Greater Derby PCN Social Prescriber

Job description

Job responsibilities

Job Description

Title: Primary Care Network (PCN) Social Prescriber

Location: Greater Derby Primary Care Network (PCN)

Salary: £24,214 to £27,000 WTE

Reporting to: PCN Board/PCN Clinical Director

Background to the Role

PCNs were formed as part of the NHS long-term plan. PCNs are developing to bring together general practice in geographical networks covering populations of approximately 30-50,000 patients.

Core objectives of each PCN are:

To help recruit and retain staff, to remove pressure from existing and individual general practice units and to help with practice finances

To move towards integrating the wider health and social care system

To secure new additionality roles funding from NHSE to recruit clinical pharmacists, social prescribers, physiotherapists and other allied health care professionals

To focus on service delivery. This to include improving patient access, extending the scope of services available to patients and working with other health and social care providers to ensure best use of available resources

To deliver a national service specification

PCNs are established by the geographical group of GP Practices signing up to the NHSE Network Contract Direct Enhanced Service. PCNs are however not required to be a formal body/legal entity. The Greater Derby PCN have decided at this juncture not to form a legal entity and therefore the PCN staff will be employed by Alexin Healthcare CIC Limited.

Alexin Healthcare CIC Limited is a large and successful GP Federation covering Southern Derbyshire, East & South East Staffordshire who are dedicated to delivering high quality health services to the community, improved patient experience and keeping Primary Care at the forefront of the NHS reforms.

The main purpose of the role being to deliver social prescribing support to the Greater Derby PCN as required by the Greater Derby PCN Board.

Key working relationships

GP Practices within the PCN

Practice Leaders (Partners and Practice Managers)

Clinical Commissioning Group (CCG) and NHSE

Primary Care Plus (PCP)

Responsibilities underpinning the role

To assist the PCN Director(s) and board in setting and realising the PCN vision, mission and business strategy

To play a role in the delivery of high quality primary health care services

Provide support to individuals, their families and carers to take control of their health and wellbeing, live independently and improve their health outcomes, as a key member of the PCN multi-disciplinary team.

Working under supervision of the core network member practices i.e. the GPs, practice managers and the Business Manager take referrals from the network practices.

To make and maintain contact with local health and wellbeing service providers and build a network and knowledge of referral routes to and from service providers, keeping a Directory of Service updated.

Refer people and/or introduce them to appropriate organisations in Derby and nationally (where appropriate) e.g. voluntary, statutory (local authority) and local NHS organisations.

To represent the PCN in cross organisation meetings when agreed e.g. locality/CCG meetings

Proactively identify and arrange locality-based wellbeing events to improve the general health of patients in the Network.

Co-ordinate training and development of PCN clinical team

Collate feedback / analysis data on behalf of the PCN to report to the PCN Board and CCG/NHSE as required

Role Delivery Specifics

Patient Care

• To undertake holistic assessments and co-design Health and Well-being Plans with individual patients
• To provide patients with continuity and a coordinated experience of care and remaining the point of contact throughout the individuals social prescription.
• Produce a simple personalised care plan to address the patients health and wellbeing needs by introducing or reconnecting people to community groups or statutory services.
• Identify when there is a need for urgent action or for a step-up in care and alert the relevant professional(s) .

Relationships & Communications

• To work with all leaders of PCN practices to develop positive, trusting and mutually beneficial relationships
• To be committed to the vision and values of the PCN and promote these both internally and externally.

Ensure effective communication is maintained within the Network

Maintain a working relationship with local health care providers (such as Primary Care Plus) to enable service delivery of mutual benefit

To establish and maintain effective liaison with stakeholders including health, voluntary, social and education resources, attending relevant meetings as necessary.

Inform and advise GPs and primary care staff as to the services available within the community and how and when patients can access them.

Work collaboratively with Derbyshire Community Health Services (DCHS)Care Co-ordinators to build a sustainable service for the patients

Organisational

• Work with the PCN Director and board for strategic and operational planning processes to support the PCNs objectives
• Support the PCN Directors and board with the writing of business and development plans as required
• Coordinate meetings for PCN working periodic board meetings and ad hoc project meetings as required regarding Social Prescribing

IM&T

Maintain a SystmOne / EMIS templates to ensure accurate and detailed clinical data is entered into the patient record in a standardised way.

To keep records of your work and adhere to confidentiality, information sharing protocols and provide monitoring information as required.

