Dudley Building Health Partnerships

Social Prescribing

Mark Ellerby

• Led by Age UK Dudley

• Gateway - Social Prescribing Service

• Work in partnership with GP Practices and the Community Rapid Response Team (CRRT)

Dudley - Social Prescribing

Overview

• To support an integrated approach to patient care across Dudley,

• To prevent A & E hospital admissions

• To reduce frequent users of GP practices

Dudley - Social Prescribing

Purpose

• Those affected by social isolation and loneliness in later life

• Those patients with mild/moderate depression

• Patients aged 60 years or over, who are identified as meeting the referral criteria, can be referred by their GP practice or the CRRT to the Gateway Service.

Dudley - Social Prescribing

Target Group

Dudley - Social Prescribing

Outcomes

The service will support the CCG to:

• Reduce the no. of appointments of frequent users at GP• Reduce inappropriate A & E hospital admissions The service will aim to benefit patients by:

• Reducing feelings of social isolation and loneliness• Improving emotional and physical well being• t to maintain independence Additional benefits:

•More appropriate use of clinician’s time. •Improved links between practices and VCSE Sector

Delivery Model

Integrated Care DevelopmentSocial Prescribing

Community Information Directory

Dudley - Building Health Partnerships

Big Picture

Social TriagePSIAMS

Dudley - Building Health Partnerships

PSIAMS

- identifies key issues of people with complex or multiple needs

- social triage's those needs

- helps staff plan ways to resolve the issues faced

- demonstrates the impact, value and results of work

• Signposting for GPs, organistions and individuals

• Local services

• Patient choice

Dudley - Building Health Partnerships

Community Information Directory

Dudley Building Health Partnerships

Social Prescribing

Mark Ellerby

mark@Cloudberry.org.uk