ORCID

Abstract

Social prescribing is a health policy initiative that aims to create closer links betweenhealth services and community activities. Despite its rapid adoption there are concernsabout efficacy and value for money. We used a WELLBY (Wellbeing Adjusted Life Year)approach to identify the social value created through a national mental health-focussedgreen social prescribing (GSP) programme in England (2021-23). We found that GSP canlead to significant wellbeing benefits for people experiencing mental ill-health, with asocial return on investment (SROI) of between £2.38-£5.90. However, we argue that theWELLBY approach should not be used uncritically. In our study WELLBYs proved to be aneffective social value measure for low to mid cost GSP pathways where the targetbeneficiaries are likely to have mild to moderate mental health needs. For higher costpathways providing targeted support for people with severe mental health needs theWELLBY was less effective and clinical measures of value may be more appropriate.

Publication Date

2026-05-22

Publication Title

People, Place and Policy

Volume

20

Issue

1

Acceptance Date

2026-05-10

Deposit Date

2026-05-24

Funding

This article has been developed by a team of researchers commissioned by Defra to undertake an independent evaluation of the Preventing and Tackling Mental Ill Health through Green Social Prescribing Project (2021-23). The main evaluation report referenced throughout this article, and the accompanying briefing, summary and appendices documents, are published by Defra (Defra Project Code BE0191) and are available from the Department’s Science and Research Projects Database at https://randd.defra.gov.uk Whilst the research was commissioned by Defra, the views expressed in this article reflect the evaluation findings and the authors’ subsequent analysis of the data; they do not necessarily reflect Defra policy.

Keywords

Social prescribing, Wellbeing, Mental health, Economic evaluation, Social value

Creative Commons License

Creative Commons Attribution 4.0 International License
This work is licensed under a Creative Commons Attribution 4.0 International License.

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1

Last Page

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