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1. Introduction

The East Midlands Academic Health Science Network (EMAHSN) has commissioned the University of Leicester  (UoL) to develop a protocol (or tool) to help organisations across the East Midlands to scope where they are in implementing social prescribing in their area.

This survey will ask questions about what models of social prescribing you and your colleagues/team are implementing in the East Midlands and how you are implementing them. This data will be used to identify the variety and breadth of social prescribing models and allow benchmarking of progress and sharing of best practice across the region. 

All information gathered will be used for the purposes of the study and any personal information provided will be kept confidential. Data will be accessed by the EMAHSN and the UoL research team. Taking part is voluntary, you can withdraw at anytime.

For further information please contact Dr Ceri Jones on


Question Title

* 1. I understand the purpose of the project in which I am participating and have been given the contact details of an individual to contact if I have questions.

I understand that all information will be kept securely in accordance Data Protection Act (2018) and GDPR Regulations.

I understand that participation is voluntary and that I can withdraw at any time until the study is completed. 

I understand that should I withdraw then the information collected so far cannot be erased and that this information may still be used in the project analysis.
I give permission for the EMAHSN and UoL research team to have access to the data and information that I provide, and to store, analyse and publish information obtained by my participation in this study.

I understand that my personal details will be kept confidential. 

I understand that the findings and service/project details may be shared with relevant parties for spread and dissemination through the AHSN network and relevant NHS organisations, and utilised in academic publications and conference presentations.

I consent to take part in the study.

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