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.
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