Social prescribing is expanding rapidly across England, exceeding the initial target, but who is accessing these services, and where do inequalities remain? This Essential Knowledge Update Hot Topic reviews a recent Lancet observational study examining referral trends, sociodemographic profiles and predictors of service refusal. Access this concise update to inform your clinical practice and CPD. Link in comments. ⤵️ #EssentialKnowledgeUpdate #PrimaryCare #SocialPrescribing #RCGP