Factors associated with link workers considering leaving their role: a cross-sectional survey

Background Social prescribing (SP) link workers (LWs) listen to patients’ concerns and difficulties, and connect them to relevant community assets (groups, organisations, or charities) that can help with their non-medical issues (for example, loneliness, debt, housing). LW retention is key to sustaining SP within primary care.

Aim To examine occupational self-efficacy, job discrepancy, and other factors as potential predictors of LWs’ intentions to leave or remain in their posts.

Design & setting Cross-sectional survey involving LWs from the United Kingdom.

Method An online questionnaire was distributed via SP-related organisations. Questions were on the following: (a) intention to leave the role; (b) demographics; and (c) role experience, including occupational self-efficacy and discrepancy between expectations and reality of the job. Questions were mainly closed, although some allowed LWs to provide a written response. Logistic regression models were fitted to identify predictors, and content analysis used to categorise open-ended responses.

Results In total, 342 questionnaire responses were included in the analysis. Higher job discrepancy was associated with past (odds ratio [OR] per 30 unit increase = 6.86; 95% confidence interval [CI] = 3.91 to 12.0; P<0.001) and future (OR = 4.86; 95% CI = 2.70 to 8.72; P<0.001) intentions to leave, while lower occupational self-efficacy was associated only with past intentions to leave (OR per 10 unit decrease = 1.91; 95% CI = 1.24 to 2.93; P = 0.003).

Conclusion Findings highlight factors influencing LW retention, offering a foundation for targeted interventions, which could include clearer communication about the role during recruitment, and adjusting job descriptions and support when required.