B&H CCG PLS Conference 5th April 2017 Community Navigation: the Brighton & Hove approach to social prescribing B&H CCG PLS Conference 5th April 2017 Clair Farenden (Community Navigation Service Manager) clair.farenden@bh-impetus.org @BHImpetus 01273 229382

Social prescribing is a means of enabling primary care services to refer patients with social, emotional or practical needs to a range of local, non-clinical services, often provided by the voluntary and community sector. AgeUK

What is Community Navigation? Helps patients with social and emotional needs, e.g. low level depression, bereavement, social isolation, financial difficulties 57% of patients referred are over 55 and experiencing anxieties about their medical conditions or wellbeing Community Navigation enables people to access non-medical services, groups and activities that meet their wide health and wellbeing needs

How does it work? Patient is referred by a primary care health professional or Care Coach Community Navigator meets the person 1-2-1 in a confidential space, either in surgery or at home Initial assessment = guided conversation (1 hour appt.) Offer a range of options and facilitate referral Following up after agreed amount of time Usually 1 or 2 face to face appts. with follow up phone calls. A record of onward referrals made and outcomes sent to surgery

Signposting vs facilitated referral What is signposting? Signposting means providing contact details and a simple description of a service, i.e. giving basic information you could expect to see on a leaflet or website. The patient has responsibility for contacting the services and making any necessary arrangements NB. Signposting is regarded as ineffective for vulnerable people, e.g. those with poor mental health, social isolation, multiple health needs.

Signposting vs facilitated referral What is facilitated referral? A facilitated referral uses a number of methods to help the client access the service or activity they need, e.g. researching info about an activity or service, filling in a form, making an appointment etc. The adviser has responsibility for contacting the services and making any necessary arrangements. Especially effective for vulnerable people To facilitate = to make (an action or process) easy or easier.

Evidence about Community Navigation 393 patients were referred across 16 surgeries during the first 12 months of the pilot, with 741 referrals were made to groups, services and activities patients would not have otherwise accessed. The service attracted highly experienced and skilled volunteers, most had a previous or current career in healthcare, social services, teaching or counselling. 93% of patients said they had all the information they needed to address their issue Patients reported 98% satisfaction with the service saying they felt listened to and understood. GPs & Practice staff reported 89% satisfaction with the quality of the Community Navigator service; 95% said the service is effective at providing a referral route to non-medical services, 87% reporting it as effective at improving the wellbeing of patients.

Evidence about Community Navigation Main presenting issues

Evidence about Community Navigation Facilitated referrals made to: Social groups (18%) Exercise (10%) Finance & benefits (8%) Mental Health Services (7%) Learning, classes & course (7%) Older Peoples’ Services (6%) Housing (5%) Befriending (5%)

Key Benefits of Community Navigation *Promotes & improves wellbeing *Prevents loneliness & isolation *Prevents decline of mental health *Promotes resilience and independence Releases GP surgery time spent with patients on non-medical issues Provides access to the right services at the right time Key Benefits of Community Navigation

The Story so far… Began in August 2014 Volunteer CNs with a background in health & social care, teaching, counselling etc. High quality standards; Training, supervision and ongoing support Tried and tested model, developed over time. Recently added a home visit service for surgeries without space and patients with mobility issues Facilitated referral might involve finding further information, filling in forms, making an appointment on their behalf, liaising with agency staff, planning journeys

Next Steps… Expanding citywide Links with GP clusters Further developing the home visit service Working closely with other social prescribers Could potentially complement the enhanced receptionist role Further evaluation CCG recognise CN as the model of SP in primary care in B&H and have funded its expansion citywide Expanding from 14 to around 40 practices over next few months

Workshop In your groups, read the case studies and discuss the following… What impact does this person have on your surgery, e.g. on receptionist, PM, GP time / resources What do you think this person needs? Discuss as many case studies as you can and note down answers to feed back to the whole group

Evidence and contacts For more information and to download our evaluation : http://www.bh-impetus.org/communitynavigation Impetus Community Navigation Service Clair Farenden (Service Manager) Alex Brining & Mel Pickett (Navigation Coordinators) 01273 229382