Monday, 3 June 2019

Social prescribing - a pilot project in South Powys


Rhiannon Davies is known to many people as she was, for many years, the very active chair of Brecon Dementia Friendly Community. Recently Rhiannon has moved on to a new role in the voluntary sector in South Powys, as a link worker for a very particular project at Brecon & District Mind. I was interested to find out more, as social prescribing is becoming increasingly recognised as an important service to complement more traditional health services at the local GP surgery.

What is social prescribing?

Social prescribing recognises that people’s lives and health are affected by social, economic and environmental factors and these needs have to be taken into account for our wellbeing. Looking at people holistically and addressing these things takes extra time. So rather than just having a prescription for a medicine, social prescribing can help you to access a wide range of support and activities in the local community to ensure your needs are being met.

Tell us more about your role with Brecon & District Mind

I am a link worker providing a new service, provided by Brecon and District Mind, in Brecon Medical Practice on Thursdays, and Crickhowell Medical Centre on Tuesdays. It’s called Social Prescribing and it aims to help you get the support you need, when you need it, to improve your mental health and wellbeing.


Why might someone need this service?

Maybe big life decisions are making you worry, so you might want to approach the decisions differently. If you are feeling lonely you might like to make new friends. If you have money problems, you might like to be more in control of your finances. If you are feeling stressed, anxious and depressed you would probably like to sleep better and feel more relaxed.

Everyone needs some help from time to time to overcome life’s challenges. The answer lies in finding the right support at the right time.

Who can be referred to the Social Prescribing service and how?

If you are over 18 and registered with either Brecon or Crickhowell Medical Practices you can ask for a Social Prescribing patient pack at the surgery reception and make a self-referral by completing a consent form. 

Sarah James, Link Worker and Helen O'Donovan, Administrator
How does Social Prescribing work?

Once you have completed a consent form, as a link worker, I will contact you to arrange an appointment at the surgery. When we meet, you can then spend time with me, letting me know your circumstances, how you are feeling, what matters to you and what you think might help to improve your wellbeing. 

Using my knowledge of community support and services, I will then help you to connect to the appropriate local community and voluntary groups, activities and advice services. This could range from wellbeing activities in your local community, housing / benefits / financial support and advice, art or music activities, support groups covering things like bereavement, relationship issues, stress or mindfulness, walking or running groups, and peer support from others who have similar experiences. 

After about three months you will have a final follow-up phone call or meeting so we can see the impact the service has had.

Why was this project set up?

This social prescribing service is part of a joint research project between Mind Cymru and local Minds, funded by Welsh Government. Understanding how social prescribing can help people overcome stress and anxiety is really important in deciding how best to develop medical services in the future. So as part of the process you will be asked some questions about how you are feeling, and your experiences before and after you have used the service.

We know that social prescribing has really helped people in other areas. By taking part in this initiative those who participate are contributing to important evidence that will help plan future health services. All collected data is anonymous.


Is this service available in other parts of Powys?

My colleague, Sarah James, is allocated link worker for Hay and Talgarth surgeries, but Brecon and District Mind is still waiting for the green light before setting up the service there. Ystradgynlais Mind is also part of the research project and has two link workers working in a similar way to Brecon and District Mind.

Which organisations do you work closely with in Powys to provide support to people?

These are early days as the service has only been running for a few weeks, but already I have made referrals to a number of local voluntary organisations, housing, Brecon Leisure Centre, Brecon Job Centre, volunteering groups, a walking group, an art group, the Centre for Long-term Condition Management and Brecon Mind Community Wellbeing service to name a few! The list of potential organisations we have collated to date is well over seventy!

What kind of feedback are you getting from people about the project?

So far the feedback has been very positive, and people are genuinely grateful to have access to such a resource. As I said, the service is still in its infancy, so we hope the numbers accessing the service will build as the word gets out.


What are the main challenges of the role?

Not knowing who is going to come through the door, it’s really important to stay open minded and really listen, so you are not just hearing what people say, but what they mean. Because it’s a new service, making sure all the healthcare professionals are aware of what it can offer and its benefits, so they see it as a regular part of their referral pathway in delivering healthcare is a genuine challenge – as is trying to fit everything in in just two working days a week!

Tell us about some of the most rewarding work you have done in the role so far

I have met some fantastic people to date. People who struggle to see their own strengths and just need some encouragement and support to find what they already have within themselves. Being part of that process and seeing them genuinely engage and take responsibility, setting themselves goals and then, with some extra knowledge and understanding, move forward is hugely rewarding and inspiring.

When you are not working for Brecon & District Mind, how do you enjoy spending your time?

Reading, going to concerts and listening to music, walking our dog, gardening, doing volunteer work within my own community, being with friends and family. Juggling and balancing are my two constant challenges, but I’m up for it as long as I’m learning!


If you want to find out more about the Social Prescribing service you can contact Rhiannon by emailing: rhiannon@breconmind.org.uk or ring: 01874 611529 / 07487 523992. Rhiannon is happy to answer individual questions or queries about the service or spread the word by talking to community groups.

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