HSE Social Prescribing Framework

1 HSE Social Prescribing FrameworkMainstreaming Social Prescribing in partnership with community & voluntary Framework was developed by the Mental Health and Wellbeing Programme within HSE Health and Wellbeing. It was led by Orla Walsh and Anne Sheridan and supported by a Social Prescribing Framework Steering Group that was established to oversee its development. Membership of the Steering Group is listed below. NAMEROLE AND ORGANISATIONAnne SheridanProgramme Manager, Mental Health and Wellbeing Programme, HSE Health and Wellbeing (Chair)Orla WalshProject Manager, Mental Health and Wellbeing Programme, HSE Health and Wellbeing Dr.

2 Fiona ManserghAssistant Principal, Department of Health, Healthy Ireland Deirdre Ruane Amanda Caulfield Representatives from Irish Social Prescribing Peer NetworkJennifer D ArcyRepresentative from Irish Local Development Network (ILDN)Shauna DiamondRepresentative from National Forum for Family Resource CentresRuth ArmstrongProject Manager, HSE Social InclusionDr. David Hanlon HSE National Clinical Advisor & Group Lead Primary Care, Office of the Chief Clinical OfficerDerval HowleyHead of Service for Health and Wellbeing, HSE CHO 5Dr. Sinead Reynolds & Tom O BrienGeneral Manager, HSE Mental Health OperationsDr.

3 David RobinsonConsultant Geriatrician St James s Hospital & Co-Chair of All-Ireland Social Prescribing NetworkSharon KennellyClinical Specialist Dietitian, HSE National Primary Care Strategy & Planning Sinead HardimanBusiness Manager, HSE Mental Health Strategy & PlanningCaroline PeppardSelf-Management Support Coordinator, HSE Health and Wellbeing, CHO Dublin North City & County George O DohertyService User RepresentativeContentsMembership of the Social Prescribing Framework Steering Group ..2 Table of Figures ..5 List of abbreviations ..6 Foreword ..7 SECTION 1: Background and Context ..9 SECTION 2: Development SECTION 3: Delivery Model.

4 17 SECTION 4: Referrals and Referral Pathway ..19 The service user ..19 Referrals ..19 Referral pathway ..20 The Social Prescribing service and the Social Prescribing link worker ..21 Supported transition to sources of support ..22 Follow-up and review ..22 Social Prescribing case study Prescribing case study 2 ..23 Social Prescribing case study 3 ..24 Evaluation ..25 Outcomes ..25 Outputs ..26 Qualitative data ..26 SECTION 5: Aligning Social Prescribing with Existing HSE Services and Programmes ..28 Health and Wellbeing ..28 Primary Care ..29 Mental Health ..31 Acute Hospitals ..34 Older Person s Services.

5 35 Social Inclusion Services ..37 SECTION 6: Implementation ..40 Governance and accountability ..40 Funding ..41 Implementation approach ..41 SECTION 7: Quality Assurance ..43 REFERENCES ..44 APPENDICES ..46 Appendix 1: Sample of personalised health and wellbeing Plan ..46 Appendix 2: Social Prescribing link worker Job Specification ..47 Appendix 3: Referral form ..52 ContentsFigure 1: Social Prescribing Journey ..12 Figure 2: Social Prescribing Referral Pathway ..20 Figure 3:Covid-19 Psychosocial Response Layered Care Framework ..31 Figure 4: Potential Benefits of Social Prescribing for Older People.

6 35 Figure 5: Routes to Social Prescribing from Social inclusion services..38 Table of figuresA&Eaccident & emergencyASPIREA dult Social Prescribing for Individual Resilience & EmpowermentCHNC ommunity Healthcare NetworkCHOC ommunity Healthcare OrganisationCMHTC ommunity Mental Health TeamCYPSCC hildren and Young People s Services CommitteeDSGBV domestic, sexual and gender-based violenceEDEmergency Department GPgeneral practitionerHSCP health and Social care professionalHSEH ealth Service ExecutiveH&WHealth and WellbeingILDNI rish Local Development NetworkIPSI rish Prison ServiceIRPPI rish Refugee Protection ProgrammeLCDCL ocal Community Development CommitteeMECCM aking Every Contact CountMISAM ercer s Institute for Successful AgeingNGOnon-governmental organisationNHSN ational Health ServiceNOSPN ational Office for Suicide PreventionOToccupational therapistPHNpublic health nurseRCSIR oyal College of Surgeons in IrelandUKUnited KingdomList of

7 Abbreviations HSE Social Prescribing Framework | 7 Foreword The health and wellbeing of our population is influenced by numerous Social , economic and environmental factors. Clinical healthcare services alone cannot meet the range of health needs of our population. Social Prescribing is an effective means of engaging people in non-clinical activities and services in their communities in order to promote their health and wellbeing and reduce health inequalities. It generally involves healthcare and other professionals referring people to a Social Prescribing link worker, who supports them to access local services through discussion and joint decision-making.

8 Evaluations have demonstrated that Social Prescribing can have a range of positive outcomes, including improvements in mental wellbeing, physical health and health behaviours, and reductions in Social isolation and loneliness. Those who can benefit the most include people with one or more long-term conditions, who need support with their mental health, who are lonely or isolated, who are frequent health service users, and who have complex Social needs which affect their health and wellbeing. The development of Social Prescribing in Ireland has primarily been driven by the community and voluntary sector, in partnership with health services.

9 Social Prescribing services are now being delivered by 30 locations around the country by community-based organisations such as local development companies and family resource centres, supported by the HSE, Sl intecare and Healthy Ireland. The expansion of Social Prescribing is a commitment in the 2021 Programme for Government and is an action in many recent strategies and polices, including Sharing the Vision 2020-2030, the Sl intecare Implementation Strategy and Action Plan 2021-2023, and the Healthy Ireland Action Plan 2021-2025. As part of the newly established Healthy Communities Programme, an area-based approach to community health and wellbeing improvement targeting areas of disadvantage, Social Prescribing will be one a suite of health and wellbeing initiatives implemented.

10 It is therefore an opportune time to explore how Social Prescribing can best be developed and integrated across the HSE to ensure services are effective and sustainable. This Framework has been developed to support the development of Social Prescribing within the HSE and sets out a common approach for its delivery across the organisation. It outlines the key elements of Social Prescribing services and provides guidance for how the HSE can work in partnership with the community and voluntary sector in order to best meet the needs of service users. Tailored guidance is offered for a range of HSE services, highlighting the roles we all play in realising a collective approach.