Social Prescribing: Link Workers’ Perspectives on Service Delivery

Abstract

Purpose: In social prescribing (SP) a primary care based “link worker” assesses patient needs and goals, and makes appropriate links and referrals to community-based resources and services. This study explored SP service provision in England’s NHS, investigating social prescribing link worker’s (SPLW’s) perspectives of service delivery, service goals, theories and approaches used, challenges, what works, and barriers to success. Methods: Semi-structured interviews were undertaken with eighteen SPLWs delivering SP. Data were analysed using thematic analysis. Results: Social prescribing mechanisms and frameworks were identified. Five organising themes describe a solution-focused, strengths-based theoretical underpinning; a patient-led process; role of SPLWs as a support person, guide, and facilitator; supporting collaborative networks; patient and wider outcomes; and threats to success of SP. A solution-focused, strengths-based approach underpins many aspects of SP. Conclusion: The effectiveness of SP could be improved by SPLW motivational interviewing and solution-focused training to promote patient behaviour-change, salutogenesis, and positive outcomes, enabling SPLWs to feel they have the skills required. Workload and referrals should be appropriate for the role of SPLWs. Now that there is widespread implementation of SP in the NHS, there is a need to interview patients in receipt of SP to gain their experience, views, and recommendations.