Primary Care Network Social Prescriber (Link Worker)
This job is now closed
The formation of Primary Care Networks (PCN) has provided an exciting opportunity to expand the services provided by GP Practices in Buckinghamshire.
Cygnet PCN is seeking two enthusiastic and forward-thinking Social Prescribers (Link Workers) to join our GP practice network in High Wycombe.
The PCN is made up of four GP practices (Desborough and Hazlemere Surgery, Kingswood Surgery, Priory Surgery and Tower House Surgery), providing services for approximately 45,000 patients. The practices have a strong history of working together and have been making significant strides towards integrated working.
We are looking for individuals to develop and manage all aspects of link work, empowering our patients to take control of their own health and well-being.
The successful candidates will be part of a supportive network of Clinicians, Social Prescribers, Practice Managers and excellent administrative staff across all the Practices that make up the Cygnet PCN. This is an evolving role with huge scope for development.
Full details can be found in the Job Description and Person Specification.
Working arrangements can be flexible for the successful individuals.
The desired start date would be Monday 6th March 2023.
Informal enquiries and visits are welcome.
Please apply via the NHS website.
Main duties of the job
The social prescriber link worker (SPLW) works alongside a team within general practice and within the Primary Care Network (PCN) and empowers people to take control of their health and well-being.
A referral to a non-medical link worker is designed to support patients in being able to take a holistic approach, connecting people to community groups and statutory services for practical and emotional support.
The post holder will be an integral part of the general practice team, working in each practice and across the PCN, as well as part of a wider community groups and their multidisciplinary teams. A SPLW supports existing groups to be accessible and sustainable and helps people to start new community groups, working collaboratively with all local partners.
Social prescribing can help to strengthen community resilience and personal resilience whilst reducing health inequalities by addressing the wider determinants of health such as debt, poor housing and physical inactivity by increasing peoples active involvement with their local communities.
This role can be particularly beneficial to patients with long-term conditions, those with mental health issues and those who are lonely or isolated or who have complex social needs which affect their wellbeing.
The Cygnet Primary Care Network is an established Network serving 45,000 patients across 4 GP Practices in High Wycombe, a large, diverse town in Buckinghamshire.
You will become a key part of the team, already consisting of experienced GPs, supported by organised Nurses/Health Care Assistants, management and administrative teams as well as pharmacists, Paramedics and other Social Prescribers.
There is a friendly atmosphere established at all sites, a long with a 'can do' work ethic. There is a loyal and well established team in place, with a low staff turnover rate.
All staff are invited to have an input into the development and smooth running of the PCN.
The core responsibilities of the PCN social prescribing link worker (SPLW) are as follows. There may be on occasion, a requirement to carry out other tasks. This will be dependent upon factors such as workload and staffing levels:
a. To take referrals from a wide range of agencies, working with GP practices within primary care networks, pharmacies, 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 [this list is not exhaustive]
b. To provide personalised support to individuals, their families and carers to take control of their wellbeing, live independently and improve their health outcomes
c. To develop trusting relationships by giving people time and focus on ‘what matters to me’
d. To manage and prioritise your own caseload in accordance with the needs, priorities and any urgent support required by individuals on the caseload
e. To have a strong awareness and understanding of when it is appropriate or necessary to refer people back to other health professionals or agencies, when what the person needs is beyond the scope of this SPLW role
f. To work as part of a multi-disciplinary team in a patient facing role using expert knowledge within the SPLW areas and to promote social prescribing and its role in self-management
g. To work together with all local partners to collectively ensure that local VCSE organisations and community groups are sustainable and that community assets are nurtured
h. To build relationships with key staff in GP practices within the local Primary Care Network (PCN), attending relevant meetings, becoming part of the wider network team, giving information and feedback on social prescribing
i. To ensure that social prescribing referral codes are inputted to EMIS system and that the person’s use of the NHS can be tracked, adhering to data protection legislation and data sharing agreements with the CCG
j. To liaise with the practices and, where practicable, to standardise the social prescribing process across the PCN
k. To work in partnership with all local agencies to raise awareness of social prescribing and how partnership working can reduce pressure on statutory services, improve health outcomes and enable a holistic approach to care
l. To provide referral agencies with regular updates about social prescribing, including training for their staff and how to access information to encourage appropriate referrals
m. To be proactive in encouraging self-referrals and connecting with all local communities, particularly those communities that statutory agencies may find hard to reach
n. To meet people on a one-to-one basis, making home visits where appropriate within organisations’ policies and procedures giving people time to tell their stories and focus on ‘what matters to me’ and building trust with the person, providing non-judgemental support, respecting diversity and lifestyle choices. The role requires working from a strength-based approach focusing on a person’s assets
o. To be a friendly source of information about wellbeing and prevention approaches
p. To help people identify the wider issues that impact on their health and well-being such as debt, poor housing, being unemployed, loneliness and caring responsibilities
q. To help people maintain or regain independence through living skills, adaptations, enablement approaches and simple safeguards
r. To work with individuals to co-produce a simple personalised support plan
s. Where people may be eligible for a personal health budget, to 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
t. To forge strong links with local VCSE organisations, community and neighbourhood level groups, utilising their networks and building on what’s already available
u. To work with commissioners and local partners to identify unmet needs within the community and gaps in community provision
v. To support local partners and commissioners to develop new groups and services where needed, through small grants for community groups, micro-commissioning and development support
w. To support in the delivery of enhanced services and other service requirements on behalf of the PCN
x. To deliver training, mentoring and guidance to other clinicians and staff on SPLW matters
y. To produce SPLW newsletters or bulletins on a quarterly basis
z. To support virtual and remote models of consultation and support including e-consultations, remote medication review and telehealth and telemedicine
aa. To participate in the management of patient complaints when requested to do so and participate in the identification of any necessary learning brought about through incidents and near-miss events
bb. To manage a caseload of potentially complex patients and to provide advice for the GP management on the more complex patients
cc. To review the latest guidance ensuring the practice conforms to NICE, CQC etc.
dd. To actively signpost patients to the correct healthcare professional
ee. To provide targeted support and proactive reviews for vulnerable, complex patients and those at risk of admission and re-admission to secondary care
ff. To seek regular feedback about the quality of service and impact of social prescribing on referral agencies
gg. To work with your line manager to undertake continual personal and professional development, taking an active part in reviewing and developing the roles and responsibilities
hh. To work with your line manager to access regular ‘clinical supervision’, to enable you to deal effectively with the difficult issues that people present
ii. To undertake all mandatory training and induction programmes
jj. To contribute to and embrace the spectrum of clinical governance
kk. To attend a formal appraisal with their manager at least every 12 months. Once a performance/training objective has been set, progress will be reviewed on a regular basis so that new objectives can be agreed
ll. To contribute to public health campaigns (e.g. flu clinics) through advice or direct care.
mm.To maintain a clean, tidy, effective working area at all times
In addition to the primary responsibilities, the Social Prescribing Link Worker may be requested to:
a. Support delivery of QOF, incentive schemes, QIPP and other quality or cost effectiveness initiatives.
b. Undertake any tasks consistent with the level of the post and the scope of the role, ensuring that work is delivered in a timely and effective manner.
c. Duties may vary from time to time without changing the general character of the post or the level of responsibility.