Case study 1

Carers are family and friends who provide unpaid care for sick and disabled relatives.  Under the 2014 Care Act, the NHS and local authorities are legally obliged to work in partnership to improve support for carers.  Currently 70% of carers have contact with NHS staff but it takes an average of five years before carers are identified.

To ensure carers are identified earlier, an online portal was developed called The Surrey NHS Carers Prescription.  This short online form completed by health professionals puts carers in touch with services that provide information and advice or even short-breaks from caring. 

Created in partnership between the Surrey CCGs and carer networks, the service is available to:

  • All five acute hospitals in Surrey;
  • Three community providers;
  • The mental health trust;
  • Five hospices;
  • Our 212 community pharmacists;
  • Borough and district councils.

Carers have provided feedback about the positive impact the prescription has had on their health and well being.  To date 29,000 Carer Prescriptions have been delivered to over 41,500 carer services.

For more information on the portal, visit

Case study 2

Two-thirds of people with a long term physical health condition also have a co-morbid mental health problem, mostly anxiety and depression.  In addition, up to 70% of people with Medically Unexplained Symptoms also have depression and/or anxiety disorders.  

In the Five-Year Forward View for Mental Health, there is a commitment to expanding Improving Access to Psychological Therapies (IAPT) services to people with long term conditions or medically unexplained symptoms.  One such condition is diabetes.

The Royal Surrey County Hospital (RSCH) host a DESMOND course to provide education about Type 2 diabetes.  Following patient feedback, the course has extended to weekends and evenings.  Now at each session, IAPT providers in Surrey provide signposting advice and information packs for citizens. 

Case study 3

Surrey iMSK is an NHS service provided by Ashford and St Peter’s Hospitals (ASPH) to provide a comprehensive musculoskeletal service to the local population in North West Surrey and beyond.  Musculoskeletal disorders are injuries or pain in the body’s joints, ligaments, muscles, nerves, tendons and structures that support the limbs, neck and back.

Launched in 2018, Surrey iMSK offers detailed self-management advice and treatment options.  This web-based toolkit also provides signposting advice to IAPT services and the MSK 24 app, which includes quizzes and exercise reminders. 

The website is regularly used by professionals and citizens and in 2018 was highly commended for The Lord Carter Awards for Innovation.

To read more about Surrey iMSK, visit