Social prescribing (SP) is a practice I became familiar with at our 2019 Power of Music Conference in Nottingham, England. At the time, the National Academy of Social Prescribing (NASP) had just been formed.
The NASP defines SP as connecting people to activities, groups and support that improve their health and wellbeing. SP links people to non-medical supports in their community to address issues such as loneliness, debt or stress due to financial pressures or poor housing.
Since then, the NASP story has been impressive including 12% reductions in GP appointments, 15-20% reduction in secondary care costs, measurable improvements in wellbeing, physical and mental health, and an ROI of £3.50 for £1 invested. A key achievement has been to set up a healthcare integration program to support health and care providers and partnerships to embed social prescribing.
So it was with keen interest my colleagues and I attended Canada’s first Social Prescribing Conference held in Toronto at the end of September 2024. Convened by the Canadian Institute for Social Prescribing (CISP), a national collaboration hub anchored by the Canadian Red Cross, several hundred early adopters and curious folks like us gathered. The energy and excitement was palpable.
Dr. Kate Mulligan, the Scientific Director and champion of social prescribing in Canada set the stage, proposing SP as the pathway from health treatment to wellness creation. The CISP encourages models that connect people with healthcare, social services and community supports to enhance health and wellbeing. The goal of CISP is to bring together a diverse network of health practitioners, researchers, academics, system leaders, funders and others to share learnings, mobilize knowledge, build evidence and influence policy.
The opening speaker, Elder Dr. Albert Marshall from the Mi’kmaw First Nation in Nova Scotia set the stage by sharing knowledge and wisdom of his people, including ‘two-eyed seeing’ - seeing the best of traditional Indigenous ways and the best of current western medicine. Applied to SP, we understand that the clinical medium saves lives and the social medium makes life worth living.
A variety of panels, workshops and posters provided content for the conference. Notably, SP leaders from Singapore, Brazil, United States, England, and Australia shared where they are at with social prescription. Clearly, this global movement, supported by the World Health Organization, is underway. The WHO has developed a Social Prescribing Toolkit which outlines steps required to introduce SP and includes sample materials which can be adapted to the local context.
In the final plenary session, we considered the future of healthcare in Canada. While there are no pat and easy answers, SP is seen as a response to ‘sick care’ through upstream preventative programming. It requires a shift, from a medical model where power is held and directed and the status quo is maintained to a social model where power is shared and everyone sees themselves in it. As Jodeme Goldhar, co-founder of the Foundation for Integrated Care Canada stated, ‘SP requires a shift from egocentric to ecocentric thinking.’
A key takeaway for me is that SP requires a new way of seeing, a new collective mindset. SP is all about working together in community, leveraging new ways of being and doing, working in partnership. The endgame may be a road to recovery for the Canadian healthcare system, were we live in less isolated and more connected communities optimizing health and wellbeing for all.
If you want to learn more about SP in Canada, then subscribe to the CISP newsletter for ongoing updates, resources, and opportunities.
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