OPEN: To accelerate economic and social impact of NERC science in human health and wellbeing by improving and targeting knowledge exchange (EXTENSION)

关于这项提案这项提案是将现有项目从2015年9月起延长一年。该项目在以下方面建立了工作伙伴关系：不同学科的学者；自然保护和解释方面的慈善机构、CIC和小企业；以及卫生系统，特别是全科医生手术。这项工作一直集中在康沃尔。其目的是将这些不同的群体聚集在一起，以便他们能够了解每个群体都能提供什么，回答有关知识差距的问题，并设计和试验新的合作计划。项目合作伙伴都感兴趣的想法是，转介或处方定期与自然接触可以帮助减少慢性健康状况，改善福祉，并降低卫生服务的成本。自然处方活动一直在“大自然的剂量”的旗帜下进行协调。该项目已经运行了18个月，事实证明非常受欢迎。这项提议是为了让当前的项目得到发展，并产生一些最初的项目没有预见到的更大的影响。潜在的收益是什么？到目前为止，参与试点的患者和组织已经确定在个人健康和福祉、减少去全科医生就诊以及减少药物使用方面都有好处。我们现在需要知道：这类工作对环境的好处和影响；节省的成本如何转化为自然管理工作的收入；通过自然处方可以保护或创造多少就业机会？前18个月取得了什么成就？已经设计、联合交付了六个自然项目，并正在接受初级保健的转介。他们正在收集关于幸福感变化的标准化数据。博客、文章、演示文稿和演讲都提高了知名度。学术论文已委托并提交。详细的研究问题已经得到提炼。地方、区域和国家利益攸关方已经参与，并确定了潜在的额外工作。下一步是什么？为实现这一潜力，将开展以下活动(见工作计划)：-建立一个新的研究方案。一项向PenCLAHRC提出的建议已经被接受。PenCLAHRC是西南地区NHS和该地区大学之间的合作伙伴关系，旨在改善患者的预后。提交给国家卫生研究所(NIHR)的一项提案已入围并被接受开发。已向伊甸园项目合作基金提交了申请。这项提议将允许所有这些活动向前发展。此外，该项目还将参与即将进行的向评估自然方案(VNP--一项多学科倡议)征求建议书的工作，这一延期将确保项目整合。将提交给《柳叶刀》的一篇论文正在初稿中。-正在产生更大的影响。到2016年夏天，我们将拥有足够多的数据、研究和足够广泛的从业者网络，来举办英国第一次“自然处方峰会”。其目的将是将Defra、RSPB、伊甸园项目、NIHR、DOH、VNP、国王基金、研究人员和知识交流专家以及我们的从业者网络聚集在一起，报告进展情况并规划未来。我们还希望开展新的环境影响和健康经济项目，推出试运行指南，并将我们的工作提交给Defra的健康和福祉项目。-扩大网络。我们已经在埃克塞特和托尔贝(德文野生动物信托基金)、韦茅斯(RSPB)和布里斯托尔(雅芳野生动物信托基金和一系列社区花园)确定了新的自然处方合作伙伴关系，以在城市环境中重复当前的项目模式。此外，我们将在康沃尔运营两个新的组织，这两个组织将由卫生预算提供资金，这是至关重要的下一步。我们还希望通过在生态系统知识网络旁边举办一次网络研讨会，并通过与可持续医疗中心研究员合作来扩大该网络。

About this proposalThis proposal is to extend an existing project for a year from September 2015. The project has developed working partnerships between: academics in different disciplines; charities, CICs and small businesses in nature conservation and interpretation; and the health system, particularly GP surgeries. The work has been concentrated in Cornwall. The aim has been to bring these different groups together so that they can learn what each has to offer, to answer questions about knowledge gaps, and to design and pilot new collaborative schemes. Project partners are all interested in the idea that referrals to, or prescriptions for, regular engagement with nature can help reduce chronic health conditions, improve wellbeing, and reduce costs to the health service. The nature prescription activities have been co-ordinated under the overarching banner of 'Dose of Nature'.The project has been running for 18 months, and has proved very popular. This proposal is to allow the current project to grow and to deliver some larger impacts that the original project did not foresee.What are the potential gains?Patients and organisations that have been involved in the pilots to date have identified gains in terms of personal health and wellbeing, reduced visits to the GP, and less drug use. We now need to know: the environmental gains and impacts of such work; how the cost savings be translated into income for nature management work; and how many jobs can be safeguarded or created through nature prescription?What's been achieved in the first 18 months?Six Dose of Nature projects have been designed, co-delivered, and are receiving referrals from primary care. They are collecting standardised data in changes in wellbeing. Blogs, articles, presentations and talks have raised publicity. Academic papers have been commissioned and submitted. Detailed research questions have been refined. Local, regional and national stakeholders have been engaged and potential additional work identified.What next?To realise this potential the following activities will be delivered (see Work Plan):- Build a new research programme. A proposal to PenCLAHRC, the south west region's partnership between the NHS and the region's universities to look at improving patient outcomes, has already been accepted. A proposal to the National Institute for Health Research (NIHR) has been shortlisted and accepted for development. An application to the Eden Project Collaboration Fund has been submitted. This proposal will allow all of these activities to be taken forewards. In addition the project will be involved in the imminent call for proposals to the Valuing Nature Programme (VNP - a multidisciplinary initiative), and this extension will ensure project integration. A paper to be submitted to The Lancet is in early draft.- Making a bigger impact. By summer 2016 we will have the data, research and a wide enough practitioner network to run the UK's first 'Nature Prescription Summit'. The aim will be to bring Defra, the RSPB, the Eden Project, NIHR, DoH, VNP, King's Fund, researchers and knowledge exchange specialists together with our practitioner network, to report on progress and plan for the future. We also want to carry out new Environmental Impacts and Health Economics Projects, launch a Commissioning Guide, and present our work to Defra's health and wellbeing project.- Expand the network. We have identified new nature prescription partnerships in Exeter and Torbay (Devon Wildlife Trust), Weymouth (RSPB) and Bristol (Avon Wildlife Trust and a series of community gardens) to repeat the current project model in urban contexts. In addition we will run two new groups in Cornwall that will be funded from the health budget, a vital next step. We also want to expand the network via a webinar alongside the Ecosystems Knowledge Network, and by engaging with the Centre for Sustainable Healthcare Fellows.