Job responsibilities
This Social Prescribing Link work post will work across the PCN to support the delivery of providing proactive support to children, young people and families. This is an exciting time to join SHaR PCN in the progression and development of our Live Well service within the Personalised Care Team. In summary, the Social Prescribing Link Worker will play a vital role in improving health outcomes by prioritising what matters most to young people and their families, ensuring they receive the support they need on their journey toward enhanced wellbeing. Principle Responsibilities Promoting social prescribing, its role in self-management, and the wider determinants of health. Building positive relationships with key staff in GP practices within the SHAR Primary Care Network (PCN) Networking by attending multidisciplinary team meetings to become an integral part of the wider integrated neighbourhood team and sharing information and feedback on social prescribing. Being proactive in developing strong links with all local agencies to encourage referrals, recognising what they need to be confident in the service to make appropriate referrals.
Work closely with multiple professionals from across the sectors to coordinate the support for patients and their families, ensure care plans meet the families/young persons needs and they receive the help and support they need. Produce reports of these care plans as requested by clinicians. Ensure personalised care and support plans are communicated to the GP and any other professionals involved in the persons care and uploaded to the relevant online care records, with activity recorded using the relevant coding. Key Tasks Meet people on a one-to-one basis, making home visits where appropriate within organisations policies and procedures. Give people time to tell their stories and focus on what matters to me. Build trust with the person, providing non- judgmental support, respecting diversity and lifestyle choices. Work from a strength-based approach focusing on a persons assets. Be a friendly source of information about wellbeing and prevention approaches.
Help people identify the wider issues that impact on their health and wellbeing, such as debt, poor housing, being unemployed, loneliness and caring responsibilities. Work with the person, their families and carers and consider how they can all be supported through social prescribing. Help people maintain or regain independence through living skills, adaptations, enablement approaches and simple safeguards. Work with individuals to co-produce a simple personalised support plan based on the persons priorities, interests, values and motivations including what they can expect from the groups, activities and services they are being connected to and what the person can do for themselves to improve their health and wellbeing. Where appropriate, physically introduce people to community groups, activities, and statutory services, ensuring they are comfortable. Follow up to ensure they are happy, able to engage, included and receiving good support. Where people may be eligible for a personal health budget, help them to explore this option as a way of providing funded, personalised support to be independent, including helping people to gain skills for meaningful employment, where appropriate. Forge strong links with local VCSE organisations, community, and neighbourhood level groups, using their networks and building on what is already available to create a map or menu of community groups and assets. Use these opportunities to promote micro-commissioning or small grants if available. Develop supportive relationships with local VCSE organisations, community groups and statutory services, to make timely, appropriate, and supported referrals for the person being introduced. Collaborate with commissioners and local partners to identify unmet needs within the community and gaps in community provision. Support local partners and commissioners to develop new groups and services where needed, through small grants for community groups, micro-commissioning and development support. Support the PCN on implementation of this new model of care by providing updates & feedback on the model and helping adapt and improve it going forward to best meet the needs of our patients. Data capture
Work sensitively with people, their families and carers to capture key information, enabling tracking of the impact of social prescribing on their health and wellbeing. Encourage people, their families, and carers to provide feedback and to share their stories about the impact of social prescribing on their lives. Support referral agencies to provide appropriate information about the person they are referring. Use the case management system to track the persons progress. Provide appropriate feedback to referral agencies about the people they referred. Work closely with GP practices within the PCN to ensure that social prescribing referral codes are inputted to SystmOne and that the persons use of the NHS can be tracked, adhering to data protection legislation and data sharing agreement.
Professional development
Work with a named clinical point of contact for advice and support.
Undertake continual personal and professional development, taking an
active part in reviewing and developing the role and responsibilities, and
provide evidence of learning activity as required.
Adhere to organisational policies and procedures, including confidentiality, safeguarding, lone working, information governance, equality, diversity and inclusion training and health and safety.
Miscellaneous
Establish strong working relationships with GPs and practice teams and work collaboratively with other care coordinators, social prescribing link workers and health and wellbeing coaches, supporting each other, respecting each others views and meeting regularly as a team.
Act as a champion for personalised care and shared decision making
within the PCN.
Demonstrate a flexible attitude and be prepared to carry out other duties as may be reasonably required from time to time within the general
character of the post or the level of responsibility of the role, ensuring
that work is delivered in a timely and effective manner.
Identify opportunities and gaps in the service and provide feedback to
continually improve the service and contribute to business planning.
Contribute to the development of policies and plans relating to equality,
diversity and reduction of health inequalities.
Work in accordance with the practices and PCNs policies and
Procedures.
Contribute to the wider aims and objectives of the PCN to improve and
support primary care.
Generic information
The post holder will maintain the security of sensitive, personal and other confidential information and will apply all relevant Information Governance policies reliably to working practice. In the performance of the duties outlined in this Job Description, the post-holder may have access to confidential information relating to patients and their carers, practice staff and other healthcare workers. They may also have access to information relating to the Practice as a business organisation. All such information from any source is to be regarded as strictly confidential.
In addition to observing the Practices rules and procedures, which all staff are required to observe and follow, the post holder is also required to follow general policies and procedures that apply to the employment relationship. It is the duty of the post holder to accept personal responsibility for the practical application of these policies, procedures and standards.
The post-holder will assist in promoting and maintaining their own and others health, safety and security as defined in the practice Health and Safety Policy
The post-holder will support the equality, diversity and rights of patients, carers and colleagues, including acting in a way that recognises the importance of peoples rights, interpreting them in a way that is consistent with Practice procedures and policies, and current legislation and respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues
The post-holder will participate in any training programme implemented by the Practice as part of this employment including participation in an annual individual performance review, including taking responsibility for maintaining a record of own personal and/or professional development
Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work
Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the teams performance
Work effectively with individuals in other agencies to meet patients needs
Effectively manage own time, workload and resources
Our practice is committed to safe and fair recruitment, safeguarding and protecting those we care for and serve. We have a robust recruitment policy, and all our staff are vetted prior to appointment including being subject to a Disclosure and Barring Service (DBS) check. We also take up two satisfactory character references before the individual starts work. Staff are trained and supervised fairly and to a high standard so that they can provide safe, effective and compassionate care.
All staff must comply with mandatory training requirements and ensure that adult and child safeguarding is embedded as an essential part of their daily practice
