The Shropshire Wellbeing and Navigation Network
The Shropshire Wellbeing and Navigation Network is a preventative support service for adults aged 18 and over living in Shropshire. It helps people:
- Stay well
- Remain independent
- Feel connected to their community
Support is available before problems become more serious and aims to reduce the need for crisis or statutory services. The service supports adults aged 18+ who may be:
- Finding it harder to manage at home
- Experiencing low-level mental health challenges
- Socially isolated or lacking confidence
- Recovering after illness or hospital discharge
- Living with long-term conditions
- Unpaid carers who need additional support
SWANN provides early help and preventative support, helping people access support before needs become more complex. The service is preventative and time limited. It's not a replacement for statutory care or clinical health services. If someone needs more ongoing or specialist care, the First Point of Contact (FPOC) team is the best place to start, as they can arrange the right adult social care support.
Is SWANN the right service?
SWANN may not be suitable if someone:
- Needs regular or ongoing personal care (for example, help with washing, dressing, or eating)
- Requires support to stay safe at home or in the community
- Has complex or multiple care needs that require coordinated support
- Requires specialist or secondary mental health services
- Is at immediate risk of harm to themselves or others
- May have difficulty making decisions about their care and would benefit from a more formal assessment
- Requires urgent help or is in crisis
What to do instead
If an individual requires urgent or specialist support, professionals should follow existing pathways, including:
- Emergency services - 999
- NHS urgent mental health services – Tel: 0808 196 4501 or email access.shropshire@mpft.nhs.uk
- Adult Social Care via First Point of Contact – Tel: 0345 678 9044
- Safeguarding procedures procedures, where appropriate
If you're unsure whether SWANN is suitable, advice can be sought through the central point of referral before submitting a referral. Call 0345 678 9012 and select option 2.
What support is available?
Support may include one or more of the following:
Supported Hospital Discharge
Delivered by British Red Cross, providing short-term practical and emotional support to help people return home safely after a hospital stay, regain confidence and maintain independence. Support is available for individuals and their family carers and is tailored to each person's circumstances.
This will include:
- Hospital discharge transport and accompaniment – safe and supported transport home from hospital for individuals who are able to get in and out of a vehicle independently. This service is available where additional support is needed on discharge, such as assistance with shopping, collecting prescriptions, or arranging a pendant alarm or key safe
- Immediate home resettlement support – practical support on arrival home to help individuals settle back safely and comfortably. This may include preparing a light meal, ensuring access to food and essential items, checking the home environment and putting in place any immediate measures required to support safety and wellbeing
- Short-term practical daily living support (up to 6–8 weeks) – support with everyday activities while individuals regain confidence and independence. This may include shopping, collecting prescriptions, attending appointments and accessing longer-term sources of support where needed
- Building independence and resilience – personalised support focused on rebuilding confidence, re-establishing routines and maintaining independent living skills following a hospital stay, with the aim of reducing the likelihood of readmission
- Home safety and assistive technology support – installation of pendant alarms (six-week free trial, followed by an ongoing charge) and key safes to help people remain safe and independent at home
- Digital inclusion support – helping individuals develop confidence using digital technology, including accessing online shopping, ordering prescriptions and using digital services that support independent living
- Emotional wellbeing support – providing reassurance, encouragement and emotional support during recovery, helping individuals adjust following a hospital stay and build confidence in managing independently
- Social connection and community engagement – supporting individuals to reconnect with family, friends, local groups and community activities to reduce isolation and promote wellbeing
- Care coordination and partnership working – working alongside health, social care and voluntary sector organisations to ensure support is coordinated and individuals can access the services they need
- Signposting – connecting individuals to relevant local services, community organisations and sources of support that can help maintain their independence and wellbeing in the longer term
Shropshire Community-Led Mental Health Outreach
Delivered by Shropshire Mental Health Support and Community Resource, providing practical, emotional and community-based support for people experiencing mental health challenges, as well as support for family carers where appropriate.
This will include:
- One-to-one mental health outreach – personalised support delivered in the community by an outreach worker, to help individuals manage their mental health, build confidence and work towards their wellbeing goals.
- Calmer Cafés – informal, welcoming spaces across the county where people can access support, connect with others and talk openly about their mental health in a safe environment.
- Neurodivergent Café – a supportive space (Shrewsbury based) specifically designed for neurodivergent individuals to meet peers, share experiences and access advice and support.
- Peer support groups – opportunities to connect with others who have lived experience of mental health challenges, offering mutual encouragement, understanding and support. This is largely facilitated through the Calmer Cafes.
- Practical and emotional wellbeing support – assistance with everyday challenges that may be affecting wellbeing, alongside emotional support to build resilience and confidence
- Social connection and community engagement – support to access local groups, activities and opportunities that reduce isolation and strengthen community connections
- Care coordination and partnership working – working alongside health, social care and voluntary sector organisations to ensure individuals receive coordinated and joined-up support
- Buddy System – providing one-to-one peer support through trained volunteers to help individuals build confidence, maintain wellbeing and reconnect with their community. Find out more about the Community Resource Buddy System
- Signposting – connecting individuals to appropriate local services, organisations and resources that can provide additional support
More information can be found on the Shropshire Mental Health Support website.
Live Well Shropshire
Delivered by Live Well Shropshire, providing personalised wellbeing support, social opportunities and activities that help people maintain independence, build confidence and improve their overall health and wellbeing. Support is available for individuals and their family carers where appropriate.
This will include:
- Initial assessment, personalised planning and review – working with individuals to understand their needs, identify goals and develop a personalised support plan that is regularly reviewed
- One-to-one wellbeing support – tailored support to help individuals improve their wellbeing, increase confidence and access opportunities within their local community
- Group-based daily living skills support – practical sessions that help people develop and maintain skills for everyday life, such as budgeting, cooking and managing routines
- Social and community activity groups – opportunities to participate in local activities, meet new people and build meaningful community connections
- Physical activity and falls prevention support – activities and guidance designed to improve strength, mobility, balance and confidence
- Health and wellbeing education – information, advice and workshops to support healthier lifestyles and informed decision-making
- Digital inclusion support – helping individuals build confidence using digital technology, including accessing online services, information and social opportunities
- Peer buddy and befriending support – companionship and peer-based support to reduce loneliness and help individuals remain connected to their community
- Assistive technology confidence building – support to understand and make use of technology that can help individuals remain safe, independent and connected at home
- Online wellbeing tools and communities – access to digital resources, self-help tools and online communities that promote wellbeing and self-management
- Care coordination and partnership working – working collaboratively with health, social care and community organisations to ensure support is joined up and responsive to individual needs
- Signposting – helping individuals access relevant local services, activities and support networks that meet their needs
More information can be found on the Live Well Shropshire website.
How to make a referral
Referrals are managed through the central point of referral, coordinated by Shropshire Council, and are triaged by council navigators who match individuals to the most appropriate support.
You can refer if you work in:
- Health services
- Adult social care
- Primary care and social prescribing
- Housing services
- Voluntary and community organisations
With their consent, you can refer a person into the service by calling: 0345 678 9012 and selecting option 2.
The service will also be able to receive referrals electronically soon.
What happens next?
Once a referral is received:
- The referral is reviewed by the central point of referral team
- The individual is matched to the most appropriate support
- Provider/s deliver coordinated, person-centred support
Where appropriate, individuals may move between different types of support without needing a new referral.
Data sharing
Please take a look at our privacy notice for information on how we share data.