Job responsibilities
The following are the core
responsibilities of the Health and Wellbeing Team Leader, including but not
limited to:
·
Provide line management to the Care
Coordinators and Social Prescribers
·
Work with our data leads to build on and
develop a dashboard to represent the service activity, quality improvement work
and opportunities for further service developments
·
Work with the PCN Manager to design proactive personalised
care solutions which meet both our contractual requirements and the particular
needs of our population
·
Coordinate communication updates (e.g.
newsletters and social media posts) for patients and the whole PCN to promote
and inform what the service provides and how to refer into it
·
Provide personalised support to individuals,
their families and carers to take control of their health and wellbeing, live
independently and improve their health outcomes, and in setting, meeting and
achieving agreed goals. This may include:
o
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-judgemental support, respecting diversity
and lifestyle choices. Work from a strength-based approach focusing on a
person’s assets
o
Be a friendly source of information about
health, wellbeing and prevention approaches
o
Help people identify the wider issues that
impact on their health and wellbeing, such as debt, poor housing, being
unemployed, loneliness and caring responsibilities
o
Help identify potential barriers to accessing
services and groups, working with patient to have the confidence and
information to enable access
o
Work with the person, their families and
carers and consider how they can all be supported through social prescribing
o
Help people maintain or regain independence
through living skills, adaptations, enablement approaches and simple safeguards
o
Work with individuals to co-produce a simple
personalised support plan to address the person’s health and wellbeing needs –
based on the person’s 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
o
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.
o
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.
o
Seek advice and support from identified
individual(s) to discuss patient-related concerns (e.g. abuse, domestic
violence and support with mental health), referring the patient back to the GP
or other suitable health professional if required
·
Working with supervision by a GP, take referrals
from a wide range of agencies, including PCNs’ GP practices and
multi-disciplinary teams: pharmacies, wider multi-disciplinary teams, hospital
discharge teams, allied health professionals, fire service, police, job
centres, social care services, housing associations, and voluntary, community
and social enterprise (VCSE) organisations (for registered patients)
·
Maintain accurate patient records at all times
·
Networking, learning and development with
fellow Solihull Social Prescribers, Care Coordinators, Health and Wellbeing
Coaches and Community link workers across primary care networks, sharing best
practice initiatives
·
Implement, maintain and embed a directory of
services, incorporating referral processes to local services / organisations,
user expectations and costs
·
Actively promoting Care Coordination/Social
Prescribing services within the PCN, through presenting to internal and
external stakeholders, using dedicated noticeboards, patient information
screens and the Network/ Practice websites and social media
·
Supporting practice staff in the referral
process, and in the identification of patients suitable for social prescribing
·
Tackling health inequalities within the PCN,
working with the PCN Manager and Health inequalities champion, seeking to
identify and engage with local populations experiencing health inequality.
·
Managing and prioritising your own caseload,
in accordance with need
·
Maintaining strong awareness and understanding
of when it is appropriate or necessary to refer people back to other health
professionals/agencies, when what the person’s needs are beyond the scope of
the link worker role
·
Building strengths and capacities of local
communities, enabling local VCSE organisations and community groups to receive
social prescribing referrals.
·
Working collaboratively with local partners to
contribute towards supporting local community groups to become sustainable,
through sharing intelligence regarding any gaps or problems identified in local
provision with commissioners and local authorities.
·
Encourage people who have been connected to
community support through social prescribing to volunteer and give their time
freely to others, building their skills and confidence and strengthening
community resilience.
·
Develop a team of volunteers within your
service to provide ‘buddying support’ for people, starting new groups and
finding creative community solutions to local issues.
·
Encourage people, their families and carers to
provide peer support and to do things together, such as setting up new
community groups or volunteering.
·
Provide a regular ‘confidence survey’ to
community groups receiving referrals, to ensure that they are strong, sustained
and have the support they need to be part of social prescribing.
·
Encourage people, their families and carers to
provide feedback and to share their stories about the impact of social
prescribing on their lives.
·
Work closely within the Multi-Disciplinary Team
within the PCN to ensure that the social prescribing referral codes are
inputted into clinical systems (as outlined in the Network Contract DES),
adhering to data protection legislation and data sharing agreements.
·
Work as part of the wider PCN team and as
needed with Solihealth to deliver Solihull wider improvement initiatives.
In addition to the primary
responsibilities above, the Health and Wellbeing Team Leader will requested to:
·
Produce regular reports in relation to service
delivery and progress
·
Partake in audit as directed by clinical
director
Confidentiality:
- As per both Government legislation and PCN policies, ensure
that all confidentiality, data protection and information governance
policies and guidelines are followed and strictly adhered to, reporting
any infringements to the PCN Clinical Director or Manager.
Health
& Safety:
- The post-holder will assist PCN H&S leads in promoting
and maintaining their own and others’ health, safety and security as
defined in the local Health & Safety Policy and related Risk
Assessments.
Equality
and Diversity:
- The post-holder will support the equality, diversity and
rights of patients, carers and colleagues in line with local Policies.
Professional
Development:
- Work with supervisor/ manager to identify opportunities to
receive continuous professional development
- Work with any local networks for comparable link workers
across Solihull, including shared learning events, joint induction and
training
- Attend and comply with specified mandatory training.
IT:
·
Use of SystmOne
·
Commitment to the use of IT, data entry, read
coding and targets.
·
Extraction of data and use of spreadsheets to
analyse and present information to determine trends or highlight potential
problems, as required by the PCN Manager.
