About the personalised care roles 

Find information to help you understand the role of social prescribing link workers, care coordinators and health and wellbeing coaches on this page. 

30 minute video about the role of Care Coordinators, Health and Wellbeing Coaches and Social Prescribing Link Workers 

One page explainer about Care Coordinators

One page explainer about HWBCs 

One page explainer about SPLWs 

ICB guidance and contracts 

Information to guide ICBs in supporting the personalised care roles and wider prevention agenda. 

Hewitt Independent Review of Integrated Care Systems  

ICS Insight and Collaboration Engine (ICE), – Deprivation across ICBs  

Integrated Care Systems explained by King’s Fund 

Primary care guidance and contracts 

Information for primary care and PCNs to support the personalised care roles and wider community-based prevention. 

NHSE GP Contract Hub  

PCN DES Contract   

Fuller Stock Take Report of Primary Care  

PCN planning template 

ARRS claims portal guidance webinar   

Guidance for accessing allocated ARRS funding  

Delivery Plan for Recovering Access to Primary Care  

The NHS and Department of Health and Social Care delivery plan for recovering access to primary care  

Training hubs 

Information on what training hubs are and how they’ve supported the personalised care roles. 

Training Hubs – what are they?  

Case study: Champion ARRs roles running monthly peer sessions in South West London

Case study: Recruiting local people into local jobs – personalised care roles in Wandsworth  

Case study: Supervision for social prescribing link workers – commissioning an external supplier in Waltham Forest 

Recruiting, employing and embedding the workforce 

Resources for managers or those working alongside the roles to understand how to best recruit, employ and support the personalised care roles. 

Recruitment and induction 

Resources to support with recruiting the roles and induction, including understanding their roles. 

Recruitment Pack for recruiting SPLWs 

Recruitment Pack for recruiting CCs 

Recruitment Pack for recruiting HWBCs 

Resources for induction, supervision and management of all ARRs staff 

Link worker welcome and induction pack 

London Plus Social Prescribing Network  

Embedding the roles 

Resources for embedding the roles into the health and care system, including best practice, and requirements for managing, supporting and developing the roles. 

PCN toolkit for embedding the personalised care roles and tackle health inequalities by TPHC  

TPHC Community Led Prevention newsletters for supporting the roles and their managers  

Social Prescribing Link Worker Workforce development framework PDF summary  

Workforce Development Framework for SPLWs  

Health and Wellbeing Coach Workforce development framework PDF summary  

Health and Wellbeing Coach Workforce development framework  

Care Coordinator Workforce development framework PDF summary  

Care Coordinator Workforce development framework  

Integrating the additional roles into PCNs – King’s fund 

Integrating the additional roles into PCNs – King’s fund 

Social Prescribing Reference Guide  

Improvement and Innovation 

Examples, guidance and resources to help you innovate and carry out improvement projects in your local area. 

Social Prescribing Innovators Programme  

Slides – Showcasing the Social Prescribing Innovators Programme 

Social Prescribing Innovators Programme Brochure 

Social Prescribing Innovators Programme Projects 

Overview of Social Prescribing Innovators Programme 

Next steps for the Social Prescribing Innovators Programme 

Demonstrating impact – Social Prescribing Innovators Programme  

Social Prescribing Innovators Showcase recording – the impact and live case studies (1 hour 26 mins) 

UCL Evaluation summary- the impact of the Social Prescribing Innovators Programme  

Social Prescribing Innovators Programme UCL Evaluation Research Paper  

Case studies – Social Prescribing Innovators Programme 

Impact Summaries of all projects  

Snapshots of all projects  

Barking and Dagenham Project Impact Summary (PDF) 

Barking and Dagenham Project Impact Snapshot (PDF) 

Barking and Dagenham Project Case Study

Women’s Health Project Impact Summary (PDF) 

Women’s Health Project Impact Snapshot (PDF) 

Women’s Health Project Case Study

Health Innovators Project Impact Summary (PDF) 

Health Innovators Project Impact Snapshot (PDF)  

Camden Care Project Impact Summary (PDF) 

Camden Care Project Impact Snapshot (PDF)  

Men’s Project Impact Summary (PDF) 

Men’s Project Impact Snapshot (PDF)  

The Confederation Project Impact Summary (PDF) 

The Confederation Project Impact Snapshot (PDF)  

Camden PCN Project Impact Summary (PDF) 

Camden PCN Project Impact Snapshot (PDF)  

A2Dominion Project Impact Summary (PDF) 

A2Dominion Project Impact Snapshot (PDF)  

WCPCN Project Impact Summary (PDF) 

WCPCN Project Impact Snapshot (PDF)  

Feel Good Now Project Impact Summary (PDF) 

Feel Good Now Project Impact Snapshot (PDF)  

My Community Project Impact Summary (PDF) 

My Community Project Impact Snapshot (PDF)  

Walthamstow PCN Project Impact Summary (PDF) 

Walthamstow PCN Project Impact Snapshot (PDF) 

Resources to run your own Innovators Programme 

Innovators Toolkit – for those looking to run an Innovators Programme in their area

Information for applicants- SPIP 

Application workshop recording -SPIP (4 mins)

Quality Improvement Overview – SPIP 

Application workshop slides – SPIP 

Frequently Asked Questions – SPIP 

Guidance for improvement projects 

NHS England Leading Large Scale Change practical guide 

Innovators graduate pack – all resources to carry out a local improvement project used in the programme 

 Workshop for evaluating a project using theory of change

Managing social prescribing services 

Guidance for people managing social prescribing services including PCNs, and host organisations such as local authority or VCSE. 

