Evidence map›Paper›PMID 29784868›Full record

ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2018

Delivering a primary care-based social prescribing initiative: a qualitative study of the benefits and challenges.

Kathryn Skivington, Mathew Smith, Nai Rui Chng, Mhairi Mackenzie, Sally Wyke, Stewart W Mercer

Open access · hybridAbstract read
In one paragraph

Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 1 pooled it
77.8field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

46 citing papers in PubMed, 1 synthesis or guideline pooled it, 99 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Addressing the inverse care law in Scottish general practice: systematic scoping review.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025
    Article
  10. Experiences of integrating social prescribing link workers into primary care in England - bolting on, fitting in, or belonging: a realist evaluation.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025
    Article
  11. Article
  12. Article
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  15. Understanding How, Why and for Whom Link Work Interventions Promote Access in Community Healthcare Settings in the United Kingdom: A Realist Review.Health expectations : an international journal of public participation in health care and health policy · 2024
    Review
  16. A Qualitative Exploration of the Role of Culturally Relevant Social Prescribing in Supporting Pakistani Carers Living in the UK.Health expectations : an international journal of public participation in health care and health policy · 2024
    Article
  17. Article
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  19. Implementation and impact of a social prescribing intervention: an ethnographic exploration.The British journal of general practice : the journal of the Royal College of General Practitioners · 2023
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Kathryn SkivingtonMRC/CSO Social & Public Health Sciences Unit, Institute of Health and Wellbeing, University of Glasgow, Glasgow.
Mathew SmithMRC/CSO Social & Public Health Sciences Unit, Institute of Health and Wellbeing, University of Glasgow, Glasgow.
Nai Rui ChngSchool of Social and Political Sciences, Institute of Health and Wellbeing, University of Glasgow, Glasgow.
Mhairi MackenzieSchool of Social and Political Sciences, Institute of Health and Wellbeing, University of Glasgow, Glasgow.
Sally WykeSchool of Social and Political Sciences, Institute of Health and Wellbeing, University of Glasgow, Glasgow.
Stewart W MercerGlasgow Caledonian University, Glasgow.
Glasgow Caledonian University · GB

Funding

Chief Scientist Office SPHSU15Medical Research Council MC_PC_13027Medical Research Council MC_UU_12017/10Medical Research Council MC_UU_12017/15
6 · The paper itself

Abstract

backgroundSocial prescribing is a collaborative approach to improve inter-sectoral working between primary health care and community organisations. The Links Worker Programme (LWP) is a social prescribing initiative in areas of high deprivation in Glasgow, Scotland, that is designed to mitigate the negative impacts of the social determinants of health.

aimTo investigate issues relevant to implementing a social prescribing programme to improve inter-sectoral working to achieve public health goals. DESIGN AND

settingQualitative interview study with community organisation representatives and community links practitioners (CLPs) in LWP areas.

methodAudiorecordings of semi-structured interviews with 30 community organisation representatives and six CLPs were transcribed verbatim and analysed thematically.

resultsParticipants identified some benefits of collaborative working, particularly the CLPs' ability to act as a case manager for patients, and their position in GP practices, which operated as a bridge between organisations. However, benefits were seen to flow from new relationships between individuals in community organisations and CLPs, rather than more generally with the practice as a whole. Challenges to the LWP were related to capacity and funding for community organisations in the context of austerity. The capacity of CLPs was also an issue given that their role involved time-consuming, intensive case management.

conclusionAlthough the LWP appears to be a fruitful approach to collaborative case management, integration initiatives such as social prescribing cannot be seen as 'magic bullets'. In the context of economic austerity, such approaches may not achieve their potential unless funding is available for community organisations to continue to provide services and make and maintain their links with primary care.

Indexed as

Community Health ServicesDelivery of Health Care, IntegratedPrimary Health CareSocial SupportCost-Benefit AnalysisHealth Services ResearchHumansPoverty AreasProgram EvaluationQualitative ResearchScotlandSocial BehaviorSocial Theorycommunity organisationslink workersprimary health carequalitative researchsocial prescribingsocioeconomic factors

Identifiers

PMID29784868
PMCPMC6014416
OpenAlexW2803462378

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.