Transformation Partners in Health and Care > PCN Toolkit: Using Social Prescribing,Health Coaching and Care Co-ordination to tackle health inequalities

PCN Toolkit: Using Social Prescribing,Health Coaching and Care Co-ordination to tackle health inequalities


About this toolkit

This toolkit is aimed at Primary Care Network (PCN) leaders, managers, Training Hubs and anyone in London who has a role in overseeing and managing the three personalised care Additional Roles Reimbursement Scheme (ARRS) roles as part of the personalised care transformation programme in London to embed social prescribing link workers, health and wellbeing coaches and care coordinators in each PCN and reduce health inequalities.

The toolkit is co-produced with partners across personalised care and primary care teams in London to understand and develop practical support needed to effectively embed and sustain the spread and scale of the three personalised care ARRS roles across PCNs in London and include health inequalities as a core part of their strategy. One-to-one drop in support sessions, monthly webinars and workshops, case study interviews and feedback sessions were undertaken between November 2021- June 2022.

This work is set in a complex and constantly evolving health and care policy landscape, especially in the context of the statutory legislation of Integrated Care Systems effective from July 2022 and the development of national and regional strategies around population health management approaches and health inequalities. The guide will be reviewed and updated.

This toolkit has been created to practically support PCNs in two main areas:

  • Using the three Personalised Care ARRS to tackle health inequalities
  • Embedding the three Personalised Care ARRS roles in systems working with complexity and deprivation

Across London PCNs, the personalised care ARRS workforce is used in varied and innovative ways that are responsive and tailored to local needs and priorities.  In producing this guide, we have consulted PCN Clinical Directors and managers, GPs, SPLW, CC and HWBC network managers and frontline staff, training hubs and workforce development leads and the VSCE sector to understand the challenges and co-create practical support and resources. The guide includes a blend of informative content with references to relevant policy and national guidance, checklists, top tips and examples of best practice and case studies drawing on insights and recommendations from our stakeholders.

Our approach has included: 

  • Bottom-up approach to collecting challenges and questions through one-to-one meetings, webinars and workshops 
  • Close working with those championing best practice in London through case study interviews and regional support to help areas showcase and scale their work 
  • Feedback sessions on the toolkit with PCN managers, training hubs, social prescribing managers and more as well as collaboration with other regions to collate information