Design thinking workshop which allows the group to creatively problem solve and results in a list of tangible action

1. Future Proofing
Social Prescribing
Leeann Monk-Özgül (Co CEO)
Jennifer Neff (Co CEO)

2. Your session hosts

4. Introduction to Elemental
Scaling and evidencing the impact
of social prescribing
1. Access for all that need it
1. Evidence the impact that the
VCSE plays in delivering
community health and wellbeing

5. Who we work with

6. Our Footprint

7. Who uses Elemental

8. This session
1. Developing/ scaling your
model
2. Increasing access to your
programmes
3. Supporting your link workers
4. Building the capacity of your
community network
5. Measuring success

9. Social Prescribing is everyone's business!

10. Regional and national strategy

11. Primary Care Networks
All GP practices are expected to come
together in geographical networks
covering populations of approximately
30–50,000 patients by June 2019
NHS England has significant ambitions
for primary care networks, with the
expectation that they will be a key
vehicle for delivering many of the
commitments in the long-term plan and
providing a wider range of services to
patients.

12. Drivers and Challenges
HEALTH, HOUSING & SOCIAL CARE
PROFESSIONALS
• Want to provide social prescribing
• No time to research activities in the community
• No quality assurance on suppliers
• No ability to track & monitor patient progress
after referral
PATIENTS/RESIDENTS/CITIZENS
• Want to receive social prescriptions to reduce
their health risks
• Want to know more about health & wellbeing
activities in community
• Need 1-1 support to keep motivated
HEALTH, HOUSING & SOCIAL CARE
COMMISSIONERS
• Need analytics from commissioned programmes
to prove value for money
• Need to track outcomes to justify expenditure
COMMUNITY & VOLUNTARY
PROVIDERS
• Need to track project outcomes to prove value
for money to commissioners
• Need to track individual patient health risk to
report back to their funders

13. THE FOUNDATIONS FOR
SOCIAL PRESCRIBING IN
YOUR COMMUNITY

14. ● Established who the providers are
● Determine the offering
● Identify the gaps in partnerships/ services/ access
● Connect it back to an area’s strategic goals
MAPPING/
UNCOVERING THE
ASSETS IN A PLACE
● Deliver ways to engage stakeholders through
workshops/ webinars/ interviews
● Facilitate the discussions
● Co produce the vision with the partners
CO DEVELOP THE VISION
● Nearly 500 Link Workers trained by Elemental
team on digital social prescribing
● Nearly 2000 health and social care professionals
trained in digital referral making (of which 1488 are
GPs)
PROVIDE TRAINING
● Work with partners from a neighbourhood, a
whole STP level and to bigger regions
● Create the learning and sharing environments to
ensure the widespread adoption
CONNECT A REGION
Co creating the vision

15. Someone who can make referrals for a resident to take part in the
project
REFERRAL AGENTS
GP/ Nurse/ Housing Officer/ Social
Worker
Someone who has been assigned the responsibility to receive
referrals from the referral agents
REFERRAL HANDLERS
Social Prescribing Link Worker
An organisation selected to be part in the social prescribing
programme of the select list of providers for the project
PROVIDERS
Internal Provider/ External Providers
Anyone that meets the project’s inclusion criteria-
Example: Debt, rent arrears, mild depression, social isolation
etc
PATIENT/TENANT/
CITIZEN
Roles and responsibilities

16. Measuring the impact
● The impact on the person
● The impact on the community
● The impact of the system

17. Co creating the pathway

18. THE TECH
Supporting you the whole way
across your social prescribing
ecosystem and involving all
stakeholders along the way!

19. Be referred using a clinical system

20. 2. BE REFERRED BY SOMEONE GIVEN REFERRAL MAKING
RIGHTS USING ELEMENTAL URL
Be referred using the Elemental URL

21. Browse Self Refer Self Serve
Customise Self Refer with your
branding and programme
information so you have the
workflow that suits you.
1. ‘Self Refer’ option to a Link
Worker for those who need
Link Worker Supporter
2. ‘Browse’ option for those who
are more motivated to see
what’s available
Self refer option

22. SUPPORTING SOCIAL
PRESCRIBING LINK WORKERS

23. VIEW INCOMING REFERRALS FROM
MULTIPLE REFERRAL SOURCES

24. MAKE APPOINTMENTS WITH PATIENTS

25. GATHER THE BASELINE INFORMATION/ FIND OUT WHAT
MATTERS TO THE PATIENT

26. DISCUSS ANY HEALTH RISKS OR CONCERNS WITH THE PATIENT

27. CO CREATE A PLAN WITH THE PATIENT

28. LOG/ RECORD FOLLOW UP VISIT OUTCOMES

29. MEASURE PROGRESS

30. ANNOUNCING THE
TRAILBLAZER PROJECT
MEASURING THE UPTAKE AND IMPACT OF
SOCIAL PRESCRIBING

31. Measuring the impact
● The impact on the person
● The impact on the community
● The impact of the system

32. Impact on the patient
• Activation Levels (PAM) monthly
• Mental Wellbeing (SWEBWEB)
• Personal General Wellbeing (ONS4)
Impact on the community
(VCSE Sector)
• Number of referrals received
• Most common reasons for referral
Impact on the Health
& Care System
• GP Appointment
• A&E Appointments
• Prescribed medication
Linked Datasets – Proving the case for Social Prescribing

33. E-Learning Provision
Providing users with an understanding of what Social Prescribing is and how to use / implement it.
Example Modules: May Include;
• How to imbed social prescribing within your PCN
• How to recruit/induct your link worker
• How to quality assure the programme
• The operational governance required
• The value of the VCSE Sector
• Resource bank
• How to effectively manage the change
• Change within the GP practice
• Clinical governance framework
• Data/GDPR implications
• How to use the Data dashboards
• Input strategy
• Extraction
• Data dashboards

34. Timescales
Stage 1
● Programme launched at Unco - 16th October 2019
● Expressions of interest opens for sites (3 sites across England will be chosen) – 29th
November 2019
● 3 trailblazer sites identified and promoted – 9th December 2019
● Co creation programme design with trailblazer sites – Month Jan 2020
● Trailblazer Programme commences – 3rd Feb 2020
Stage 2
● Amend programme based on findings from trailblazer programme – April 2020
● Early adopters invited – April 2020
● Progamme roll out – May 2020

35. Register your interest
Register your interest by emailing us at:
info@elementalsoftware.co

36. WHAT DO YOU THINK?
Q&A Time!