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Factors GPs take into account when deciding between SP and/or medical…
Factors GPs take into account when deciding between SP and/or medical prescription
Severity of symptoms/illness
high
Medicines work faster but possibly short term solution
SP for longer term
low
Meds and/OR SP if less time critical
Expectation to have a medicine
GPs expectation of patients preference
Patient expectation
Resistance to SP
Time/busyness of GP
Very busy/less time
Medicine more likely
More time available
More time to explore social issues
and issue social prescription
Referral process generally quick
Suggestion to keep away from referral froms which make process time consuming. (Currently dont seem to be used in SP)
Discussion social issues not quick
Patient history
Recent trigger event
SP used to target social issue - finance, housing etc
Failure to understand social issue as presenting with physical problems
multiple approaches tried already - SP applied as last resort!
Confidence in SP
positive feedback
negative feedback
lack of feedback
withholding judgement/full use of SP
Newness of SP
Not binary choice - often need a bit of both
Familiarity and understanding of prescribing medicine
Confidence in which patients to refer
Potential for social prescribing to reduce medicine use
Potential to reduce medications for chronic pain - "painkillers don't really work"
One GP rejecting SP for treating pain (variability amongst GPs)
Giving SP at same time you take away a pain med
Giving SP instead of a prescription
Provides an alternative option to prescribing a medicine
SP can help people feel better in the long term which helps them reuce meds