Evaluation of trail therapy finds mountain biking helps to improve wellbeing

The social prescription programme is designed for people with a mental health diagnosis

Edinburgh Napier University research into a mountain biking programme for people with a mental health diagnosis has found participants benefitted from the experience.

Researchers carried out an evaluation of Developing Mountain Biking in Scotland’s Trail Therapy programme, which has been running for more than a year. Participants are either self-referred or recommended through community and social prescription services.

Trail Therapy aims to help them grow in confidence, improve social interactions, establish skills of self-regulation, and accelerate their road to wellbeing. Having been hosted in Dundee, Perthshire and Lanarkshire, organisers hope to roll it out to other parts of the country.

Through interviews with participants and mountain bike leaders, the qualitative study found the unique challenges and settings posed by mountain biking contributed towards a holistic impact on their overall wellbeing.

Riders spoke highly of being able to take part in therapy in an informal, non-clinical environment, while also feeling part of a community.

The research was carried out by Dr Hollie Fountain, Dr Lesley Ingram-Sils, and Dr Tony Westbury from Edinburgh Napier University’s School of Applied Sciences.

Dr Ingram-Sills said: “The evaluation describes themes that emerged through an analysis process and uses the voices of the riders and their own words to express their experiences.

“Overall, those involved with the Trail Therapy programme were enthusiastic to share their experiences and reflected on their involvement in an extremely positive way.

“The stories and narratives that emerged from the analysis largely emphasised a holistic impact of the programme on riders’ overall wellbeing and skill development, underpinned by three main interrelated characteristics; challenge (physical, psychosocial, and exposure to the natural environment), MTB experiences, and support.

“There are still opportunities to further evaluate the programme and we know DMBinS are keen to learn how they can make it even more impactful. We look forward to working with them to source the funding for this important research.”

Dr Christine Fox, the DMBinS Mountain Bike Health Programme Manager, said: “We can visibly see the difference in participants on our Trail Therapy programme.

“This research from Edinburgh Napier University confirms that the programme has an impact on improving the health and wellbeing of those involved.

“Mountain biking connects us with nature in a unique way that combines physical challenge, positive risk taking, skill development, and unique opportunities for therapeutic experiences.

“We also take great pride in our Trail Therapy MTB leader, Paul MacFarlane, and volunteers in their approach that provides support, embeds therapeutic activities, whilst gauging the skill level and motivations of each individual.

“We currently run the programme in areas where we can source local or regional funding and we hope we can use the research to roll the programme out to other areas of Scotland and increase donations to the Scottish MTB Health Fund.”

The Trail Therapy evaluation was produced by Edinburgh Napier University as part of Developing Mountain Biking in Scotland’s programme of work on fostering mental health and wellbeing through mountain biking, funded by NatureScot, Trek, and Scottish Government.

It was based on interviews conducted by the research team at ENU in October and November 2022.

Physical activity key to social prescribing model approach

New paper calls on leadership and policy to deliver significant change

SIXTY leading health specialists and politicians have joined calls for an overhaul to Scotland’s approach to social prescribing – with an urgent need to step up physical activity interventions.

Movement for Health (MFH) – a coalition of charities that includes SAMH, Age Scotland, and Paths for All – brought together professionals to understand the importance of supporting people to engage in physical activity and interventions through social prescribing models, revealing the findings in a new paper.

Social prescribing which typically sees GP practices and health services connect people to activities, groups and services has been embraced in certain areas of Scotland, with uptake varying considerably by region.

A key MFH recommendation is to create better community links and remove the assumption that social prescribing is a medical approach. This should in turn reduce reliance on other services and people seeing GPs about social issues. However, it’s not a simple change as many people have a trusting relationship with their GPs and is a safe go to when they don’t know where to turn.

Dr Emma Lunan, Chair of Movement for Health, said: “Scotland has a health emergency and our approach needs to change. A social prescribing postcode lottery exists – and it often comes down to the strength of the links between health services and the surrounding community.

