| Abstract | Introduction: The Shropshire social prescribing service seeks to address real life social complexity and inequalities by offering integrated, holistic support to multifaceted health and social care issues. The service refers people to a link worker who co-produces solutions in a compassionate, non-judgemental manner. Methods: A quasi-experimental pre-post, mixed-methods design with retrospective case-matched control group was used to investigate the longitudinal benefits of the Shropshire Social Prescribing service. Baseline and 3-months follow-up data was collected using: Measure Yourself Concerns and Wellbeing (MYCaW), De Jong Gierveld Loneliness scale, Patient Activation Measure (PAM) and health service usage data. One-to-one semi structured interviews were carried out to explore the experiences of different stakeholders including service users, GPs, service providers, commissioners and social prescribing service staff. Results: 515 referrals to the social prescribing service were made between May 2017 ' May 2019, and n=134 were recruited into the evaluation. Evaluation participants were highly satisfied with social prescribing service (4.8/5). MYCaW concerns identified a range issues including lifestyle advice and social determinants of health, some which were beyond the initial service remit. Significant improvements were achieved in participants' MYCaW concerns (p=0.001) and wellbeing (p=0.001), PAM levels (p=0.000), De Jong Gierveld measure of emotional loneliness (p=0.05), GP visits were reduced by 40% (p=0.00), for people who used the social prescribing service compared to the control group. Participants overall reported feeling supported, listened to, guided and reassured by the social prescribing advisor. It had given them the confidence to put changes into action and access appropriate groups when the time was right. Qualitative data also revealed ways in which the service could be improved to further meet the needs of all stakeholders. Conclusion: This data provides compelling explanations for the positive impact of the Shropshire Social Prescribing service on people's health, wellbeing and need for health service resources. |
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