Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2024 Oct 21;11(4):100199.
doi: 10.1016/j.fhj.2024.100199. eCollection 2024 Dec.

Conceptualising social prescribing in urgent and emergency care

Affiliations

Conceptualising social prescribing in urgent and emergency care

Matthew Cooper et al. Future Healthc J. .

Abstract

This paper examines how social prescribing could be implemented across urgent and emergency care (UEC) systems by examining potentially viable referral pathways and the salient challenges and barriers to implementation. In doing so, we consider a range of services involved in the broader UEC system to include emergency departments, emergency medical (ambulance) services, out-of-hours general practitioners, telephony-based urgent care, urgent treatment centres, and community pharmacy. This paper aims to encourage further debate on this topic, including around the nuances of UEC services that may influence implementation of social prescribing.

Keywords: Healthcare; Social care; Social prescribing; Urgent and emergency care.

PubMed Disclaimer

Conflict of interest statement

Matthew Cooper and Hamde Nazar are funded by the National Institute for Health and Care Research (NIHR) Newcastle Patient Safety Research Collaborative (PSRC). Gina Agarwal is supported by a Tier 1 Canada Research Chair and by the Department of Family Medicine as the McMaster Levitt Scholar. If there are other authors, they declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

Figures

Fig 1
Fig. 1
Typical social prescribing pathway. Blue shaded boxes – self-referral pathway. Green shaded boxes – primary care pathway. Orange shaded boxes -social prescribing pathway. Yellow shaded box – third sector.
Fig 2
Fig. 2
Conceptual social prescribing model in urgent and emergency care. Blue shaded boxes – self-referral pathway. Green shaded boxes – primary care pathway. Red shaded boxes – urgent and emergency care pathway Orange shaded boxes -social prescribing pathway. Yellow shaded box – third sector.
Fig 3
Fig. 3
Conceptual overview of the UEC link worker as a triage option. Green – non-emergency walk-in/telehealth. Yellow – non-emergency minor injuries and primary care doctor. Orange – emergency minor/major health need. Red – critical or life-threating health need.

References

    1. Cooper M, Avery L, Scott J, et al. Effectiveness and active ingredients of social prescribing interventions targeting mental health: a systematic review. BMJ open. 2022;12(7) - PMC - PubMed
    1. Morse DF, Sandhu S, Mulligan K, Tierney S, Polley M, Giurca BC, et al. Global developments in social prescribing. BMJ Global Health. 2022;7(5) - PMC - PubMed
    1. Howarth M, Brettle A, Hardman M, Maden M. What is the evidence for the impact of gardens and gardening on health and well-being: a scoping review and evidence-based logic model to guide healthcare strategy decision making on the use of gardening approaches as a social prescription. BMJ open. 2020;10(7) - PMC - PubMed
    1. Booker MJ, Simmonds RL, Purdy S. Patients who call emergency ambulances for primary care problems: a qualitative study of the decision-making process. Emerg Med J. 2013 - PubMed
    1. Essex R, Brophy SA, Sriram V. Strikes, patient outcomes, and the cost of failing to act. bmj. 2023:380. - PubMed

LinkOut - more resources