“We need to be able to translate policy into actions. Physical activity has huge benefits that go deeper than just physical and mental health. Proactive interventions can help individuals reconnect with their community and grow in confidence but many experience barriers when taking the first step so we need to work collaboratively to overcome these.  

“Once the structure is designed, it will need continual scrutiny to ensure it is working effectively and providing tangible outcomes as society continues to change.”

Maree Todd MSP, Minister for Public Health, Women’s Health and Sport, attended the MFH event as both a keynote speaker and a participant in the panel debate that was chaired by health and care journalist Pennie Taylor and opened by the Chair of Movement for Health, Dr Emma Lunan.

The discussion highlighted a real lack of recognition for this workforce who are often managing people with complex needs. Currently, Scotland’s approach to social prescribing is lagging behind Wales, England, and Northern Ireland although Humza Yousaf, Cabinet Secretary for Health has committed to exploring appointing a lead for social prescribing for Scotland.

The benefits are clear; from supporting patients’ physical and mental health, to reducing health inequalities in local communities, while reducing the workload of frontline health professionals.

Taking part in local activities also helps build the skills and confidence to improve social functioning, leading to the reduction of social isolation and loneliness while creating more connected and resilient communities.

Dr Emma Lunan added: “Community empowerment was a central theme of the debate. It plays a vital role when linking patients to sources of support and networks.

“Greater control needs to be transferred to link workers in order to provide a direct relationship between health care and communities. This would ensure long-term solutions can be implemented rather than quick non sustainable alternatives.”

Currently, social prescribing in Scotland is supported by two networks; Scottish Social Prescribing Network (SSPN) and Scottish Community Link Worker Network (SCLWN). Both networks share learnings, information and good practice across different initiatives while championing the need for a national approach and joined up thinking across all local authority areas.

The approach can fall under several ministerial portfolios which makes the desire for the Scottish Government to identify a lead important to deliver real change for communities and individuals.

Alison Leitch, co-chair of Scottish Social Prescribing Network and Community Link Worker Assistant Service Manager for Edinburgh, said: “The networks build on the strengths, drive and enthusiasm from various social prescribing programmes across the country, with the collective aim to embed the approach in health and social care in Scotland.

“These strengths could assist with ensuring that policy objectives can be measured, evaluated and reported on in a cohesive manner.”

The SSPN and CLW Network are well established networks and the go to body of knowledge in terms of social prescribing and link working in Scotland.

Clare Cook, Project Manager at SPRING Social Prescribing, said: “It is widely recognised that community groups and services can respond more quickly to local needs than statutory services and have less barriers attached to them which encourage engagement. 

“Often a little hand holding in order to build a person’s confidence or provide some reassurance along with good local knowledge goes a long way. Statutory services are under too much pressure to offer this currently yet social prescribing presents a host of benefits to individuals, communities, healthcare and Government.”

The full Movement for Health coalition includes: Age Scotland, Health and Social Care Alliance Scotland, Alzheimer Scotland, Breast Cancer Now, British Lung Asthma and Lung UK, Chest Heart & Stroke Scotland, Diabetes UK, Macmillan Cancer Support, MS Society, Parkinson’s Scotland, Paths for All, RNIB, SAMH, Scotland Versus Arthritis, Stroke Association, VHS, Waverly Care, Scottish Disability Sport and Community Leisure Scotland.  

With four key missions, Movement for Health is working towards raising awareness within health practitioners, physical activity and sport providers, policy makers and the general public, by providing research, resources and political action to support those who are affected to get more active. 

For more information on Movement for Health, visit: https://www.movementforhealth.scot/

Link to report: https://www.movementforhealth.scot/news/social-prescribing-event

For more information on Scottish Social Prescribing Network, visit: https://www.scottishspn.org.uk/

For more information on Scottish Community Link Worker Network, visit: https://vhscotland.org.uk/what-we-do/scottish-community-link-worker-network/

Walking, wheeling and cycling to be offered on prescription in England

  • trials in 11 areas across England to help people’s mental and physical health
  • GPs will issue social prescriptions such as walking, wheeling and cycling, backed by £12.7 million
  • schemes will include cycling and walking groups, cycle training and free bike loans

Social prescriptions, including walking, wheeling and cycling, will be offered by GPs as part of a new trial to improve mental and physical health and reduce disparities across England, the government has announced today (22 August 2022).

