Abstract
Local governments and Health Boards are seeking to develop integrated services to promote well-being. Social participation and physical activity are key in promoting well-being for older people. The Health Precinct is a community hub in North Wales that people with chronic conditions are referred to through social prescribing. To improve community-based assets there is a need to understand and evidence the social value they generate. Data collection took place October 2017–September 2019. Social Return on Investment (SROI) analysis was used to evaluate the Health Precinct. Stakeholders included participants aged 55+, participants’ families, staff, the National Health Service and local government. Participants’ health and well-being data were collected upon referral and four months later using the EQ-5D-5L, Campaign to End Loneliness Scale and the Rosenberg Self-Esteem Scale. Family members completed questionnaires at four months. Baseline data were collected for 159 participants. Follow-up data were available for 66 participants and 38 family members. The value of inputs was £55,389 (attendance fees, staffing, equipment, overheads), and the value of resulting benefits was £281,010; leading to a base case SROI ratio of £5.07 of social value generated for every £1 invested. Sensitivity analysis yielded estimates of between 2.60:1 and 5.16:1.
Highlights
The most frequent pathway that people were referred to was the National Exercise Referral Scheme (NERS), a programme which has previously been shown to increase physical activity for people with coronary heart disease, and reduce anxiety and depression in people referred for mental health reasons [30]
This study used Social Return on Investment (SROI) analysis to evaluate the social value generated by the Health Precinct, a community hub which encourages participants to manage chronic conditions through social prescribing to physical activity and social participation programmes
The findings suggested that social value was generated to participants through an increase in their physical activity levels, improvements in health status, increased confidence and increased social connectivity, which is aligned with the outcomes expected from the theory of change that was developed
Summary
Population Ageing and Chronic Conditions in Wales. With 27.1% of the population aged 60 and above [1]. This is projected to increase to 30.9% by. Chronic conditions such as heart disease, cancer and respiratory disease are the leading causes of premature deaths in Wales [2]. The prevalence of chronic conditions increases with age, with two-thirds of over 65’s in Wales reporting having at least one chronic condition [2]. Modifiable risk factors for these conditions include physical inactivity, unhealthy diets, and alcohol and substance misuse [3]
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