Monday, 22 August 2022

Social Prescribing?

The UK government has announced a £12.7m trial for parts of England, where General Practitioners (GPs) can prescribe activities such as walking and cycling to reduce pressures on the National Health Service (https://www.theguardian.com/society/2022/aug/22/gps-to-prescribe-walking-and-cycling-in-bid-to-ease-burden-on-nhs). The trial will allow GPs to offer such exercises, as a treatment for some mental and physical health conditions. Excercise does have beneficial effects on some types of disease but it's not a panacea. It has to be at an appropriate intensity, enjoyable and part of a lifestye change. Simply prescribing exercise and then 'leaving people to their own devices' is unlikely to work. That may not happen in the trial but is likely to become a feature, if the scheme is widely-adopted. Getting to see a GP on a regular basis, is extremely difficult in the present system. They almost never initiate a regular, routine meeting. There is also a possibility that 'fat shaming' could become a prominent driver of the scheme. Whilst encouraging healthy exercise is an excellent idea, one must accept that there are parts of England (and the rest of the UK), where walking and cycling is neither pleasant nor safe. Will the trial include both types of location? What is the GP's liability, if someone prescribed a course of cycling, is killed in a road traffic accident?

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