Scaling Up Inspiring Ashfield: Extending Place-Based Social Prescribing Support Across Mid-Nottinghamshire

英国最贫困和最贫困地区之间不断扩大的差距导致了健康不平等的加剧。当地社区一级缺乏资金和资源导致居民健康状况变差，并增加了他们面对新冠肺炎等不可预见挑战的脆弱性。因此，留守社区在疫情中首当其冲，现在需要支持来应对他们的情况。旨在挑战健康不平等的一个关键战略是NHS的社会描述方法，即将社会弱势个人与当地社区服务或活动联系起来。这已被证明可以减少孤独，改善健康和幸福感。然而，需求最大的地区往往是资源最少的地区，而社会报道只有在当地可用活动的情况下才有效。在新冠肺炎之后，现在需要努力振兴当地社区，以便社会报道能够发挥其变革作用。其中一项倡议是鼓舞人心的Ashfield，它协调了30多个当地艺术、体育和社区团体的合作伙伴关系，为当地居民制作了一份为期一年的活动日历。合作伙伴与人口的不同部分合作，选择符合他们需求的活动。这些活动随后被提供给社会处方者，他们可以更有效地支持他们的客户。诺丁汉特伦特大学将与阿什菲尔德志愿行动组织合作，捕捉并将激励阿什菲尔德的成功因素转移到两个相邻的地区。曼斯菲尔德和纽瓦克&舍伍德律师事务所有着阿什菲尔德的许多社会和经济困难，但它们都有自己独特的挑战和资源。鼓舞人心的阿什菲尔德将根据每个领域进行调整，以便新倡议在保持原有原则的同时，有一个地方重点。此外，共享这三个地区的资源应该会丰富所有居民的社会描述。该项目将分为四个阶段：1)从鼓舞人心的阿什菲尔德倡议中获得经验和见解。台大已经与参与该倡议的人进行了面谈，还将与代表性不足的群体和那些拒绝或不参与活动的人交谈。这将有助于理解是什么让该计划发挥作用，以及在获得该计划方面存在哪些障碍。然后，这些见解将被打包到培训计划中。2)在两个新网站中的每个网站上提供培训包。农业与兽医协会和南洋理工大学将向新领域的利益攸关方提供培训方案。讲座和培训课程将包括：支持以地点为基础的社会报道；确保它满足当地居民的需求；帮助弱势个人获得活动，并确保适当的资金和监测。3)将该倡议与地方政府和医疗保健系统联系起来。NTU和AVA将努力争取地区和县一级地方政府以及诺丁汉和诺丁汉郡NHS综合护理伙伴关系对该计划的支持。该团队还将把Social Prescriing LinkWorker与图书馆、博物馆和美术馆等各种文化资源联系起来，以增加客户的活动范围。4)支持该倡议的推出。一旦新计划的培训和支持到位，NTU和AVA将与曼斯菲尔德和纽瓦克和舍伍德的当地社区组织合作，帮助他们建立自己的鼓舞人心的活动计划。这将需要与当地社区居民接触，找出他们需要什么活动，以及社交媒体如何造福他们的生活。我们将与政府和NHS当局分享我们的结果，这样他们就可以在其他地方实施这一方法。该项目的理想结果是，英国最脆弱社区的人们将拥有丰富的当地活动，以改善他们的健康，恢复他们的归属感。

The expanding gap between the most and least deprived areas across the UK has led to increased health inequalities. Lack of money and resources at local community level contribute to poorer health among residents and increase their vulnerability to unforeseen challenges such as COVID-19. As a result, 'left behind' communities have borne the brunt of the pandemic and now need support to cope with their situation.A key strategy aimed at challenging health inequalities is the NHS's Social Prescribing approach, whereby socially vulnerable individuals are connected to local community services or activities. This has been shown to reduce loneliness and improve health and wellbeing. However, the areas with the greatest need are often those with fewest resources and Social Prescribing is only as effective as the local activities available. In the wake of COVID-19, work is now required to revitalize local communities so that Social Prescribing can have its transformative effects. One such initiative is Inspiring Ashfield, which coordinates a partnership of over 30 local arts, sports and community groups to produce a year-long calendar of activities for local residents. Partners work with different sections of the population to choose activities which meet their needs. These activities are then made available to Social Prescribers who can more effectively support their clientele. Nottingham Trent University will work with Ashfield Voluntary Action to capture and transfer the successful elements of Inspiring Ashfield to two adjacent areas. Mansfield and Newark & Sherwood share many of the social and economic difficulties of Ashfield, but have their own unique challenges and resources. Inspiring Ashfield will be adapted to each area so that the new initiatives have a local focus while remaining true to the principles of the original. In addition, sharing resources across the three areas should enrich Social Prescribing for all residents. The project will take four stages: 1) Gaining experience and insight from the Inspiring Ashfield initiative. NTU has already conducted interviews with those involved in the initiative and will additionally talk to under-represented groups and those who have declined or disengaged from activities. This will help understand what makes the programme work and what barriers there are to accessing it. These insights will then be packaged into a training programme.2) Delivering the training package across each of the two new sites. AVA and NTU will deliver the training programme to stakeholders in the new areas. Talks and training sessions will cover: supporting place-based Social Prescribing; making sure it meets the needs of local residents; helping vulnerable individuals access activities and ensuring proper funding and monitoring. 3) Linking the initiative to local government and healthcare systems. NTU and AVA will work to gain support for the programme from local government at District and County level and from the Nottingham and Nottinghamshire NHS Integrated Care Partnership. The team will also connect Social Prescribing Linkworkers to various cultural resources such as libraries, museums and galleries to increase the range of activities for clients. 4) Supporting the roll out of the initiative. Once the training and support for the new initiatives are in place, NTU and AVA will work with local community organisations in Mansfield and Newark & Sherwood to help them set up their own programmes of Inspiring events. This will require engaging with local community residents to work out what activities they need and how Social Prescribing could benefit their lives. We will share our results with government and NHS authorities so that they can implement the approach elsewhere. The ideal outcome of the project would be that people in the most vulnerable communities across the UK have a rich range of local activities to improve their health and restore their sense of belonging.