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How independent is the new National Academy for Social Prescribing?

At its best Social Prescribing is about trying to take a holistic strength based approach to health and wellbeing. It recognises that some of the solutions to improving health and wellbeing cannot be found in clinical interventions but instead already exist in communities, and by connecting people to these it is possible for people to build on their own strengths thereby improving their confidence and wellbeing.

NHS England has an ambitious programme of rolling out Social Prescribing Community Link Workers to all Primary Care Networks in England. Complementing this the Department for Health and Social Care has just established a National Academy for Social Prescribing (NAfSP) to foster the development of Social Prescribing in England.

The Strategic Challenge for Social Prescribing

Shifting a predominantly clinical NHS model to coproduce solutions with local communities is a significant cultural change. Some of the challenges include:

These challenges mean that the NAfSP will need to:

Problems

Given the above challenges and actions needed to address these it is concerning that the NAfSP appears to be very reliant on the patronage of Matt Hancock the Secretary of State for Health and Social Care, who according to this FOI request has authorised:

It is interesting that NHS England (who have a who have a Director on the Board and appear to have provided over £.6m) accept no responsibility for the funding of or appointments to this new organisation – despite Social Prescribing being a clear part of the NHS England action plan on personalisation.

Matt Hancock has close links with the Institute of Economic Affairs a free market think tank who have a clear position on charities that are funded solely by Governments, they call them “Sock Puppets”. In other words not really independent – just mouthing the interests of Government.

Given the NAfSP fits all the IEA ‘sock puppet’ criteria – a company with all directors appointed directly by the minister with 100% funding from government it is hard to see how it is well placed to drive forward an effective change agenda that will need to achieve two things. First, make sure that attention is paid to the needs of hard pressed communities and second bring effective independent challenge to the health system, key stakeholders and of course government to help local health systems become more more person and community centred.

Between now and the new financial year the new charity will be established – it will be important to be sighted on who is on the board, will key players be involved like:

What do you think?

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