Provide comprehensive outcome focused reports detailing the progress of the service

To ensure the integrity of the operational systems

Training/Education

• To train and develop GPs and primary care health teams knowledge on how to identify patients suitable for social prescribing service referral and to keep the service at the forefront of clinicians minds by means of being present at MDTs, social media, regular updates, practice meetings etc.
• Organise PCN events e.g. Educational Events for both staff and patients
• To undertake regular training to extend and update own knowledge of health and wellbeing issues.

Codes of Conduct

The Social Prescriber must comply with the Code of Professional Conduct set by Alexin Healthcare and any Code of Conduct developed by the PCN.

Equal Opportunities

The Federation is committed to eliminating unlawful discrimination and promoting equality of opportunity. All staff have a personal responsibility to contribute towards an inclusive and supportive environment for patients, carers, visitors and other colleagues from all the equality strands (race, gender, age, sexual orientation, religion, disability).

Staff have a personal responsibility to:

Ensure their behaviour is not discriminatory

Does not cause offence

To challenge the inappropriate behaviours of others

Adhere to the Federations values, including Respecting Everyone, as well as the Staff Conduct Policy and the Equal Opportunities policy

Health and Safety

Under the provisions contained in the Health and Safety at Work Act 1974, it is the duty of every employee to:

Take reasonable care of themselves and for others at work

To co-operate with the PCN as far as is necessary to enable them to carry out their legal duty

Not to intentionally or recklessly interfere with anything provided including personal protective equipment for Health and Safety or welfare at work.

Safeguarding Children and Vulnerable Adults

Alexin Healthcare is committed to safeguarding and promoting the welfare of all children, young people and vulnerable adults, and as such expects all staff and volunteers to share this commitment.

Quality and Clinical Governance

Quality in Health Care delivery has three core dimensions: Patient Safety, Patient Experience and Clinical Effectiveness.

Clinical Governance is about the systems, processes and behaviours to ensure that high quality services are provided to patients. Every member of staff has a role to play in striving for excellence: it is important that everyone is aware of and follows policies and procedures that govern their work; and if something goes wrong, everyone has an obligation to report it so lessons can be learned from mistakes, incidents and complaints.

If any member of staff has concerns on any clinical governance matters, they should raise them with their line manager, professional adviser, or a more senior member of management. Reference should be made to the federations guidance on Raising Concerns about provision of patient care.

Information Governance

It is the responsibility of all staff to respect the confidentiality of patients and staff, as specified in the Caldicott Principles, Data Protection Act and the Human Rights Act. It is the duty of every employee to:

Only access person identifiable information as required in the execution of their duties.

Disclose information appropriately, in line with the Data Protection Act 1998.

To ensure good quality data by recording, promptly and accurately, clinical and non-clinical information within agreed timescales to PAS, the health record or the appropriate clinical or non-clinical information system

Maintain the confidentiality of their password / username and if in possession of a Smartcard abiding by the terms and conditions of its use.

Person Specification

Qualifications

Essential

• Good Standard of Education

Additional

Essential

• Must be able to prioritise own work effectively and be able to direct activities of others
• Adaptability, flexibility and ability to cope with uncertainty and change
• Professional calm and efficient manner
• Flexibility in terms of working to meet business needs

Experience

Essential

• Experience of managing a caseload of clients
• Proven ability to provide advice and support to clients
• Able to work with clients on a 1:1 basis.
• Worked with other groups and agencies to provide joined up services

Desirable

• Production of individual care plans
• Familiar with Safeguarding
• Experience of working with vulnerable people
• Experience of working in a health or care environment

Skills, Ability & Knowledge

Essential

• Good general knowledge of the work and value of the UK Voluntary and Community Sector.
• An understanding of social prescribing models.
• Ability to develop strong working relationships both internally and externally to the PCN
• Strong organisational skills
• Understand, process and disseminate information from various sources in relation to the role
• Complete administration tasks effectively and accurately
• Excellent written and verbal communication and IT skills
• Proficient in the use of IT e.g. Word, Excel, Powerpoint

Desirable

• Knowledge of local voluntary resources available to support social prescribing models
• Knowledge of NHS Clinical Systems

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Employer details

Employer name

West Hallam Medical Centre

Address

The Dales

West Hallam

Ilkeston

Derbyshire

DE7 6GR

Employer's website

https://www.westhallammedicalcentre.co.uk/ (Opens in a new tab)