The government has awarded £12.7 million in multi-year funding to 11 local authority areas in England. The funding will go towards several pilot projects in each location, including:

  • adult cycle training
  • free bike loans
  • walking groups

Other schemes include all-ability cycling taster days where people who may not have cycled before can try to in a friendly environment, or walking and cycling mental health groups where people can connect with their communities as they get active.

The pilots must be delivered alongside improved infrastructure so people feel safe to cycle and walk.

The 11 local authority areas that will trial social prescriptions are:

  • Bath and North East Somerset
  • Bradford
  • Cornwall
  • Cumbria
  • Doncaster
  • Gateshead
  • Leeds
  • Nottingham
  • Plymouth
  • Suffolk
  • Staffordshire

The pilots, a commitment in the government’s Gear Change plan published in 2020, aim to evaluate the impact of cycling and walking on an individual’s health, such as reduced GP appointments and reliance on medication due to more physical activity. For the first time, transport, active travel and health officials will work together towards a whole systems approach to health improvement and tackling health disparities.

Walking and Cycling Minister, Trudy Harrison, said:  ”Walking and cycling has so many benefits – from improving air quality in our communities to reducing congestion on our busiest streets.

“It also has an enormous positive impact on physical and mental health, which is why we have funded these projects which will get people across the country moving and ease the burden on our NHS.”

National Active Travel Commissioner, Chris Boardman, said: “As a nation we need healthier, cheaper and more pleasant ways to get around for everyday trips. Active Travel England’s mission is to ensure millions of people nationwide can do just that – so it’s easier to leave the car at home and to enjoy the benefits that come with it.

“Moving more will lead to a healthier nation, a reduced burden on the NHS, less cancer, heart disease and diabetes, as well as huge cost savings. This trial aims to build on existing evidence to show how bringing transport, active travel and health together can make a positive impact on communities across England.”

The pilots will be delivered between 2022 and 2025 with on-going monitoring and evaluation to support continued learning.

The project is bringing together a range of government departments and agencies including:

  • NHS England
  • Office for Health Improvement and Disparities
  • Sport England
  • National Academy for Social Prescribing
  • Defra
  • Department for Health and Social Care

New funding to support social prescribing art therapy

Over £85,000 awarded to 12 organisations from Foundation Scotland’s PHP Community Impact Fund

Foundation Scotland, Scotland’s community foundation, has announced a dozen community projects in Scotland have received a funding boost thanks to the new PHP Community Impact Fund.  

The fund, established by Primary Health Properties, launched last Autumn to offer support for health and wellbeing initiatives in the communities served by its medical practices.

Managed by Foundation Scotland, one of only two community foundations in the UK to pilot the new initiative, the fund is designed to provide additional and innovative services for those most in need from the patients served by practice buildings owned by PHP across the country. 

Social prescribing enables a holistic approach to people’s health and wellbeing and is increasingly being used to complement the work of GPs and their teams.

The approach continues to play a vital role in helping communities recover and rebuild after the coronavirus pandemic, with a particular emphasis on services to support mental health and combat loneliness.

As one of the UK’s leading investors in modern primary healthcare facilities, PHP created the Community Impact Fund to support GP practices and their communities with this model of care. 

Two Edinburgh-based projects – Thistle Health and Wellbeing (£10,000) and Carr-Gomm (£5000) – have received PHP Community Impact funding.

Jennifer McPhail, Fund Adviser from Foundation Scotland,  explained: ““We were delighted PHP chose Scotland to pilot this innovative new fund. With 38 properties spread across the country we were able to reach community projects from the Lothians up to Aberdeenshire.

