SEL ICB (Bexley) Health & Wellbeing Coaching and Community Health & Wellbeing Workers (CHWWs) with Social Prescribing Service Specification

NHS South East London Integrated Care Board (SEL ICB) is seeking to commission a Health & Wellbeing Coaching and Community Health & Wellbeing Workers with Social Prescribing Service for the London Borough of Bexley. This service is for those who live in the London Borough of Bexley or are registered with a Bexley GP practice.

Following the publication of the NHS 10 Year Plan, Bexley Place is driving forward with establishing a Neighbourhood Health Service in each of its three neighbourhoods. A fundamental component of a neighbourhood health service is to support residents with the wider determinants of health which have an impact on how they are able to manage their long term conditions.

The population in Bexley is diverse, both culturally and economically. The borough is split into 3 Neighbourhoods, these are: • Frognal (Sidcup & Bexley) • Clocktower (Bexleyheath & Welling) • North Bexley (Erith, Thamesmead & Abbey Wood) There are approximately 26,000 people living in Bexley who have 3 or more long term conditions.

North Bexley is the most culturally and economically diverse part of the borough, with 15,995 residents living in the lowest 20% deprivation decile - this is 15% of the North Bexley population. In the other parts of the borough, the number of residents living in the lowest 20% deprivation decile is 2,774, which is 2% of that population.

People living in the most deprived 20% of Bexley have a shorter life expectancy than those living in the least deprived 20%. For females, the gap is 2.2 years, and for males the gap is 5.2 years.

Bexley Place seeks an established provider of voluntary services based in the London Borough of Bexley, with a proven track record in currently delivering social prescribing and peer support services. The provider must be able to mobilise within 3 months of the contract award.

Due to different funding sources for these roles, the recruitment requirements are as follows: 2 wte Health & Wellbeing Coaches - community outreach - 3 years funding 5 Community Health & Wellbeing Workers - North Bexley (hyperlocal focus on Slade Green / Erith area) There is a likelihood that the provider will be asked to further expand this service with additional resource at a later date, however this will be dependent on further funding becoming available. The Health & Wellbeing Coaching service with Social Prescribing Service aims to: • Identify people who would benefit from Health & Wellbeing Coaching, through primary care, the community or self referral • Undertake proactive vital 5 checks through having a presence at key community engagement events and high footfall locations across the borough, to identify people who may have an undiagnosed CVD condition • To support residents to make positive health and lifestyle changes through motivational coaching and support • To signpost and connect people to organisations that can help them, and follow up on their progress and if they require further support • For residents to make health improvements following changes made as a result of their health and wellbeing coaching - reducing the risk of developing other conditions or exacerbating their existing conditions • For residents to feel more able to self-manage any conditions they have, with a reduced reliance on emergency care Community Health & Wellbeing Workers (CHWWs) are a model of social prescribing and are intended to be a highly local, preventative workforce that works directly with residents and households to improve health, reduce inequalities, and prevent problems escalating into crises.