improvement service

Reports show benefits of money and welfare rights advisors in primary care settings

The Improvement Service have published four further reports that consider the effectiveness of Welfare Advice and Health Partnerships (WAHPs) as part of an evaluation of the ‘Test and Learn’ Programme which was funded by the Scottish Government.

The reports consider in more detail the results of the interim report that was published in August 2024. This found that WAHPs are an effective model of service delivery, providing multiple benefits to service users, primary care staff and advice providers.

Two of the reports consider the effectiveness of the Programme from the perspective of service users and primary care staff respectively.

Staff in GP Practices reported that having an advisor as a member of the practice team allowed them to focus on clinical issues. It also improved the support they could provide to patients- particularly those who were most vulnerable.

Over 70 service users in ten local authority areas took part in interviews. 90% had never previously sought advice and 50% reported an improvement in health due to reduced stress and worry. All thought that access to welfare rights and money advice should be available in all GP surgeries.

Whilst the benefits of providing services in this way are recognised, it has been important to identify any lessons learned in developing and sustaining WAHPs. Establishing effective relationships by involving an individual with a health background, such as a Practice Manger, a GP or a Health Improvement lead, are important. Clarity on the service that is provided is required as there can be confusion with the different, but complementary roles, of Community Link Workers. There are potential barriers that need to be addressed which can include the lack of space in GP Practices and recruitment of staff. Rural areas may experience unique challenges due to difficulties maintaining confidentiality in small GP Practices and travel distances.

However it should be stressed that this method of service delivery, in both urban and rural areas, is an effective way of engaging with individuals who would not otherwise access advice services and in the three years from April 2022 to March 2025 over £54 million in financial gains have been secured for individuals – almost 90% have never previously sought advice.

Further information

Download the reports:

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