Intervention development for community-based self-referred social prescribing

社会处方并不新鲜，但近年来已获得普及和重要的政治、政策和卫生服务牵引力。每个新的初级保健网络将获得至少一名额外的社会处方工作者的资金。有越来越多的证据基础，然而，大部分的重点是卫生服务模式，主要是通过初级保健。这是一个很好的起点，但主要侧重于帮助恢复而不是预防的干预措施。此外，虽然人们对这些途径的功能了解很多，但对提供活动的社区（和VCS）如何受到这些新转诊的影响知之甚少。作为一个在提供、研究和参与社会处方方面拥有广泛专业知识的团队，我们认为有机会开发一种更正式的途径，进入现有的以社区为基础的社会处方活动，我们知道这些活动对健康和福祉有影响，但不严重依赖卫生服务“脚手架”。在这个项目中，我们将采用一种结构化的方法，设计一个未来的社区转诊社会处方方案，适合个人使用和获得社区资产以促进其健康。我们将汇集具有设计、提供和最重要的是获取社会处方经验的广泛利益相关者，以收集社区中自我转诊的信息。我们想了解这些系统是如何工作的，这些结构是如何相互作用的，以及如何最好地支持它们以最好的方式为个人提供活动，以改善他们的健康。我们还希望探讨即将到来的扩张将如何影响那些已经在提供课程的机构。我们将为社会处方的整个系统方法提供指导，包括详细的系统图和拟议途径和干预措施的规划理论。我们将利用我们现有的联系，以及与我们在这个项目中合作的人的联系，确保我们的指导能够惠及那些能够从中受益的人，并影响服务变革，造福社区。然后，我们将寻求进一步的资助，以测试该指南使用原始数据是否有效。

Social prescribing is not new, but has gained popularity and significant political, policy, and health service traction in recent years. Each new Primary Care Network will receive funding for at least one additional social prescribing worker. There is a growing evidence base, however much of the focus has been on health-service models, mostly through primary care. This is a good starting point but focuses heavily on interventions to help recovery rather than prevention. Additionally, whilst much is known about how these pathways function, little is understood about how the community (and VCS) who are delivering activities are impacted by these new referrals. As a team with extensive expertise in delivering, researching, and being part of social prescribing, we feel there is an opportunity to develop a more formal pathway into existing community-based social prescribing activities, which we know have health and wellbeing effects, but without the heavy reliance on the health service 'scaffolding'. In this project we will use a structured approach to design a future programme of community-referred social prescribing suitable for individuals to use and access community assets for their health. We will bring together a broad range of stakeholders with experience of designing, delivering and - most importantly - accessing social prescribing, to collect information about self-referrals in the community. We want to understand how the systems work, how these structures interact and how to best support them to offer activities in the best way for individuals to attend and improve their health. We also want to explore how the coming expansion will affect those already delivering programmes. We will produce guidance for this whole systems approach to social prescribing, including a detailed system map and programme theory for the proposed pathway and interventions. We will use our existing contacts, as well as those from people we work with for this project, to make sure our guidance reaches those in a position to benefit from it, and to influence service changes for the good of communities. We will then seek further funding to test whether this guidance works using primary data.