Job responsibilities
Key
Responsibilities:
Social prescribing is a way of linking people to sources of support
within the community. It provides health and social care professionals with
non-medical / non-service focused options that can operate alongside existing
treatments or care packages to improve health and wellbeing. Our aim is to support local people to live
well and stay well, promote healthy life-styles and provide opportunities for
socialization, skill sharing, health education and emotional support.
You will provide a central point of contact for patients in Primary
Care, linking them with sources of support within local communities by
developing robust processes and pathways for social prescribing as described as
a key objective in the NHS 10 year plan.
As a Health and Wellbeing Coach you will work as a
key part of the practice multi-disciplinary team. You will consider the whole
person in addressing existing issues and encouraging the proactive prevention
of new illnesses, promoting lifestyle medicine approaches. Health coaching
revolves around using your coaching skills to support people with lower levels
of patient activation to develop the knowledge, skills, and confidence to
manage their health and wellbeing, whilst increasing their ability to access and
utilise community support offers.
This is an innovative role designed to work in an outcome focused way to
improve peoples quality of life, health and wellbeing by recognizing that this
can be affected by a range of social, economic and environmental factors.
Supporting patients and their Carers to achieve their personal aspirations
participate in their local and wider communities, enhance effective personal
support networks, enabling individuals to maintain healthy lifestyles; and lead
independent and fulfilled lives
Receiving and actioning referrals from a wide range of agencies: GP
practice, pharmacies, multi-disciplinary
teams, hospital discharge teams, allied health professionals, fire service,
police, social care services, housing associations, and voluntary
organizations. (List not exhaustive).
Working as a member of a Social Prescribing
Team, supporting the team with information sharing, learning and outcomes and maintaining accurate records and
utilising outcome measures as required by the Social Prescribing Service.
Signposting adults who have been identified as those who could benefit
from the Social Prescribing Service including those who are frail and socially
isolated to services within the
community including social, recreational and nonmedical support within the
community which may help them to improve their health and wellbeing. You will
be required to meet with patients for one-to-one appointments, by phone or by
webcam to discuss local sources of support that may benefit them.
Working with adults with mild to moderate mental health, learning
difficulties, learning disabilities, anxiety and depression. Providing
personalized support to individuals, their families and carers to enable them
to take control of their wellbeing, live independently and improve their health
outcomes. Develop trusting relationships by giving people time and focus on
what matters to them. Taking a holistic approach, based on the persons
priorities and the wider determinants of health.
Assess the patients abilities and preferences, thinking laterally and
then advising and supporting them in a variety of areas/activities. Advocating
for the patient if needed. Being sensitive to barriers to adopting a healthier
lifestyle such as affordability, accessibility and life circumstances.
Encouraging choices and actions that is acceptable and achievable to patients
while being aware of cultural and social considerations.
Support patients to recognize and change their current lifestyle and to
identify how their way of life might affect their health and well-being.
Working alongside and collaborating with existing local partners:
Primary Care Mental Health Team, St Lukes Listening Service, Physiotherapy etc.
Educating non-clinical and clinical staff within the Practice on what
other services is available within the community and how and when patients can
access them.
To support the monitoring of service access and increased load on
community services that are used by the Social Prescribing Service, to support
the recording of unmet needs, and the development of ideas in trying to find
ways of increasing service provision as much as is reasonable, within the local
community.
Participate in regular supervision and an annual appraisal process,
review yearly progress and develop clear plans to achieve results within
priorities set by others. It is vital that the Social Prescriber has a strong
awareness and understanding of when it is appropriate or necessary to refer
people back to other health professionals or agencies.
To be responsible for your
own continuing self-development, undertaking training as appropriate.
To undertake other duties appropriate
to the grading of the post as required.
Must be able to work flexible hours.
Organisation:
Provide education and specialist expertise to
fellow PCN staff, ensuring they are made aware of health coaching and social
prescribing services and support colleagues to improve their skills and
understanding of personalised care, behavioural approaches, and ensuring
consistency in the follow up of peoples goals where an MDT is involved.
Raise awareness within the PCN of shared decision
making and decision support tools and supporting people in shared
decision-making conversations.
Engage with and support the new and evolving
agendas and service requirements across the PCN, including our work with Care
Homes.
As part of the PCN multi-disciplinary team, build
relationships with staff in GP practices within the local PCN, attending
relevant MDT meetings, giving information and feedback on health coaching.
Alongside other members of the PCN
multi-disciplinary team, work collaboratively with all local diverse partners
to contribute towards supporting the local VCSE organisations and community
groups to become sustainable and that community assets are nurtured, through
sharing intelligence regarding any gaps or problems identified in local
provision with commissioners and local authorities.
Work sensitively with people, their families and
carers to capture key information, enabling tracking of the impact of health
coaching on their health and wellbeing, including the measures required within
the PCN Contract (e.g. PAM measures)
Encourage people, their families and carers to
provide feedback and to share their stories about the impact of social
prescribing and health coaching on their lives.
Work closely within the MDT and with GP practices
within the PCN to ensure that the relevant codes are captured and inputted into
clinical systems, (as outlined in the Network Contract DES), adhering to data
protection legislation and data sharing agreements.
Contribute to the development of policies and plans
relating to equality, diversity and health inequalities.
Key Working Relationships:
Teamwork is
essential in multi-disciplinary environments. Effective communication is
essential and all staff must ensure they communicate in a manner which enables
the sharing of information in an appropriate manner.
All staff will
understand the significance of collaborative working.
In order to
fulfil your role and for the collective benefit of patients, you will be
expected to develop positive working relationships with a wide range of
colleagues and stakeholders as follows:
PCN Social
Prescribing Lead
Clinical
supervisor
Operations
Managers
GP practice teams
Peer health and
wellbeing coaches working in other PCNs and practices
PCN employed
staff such as clinical pharmacists, first contact physios, etc.
Patients and
their representatives
GP federation
operational and clinical delivery teams
CCG colleagues
Local health and
wellbeing events and services
Local
professional networks to benefit from peer support and enhance collaborative
working relationships.
You will be required to undertake a DBS check.
Health and Safety:
Ensure
all members of staff comply with the Groups health and safety policy
Carry
out risk assessments to comply with current Health and Safety legislation
Ensure
any health and safety concerns are reported to the Operations Manager
To be aware of and adhere to applicable
practice rules, regulations, legislation and procedures, national legislation
(Health and Safety, COSHH, Data Protection).
Equality and Diversity:
The
post-holder will support the equality, diversity and rights of patients, carers
and colleagues
Act
in a way that recognises the importance of peoples rights, interpreting them
in a way that is consistent with group processes and policies and current
legislation
Respecting
the privacy, dignity, needs and beliefs of patients, carers and colleagues
Behaving
in a manner that is welcoming, non-judgemental and respects the individuals
circumstances, feelings, priorities and rights
The
details contained in this job description are not exhaustive and may change as
the post develops.
Governance:
Identify and record risks and issues,
developing contingency plans with service and contract leads
Ensure the PCN is compliant with health and
safety policies and procedures to reflect current best practice
Ensure that the PCN board and Clinical
director adhere to the governance structure as set out in the network agreement
Confidentiality:
To maintain confidentiality of
information acquired in the course of undertaking duties for the practice.
