Linking Up: The Impact of Transformational Leadership Approaches on a Social Prescribing LINK Children and Young People Service – A Qualitative Exploration

Abstract

Background: Poor mental health among children and young people (CYP) is a global issue, with one in seven affected. In the United Kingdom (UK) and abroad, social prescribing is emerging as a community-based, non-clinical method to address health inequalities. Link workers (LWs) play a pivotal role in this approach, and more research about the factors influencing their recruitment, retention, and job satisfaction is required.

Aim: This study explores the experiences of LWs working with CYP, focusing on service delivery, job satisfaction, career development, and retention, addressing a critical gap in research on LW roles and their influence on CYP care.

Method: This qualitative study employed semistructured, one-to-one interviews with 17 LWs and managers. These interviews were conducted between April 2023 and February 2024. Data were analysed using Braun and Clarke’s thematic analysis framework, identifying key themes related to LW experiences and job satisfaction.

Findings: The findings highlight how a transformational leadership approach contributed to LW job satisfaction and retention, characterised by supportive leadership that promoted flexibility and autonomy, and continuous professional development (CPD) that enabled career progression.

Conclusion: Findings from this study established a unique conceptual model of LW job satisfaction and retention, which illustrates how transformational leadership fosters a creative, collaborative environment that supports flexibility, continuous development, and meaningful impact for LWs. This approach creates the conditions for sustainable services by promoting job satisfaction and retention, ensuring that LWs can consistently provide person-centred care to CYP and their families.