“Winging It”: An Exploration of the Self-Perceived Professional Identity of Social Prescribing Link Workers

Abstract

The practice of social prescribing (SP) has been rapidly expanding throughout the UK in recent years. The role of SP link workers (SPLWs) currently has no nationally prescribed requirements in terms of qualifications, background, or experience. This qualitative study of 13 SPLWs using semi-structured interviews is believed to be the first exploration of perceptions of their professional identity and the agency and structure within their roles. SPLWs reported feeling caught between biomedical and biopsychosocial models of health. Some identified with clinical healthcare teams, whilst others preferred non-medical and community-based identities. SPLWs valued professional flexibility and freedom, though were concerned this was becoming increasingly restricted. They reported filling gaps in the health system and absorbing more risk and complexity than they believed was reflected in their training or pay. Despite this, SPLWs demonstrated consistent core values of person-centredness, holistic practice, and a strength-based approach. A more consistent approach to professional identity is recommended as a way forward for SP.