Skip to main content

Research Repository

Advanced Search

Constituting link working through choice and care: an ethnographic account of front-line social prescribing

Griffith, B; Pollard, TM; Gibson, K; Jeffries, J; Moffatt, S

Constituting link working through choice and care: an ethnographic account of front-line social prescribing Thumbnail


Authors

B Griffith

K Gibson

J Jeffries

S Moffatt



Abstract

Link worker social prescribing has become a prominent part of NHS England’s personalisation agenda. However, approaches to social prescribing vary, with multiple discourses emerging about the potential of social prescribing and different interpretations of personalisation. The transformational promise of social prescribing is the subject of ongoing debate, whilst the factors that shape the nature of front-line link working practices remain unclear. Based on 11 months of in-depth ethnographic research with link workers delivering social prescribing, we show how link workers’ practices were shaped by the context of the intervention and how individual link workers navigated varied understandings of social prescribing. Following the work of Mol, we show how link workers drew differentially on the interacting logics of choice and care and trace a multiplicity in front-line link working practices within a single intervention. However, over time, it appeared that a logic of choice was becoming increasingly dominant, making it harder to deliver practices that aligned with a logic of care. We conclude that interpreting personalisation through a logic of choice could potentially undermine link working practices that privilege care whilst obscuring the need for wider investment in health care systems and the social determinants of health.

Citation

Griffith, B., Pollard, T., Gibson, K., Jeffries, J., & Moffatt, S. (2023). Constituting link working through choice and care: an ethnographic account of front-line social prescribing. Sociology of Health & Illness, 45(2), 279-297. https://doi.org/10.1111/1467-9566.13569

Journal Article Type Article
Acceptance Date Sep 29, 2022
Online Publication Date Oct 25, 2022
Publication Date 2023-02
Deposit Date Oct 23, 2022
Publicly Available Date Mar 22, 2023
Journal Sociology of Health & Illness
Print ISSN 0141-9889
Publisher Wiley
Peer Reviewed Peer Reviewed
Volume 45
Issue 2
Pages 279-297
DOI https://doi.org/10.1111/1467-9566.13569
Public URL https://durham-repository.worktribe.com/output/1188397
Publisher URL https://10.1111/1467-9566.135569

Files

Published Journal Article (246 Kb)
PDF

Publisher Licence URL
http://creativecommons.org/licenses/by/4.0/

Copyright Statement
© 2022 The Authors. Sociology of Health & Illness published by John Wiley & Sons Ltd on behalf of Foundation for the Sociology of Health & Illness.

This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.






You might also like



Downloadable Citations