Demand on health and care services is rising, creating pressure on services, waiting lists, delays in accessing care and financial pressure.\n In response, there is a national and local drive to manage demand on health and care services, prevent development of escalating care needs and focus on promoting good health and wellbeing.\n Surrey County Council also recognise how this approach heavily relies on the voluntary, community and social enterprise sector (VCSE). However this sector has faced increasing financial difficulty since the pandemic, with reductions in donations and constraints on grants from statutory organisations.\n Surrey County Council wants to understand the mos

Through this research we want to: • Research and baseline the current impact of fit notes in Surrey, understanding the scale and reason, the sectors most impacted and the economic impacts. • Evaluate individually the WorkWell, Green Health and Wellbeing and social prescribing interventions, providing assessment of the efficacy of the interventions, and the delivery process. • Compare the impact of other approaches including information and advice provision and relational delivery models such as Surrey's Bridge the Gap, by drawing on national evaluations such as Policy Evaluation and Research Unit. . • Develop an evidenced approach to investing in prevention, with a clear understanding of the expected impacts and return on investment