Nature prescribing
BMJ 2023; 383 doi: https://doi.org/10.1136/bmj.p2745 (Published 13 December 2023) Cite this as: BMJ 2023;383:p2745- Ruth Garside, professor of evidence synthesis1,
- Rebecca Lovell, senior lecturer in biodiversity, health, and policy1,
- Kerryn Husk, associate professor of health services2,
- Georgie Sowman, sessional general practitioner3,
- Edward Chapman, public member4
- 1European Centre for Environment and Human Health, University of Exeter, Penryn, UK
- 2Peninsula Medical School (Faculty of Health), University of Plymouth, Plymouth, UK
- 3Alnwick Medical Group, Alnwick, UK
- 4Public representative, Health and Environment Public Engagement Group, European Centre for Environment and Human Health, Penryn, UK
Widening inequalities in health, the cost-of-living crisis, and increasing non-communicable disease have contributed to the growth of social prescribing in high income countries. General practitioners and other healthcare professionals refer patients to a link worker, and a “What matters to you?” conversation enables co-production of a social prescription that connects patients to voluntary and community groups for support. Nature based activities, such as gardening, care farming, open water swimming, or walking in nature, which may include formal therapy or a mindfulness component, are a core type of referral known as green social prescribing (which encompasses blue activities that take place in or near water).
The NHS is committed to rolling out social prescribing across England. Since 2019, there have been 2.5 million referrals through 3475 additional link workers. Similar initiatives and investments in social prescribing can be found worldwide.1
Green social prescribing is also gaining traction. A recent cross-government initiative to prevent and tackle mental ill health through green social prescribing funded seven pilot sites in England to explore how to scale up and embed green social prescribing across healthcare and community organisations.2 In Japan, shinrin-yoku (forest bathing) was recently adopted as …
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