Applying an equity lens to social prescribing

Author:

Khan Koser12ORCID,Tierney Stephanie3,Owen Gwilym4

Affiliation:

1. National Institute for Health Research Applied Research Collaboration (NIHR ARC-NWC) , Division of Health Research, Faculty of Health and Medicine, , Lancaster LA1 4AT, UK

2. Lancaster University , Division of Health Research, Faculty of Health and Medicine, , Lancaster LA1 4AT, UK

3. Nuffield Department of Primary Care Health Sciences, University of Oxford , Woodstock Road, Oxford, OX2 6HT, UK

4. Department of Public Health Policy and Systems, University of Liverpool , L69 3GF, UK

Abstract

Abstract Background Social prescribing is often described as an intervention that can help reduce health inequalities yet there is little evidence exploring this. This study aimed to assess the feasibility of accessing and analysing social prescribing (SP) service user data to demonstrate the impact of SP on health inequalities. Methods The sample size consisted of records for 276 individuals in Site 1 and 1644 in Site 2. Descriptive analyses were performed to assess the characteristics of people accessing SP, the consistency of data collected and the missingness across both sites. Results Both sites collected basic demographic data (age gender, ethnicity and deprivation). However, data collection was inconsistent; issues included poor recording of ethnicity in Site 2, and for both sites, referral source data and health and well-being outcome measures were missing. There was limited data on the wider determinants of health. These data gaps mean that impacts on health inequalities could not be fully explored. Conclusions It is essential that SP data collection includes information on user demographics and the wider determinants of health in line with PROGRESS Plus factors. Considering equity around who is accessing SP, how they access it and the outcomes is essential to evidencing how SP affects health inequalities and ensuring equitable service delivery.

Funder

National Institute for Health Research Applied Research Collaboration North West Coast

National Institute for Health Research or the Department of Health and Social Care

Publisher

Oxford University Press (OUP)

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