社会处方:来自 VCSE 部门的观点

Kate Jopling
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引用次数: 0

摘要

经过领先的志愿、社区和社会企业(VCSE)部门组织多年的孵化,2019 年,社会处方服务已被纳入国民医疗服务体系初级保健服务的主流,并向初级保健网络提供资金,用于支付联系工作者的工资。然而,在整个国家医疗服务体系中推广社会处方服务一直面临挑战,其中最突出的是与为 VCSE 部门提供资金有关的问题。虽然英格兰国家医疗服务体系现在直接资助联系工作者,但并不资助联系工作者转介的社区活动和服务。因此,社会处方的推广给已经捉襟见肘的 VCSE 系统带来了额外的压力,尤其是在较为贫困的社区。要找到可持续的解决方案,为整个社会处方 "生态系统 "提供资金,并确保其作为医疗系统核心部分的地位,就需要努力将更广泛的利益相关者聚集在一起,支持社会处方的愿景,并确保他们承诺为社会处方带来的成果做出贡献。
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Social prescribing: the view from the VCSE sector
After many years of incubation by leading voluntary, community and social enterprise (VCSE) sector organisations, in 2019 social prescribing services were mainstreamed into the NHS primary care offer, with funding offered to Primary Care Networks to pay link workers’ salaries.
Social prescribing services capitalise on the VCSE's capacity to address issues that go beyond the medical, by bridging between the formal health system and the support available in communities. The VCSE sector has welcomed the NHS's adoption of social prescribing and wants to see it succeed.
However rolling social prescribing out across the NHS has been challenging, most notably in relation to funding for the VCSE sector. While NHS England now funds link workers directly, it does not fund the community activities and services into which link workers make referrals. The roll out of social prescribing has therefore created additional pressure on an already-stretched VCSE system, particularly in more deprived communities.
Finding sustainable solutions for funding the whole social prescribing “ecosystem” and securing its position as a core part of the health system will require work to bring a wider group of stakeholders together behind the vision for social prescribing and to secure their commitment to contributing to the outcomes it delivers.
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