email protected]
Further support from Age UK Rotherham
Lesley Dabell: [email protected]