Social Prescribing Link Worker Workforce development framework PDF summary 

Workforce Development Framework for SPLWs 

Toolkit – Social prescribing self assessment development guide – for host organisations of SPLWs  

Career development, progression, retention of social prescribing link workers

Supporting the development of your personalised care workforce

Social Prescribing Link Worker Competency Framework  

Social Prescribing and Community based support summary guide 

Managing Care Coordinator services 

Care Coordinator Workforce development framework  

Care Coordinator Workforce development framework PDF summary  

Referral Pathway Care Coordinator Model: Lewisham  

Referral Pathway Care Coordinator Model for Health Inequalities (Homeless): Lewisham  

Care Coordinator practice leaflet: Lewisham 

Managing Health Coaching services 

Health and Wellbeing Coach Workforce development framework PDF summary 

Health and Wellbeing Coach Workforce development framework 

Competency framework for HWBCs  

HWBC FAQS 

System Support Webinars 

Webinars to support PCNs, ICBs and other colleagues best utilise the personalised care roles. 

Recording PCN support session: Population Health and the PC ARRS roles 2022 (1 hour 34 mins)

Slides (individual recordings are linked to the slides) PCN support session: Population Health and the PC ARRS roles  

Recording – PCN support session: Co-producing a Proactive Social Prescribing Service (58 mins)

Slides – Co-producing a proactive SP service  

Recording – PCN support session: Spotlight on Care Coordinators (1 hour 28 mins)

Slides  – PCN support session: Spotlight on Care Coordinators

FAQ  – PCN support session: Spotlight on Care Coordinators 

Recording – PCN support session: Spotlight on Health and Wellbeing Coaches (1 hour 27 mins)

Slides – PCN support session: Spotlight on Health and Wellbeing Coaches

Slides – System Support: Using NHS Estates Creatively 2023 

FAQ – System Support: Using NHS Estates Creatively 2023

Recording: Using NHS estates creatively (1 hour 1 min)

Slides – Embedding and supporting the personalised care roles 2023

FAQ – Embedding and supporting the personalised care roles 2023

Recording – Embedding and supporting the personalised care roles (1 hour)

Proactive social prescribing and tackling health inequalities 

Guidance and resources to help the identification of groups that are impacted by health inequalities and could benefit from social prescribing, and how to develop interventions to support them. 

Proactive social prescribing 

What is proactive SP – a video by NALW (3 mins)

Slides – Co-producing a Proactive Social Prescribing Service 

Making the most of community assets to deliver Proactive Social Prescribing

Implementing the Proactive Social Prescribing Service Specification

Clinicians and general practice tackling inequalities 

 BMA clinician’s toolkit for tackling health inequalities in your local area 

Seven steps to ensure all communities have access to your GP surgery, especially useful for migrant and refugee communities

ICB guidance around tackling inequalities 

Doctors of the World have released this toolkit summarising good practice for Integrated Care Boards (ICBs), primary care commissioners and providers in the provision of primary care services for people seeking asylum supported by the Home Office in initial and contingency accommodation

ICS and Health inequalities – webinar recording and slides 

An informal guide to building a PHM Community of Practice  

Resources specific to groups impacted by inequality 

Homelessness, rough sleeping pathway, checklist and toolkit

Migrants hub 

Tools to identify inequalities 

Map the inclusion health needs of your PCN population here

Health inequalities planning matrix NHSEI  

BMA toolkit: An approach for clinicians wanting to reduce health inequalities in their area

Case study – bringing partners together for an event on health inequalities – NIHR Applied Research Collaboration (ARC) Wessex and the Wessex Academic Health Sciences Network (AHSN)

Health inequalities case studies 

TPHC case studies

 Reducing Health Inequalities: deprived areas and long term conditions in Richmond 

Reducing Health Inequalities: health inclusion and homelessness in Lewisham 

Reducing Health Inequalities: health inequality strategy development in Sutton 

Reducing Health Inequalities: long Covid-19 clinics in Merton 

Reducing Health Inequalities: supporting refugees and migrants in Croydon 

External case studies 

Film – Improving population health in Bristol YouTube video – Healthy Hearts group intervention (3 mins)

Film – patient example of a population health approach to tackling inequalities (4 mins)

Animations – how community circles are helping people 

Tackling Loneliness in York and reducing GP appointments through community asset development 

Research – how GP practices are using Innovative methods to address local health inequalities – findings from CQC and Yorkshire and Humber AHSN.