“The Community Impact Fund launched at a critical time following the height of the pandemic. As our NHS continues to be under immense pressure, this is a fantastic initiative from PHP to help improve patient wellbeing outcomes, quality of life and emotional wellbeing” 

Teapot Trust, a mental health charity in Musselburgh that provides support for children and families coping with chronic conditions received £5,000 from the fund for a new social prescribing project providing one-to-one art therapy sessions for children and young people.  

Working closely with Community Link Workers, Teapot Trust will encourage self-referrals from children, young people and families in need of support in order to improve their mental health and wellbeing.

Sarah Randell, Chief Executive, Teapot Trust, said: “We are most grateful for the support of Foundation Scotland. The funding we have received from the PHP Community Impact Fund is extending the reach of our one-to-one art psychotherapy service for children and young people struggling to cope with a chronic physical condition.  

“The Teapot Trust self-referrals scheme enables families to get the support they need when they need it most. This funding is supporting referrals from either a PHP owned GP Practice or directly from one of their patient families for the first time.

“Teapot Trust is delighted to help children and families build resilience, develop healthy coping mechanisms and improve mental health and wellbeing through this work across Scotland.”  

Across Scotland, a total of £86,927 was distributed among 12 organisations delivering a range of health and wellbeing programmes for their local communities.

These include services to support young people’s mental health and social inclusion, art therapy for children with long-term chronic conditions, gardening activities to promote wellbeing. This is an excellent example of true partnership working with GP’s, social prescribers and community groups coming together to deliver targeted solutions to their patients. 

Harry Hyman, CEO of Primary Health Care Properties, commented: “We were delighted with the range and scope of the applications to our new Community Impact Fund.

“It’s clear that social prescribing is an important area of growth in promoting health and wellbeing and we look forward to hearing how the organisations we have funded are able to develop their services over the coming months.

New PHP Community Impact Fund is open for grant applications

A new Scotland-wide fund supports charitable organisations providing social, emotional and practical help within their communities with grants up to £10,000.

Scotland is one of two pilot regions in the UK to offer the new PHP Community Impact Fund thanks to Primary Health Properties PLC (PHP). PHP is a Real Estate Investment Trust supporting the NHS in the delivery of primary care buildings, which positively impact the health and wellbeing of the communities they are located in.  

Grants are available to charities and community groups that deliver social prescribing and community wellbeing initiatives to the communities served by the primary care centres owned by PHP. 

Social prescribing enables a holistic approach to people’s health and wellbeing. It allows GPs and other frontline healthcare professionals to refer patients to a link worker to explore ‘social prescription’ options. Many services provided by the voluntary and community sector can offer solutions to improve patients health and wellbeing. 

Examples of services activities that can be included in social prescribing schemes include healthy eating advice and cooking classes, mindfulness activities, music classes, sports and exercise groups, gardening, therapeutic art activities, book clubs, and Men’s Sheds.

Social prescribing is an innovative and growing movement with the potential to reduce the financial burden on the NHS and particularly on primary care. Social prescribing also plays a vital role in helping communities recover and rebuild after the coronavirus pandemic, particularly given the increased demand for services to support mental health and combat loneliness.

Grants are available for social and charitable activities and services that aim to improve the health and wellbeing of patients and communities surrounding the 38 different PHP locations across Scotland. The fund also looks to support the education, promotion and protection of good health within these communities.

Helen Wray, Head of Programmes at Foundation Scotland, said: “We’re delighted to partner with PHP to establish this new fund in Scotland. The new Community Impact Fund has launched at a critical time following the height of the pandemic.

“As our NHS continues to be under immense pressure, this is a fantastic initiative from PHP to help improve patient wellbeing outcomes, quality of life and emotional wellbeing.”

The fund is open until 25th October, offering grants up to £10,000 to charitable organisations within a 10-mile radius of PHP’s 38 locations across Scotland.

Their locations range from Dingwall in the Highlands down to Gretna Green in Dumfriesshire. 

To find out more and make an application, visit:

https://www.foundationscotland.org.uk/community-impact-fund