Tanfield View Medical Group

Social Prescribing Link Worker

The closing date is 15 June 2025

Job summary

We are looking to recruit a Social Prescribing Link Worker to join our friendly proactive team for up to 30 hours per week.

Social prescribing empowers people to take control of their health and wellbeing through referral to a non-medical link worker who give time, focus on what matters to me and take an holistic approach, connecting people to community groups and statutory services for practical and emotional support.

Social prescribing can help to strengthen community resilience and personal resilience, and reduces 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. It particularly works for people with long-term conditions (including support for mental health), for people who are lonely or isolated, or have complex social needs which affect their wellbeing.

The successful candidate will have excellent interpersonal and communication skills, and be organised, patient and empathetic. They will have experience of working in health, social care or other support roles including direct contact with people, families or carers.

The post holder will work with a diverse range of people from different cultural and social backgrounds. The ability to work confidently and effectively in a varied, and sometimes challenging environment is essential.

Main duties of the job

Provide personalised support to individuals, their families and carers 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 me. Take a holistic approach, based on the persons priorities and the wider determinants of health. Co-produce a personalised support plan to improve health and wellbeing, introducing or reconnecting people to community group and statutory services.

The role will require managing and prioritising your own caseload, in accordance with the needs, priorities and any urgent support required by individuals on the caseload. It is vital that you have a strong awareness and understanding of when it is appropriate or necessary to refer people back to other health professionals/agencies, when what the person needs is beyond the scope of the link worker role e.g. when there is a mental health need requiring a qualified practitioner.

About us

We have 10,800 patients and operate from a single site. We are based in Stanley, Co Durham, which is easily accessible from Durham and Newcastle.

We are a proactive and supportive practice with a key focus on continuous development and improvement.

We recognise the increased pressure within General Practice and offer a supportive environment, striving on improving the working day for our practice team. We recognise the importance of flexibility around professional commitments and the desire for a happy work-life balance.

We are a training practice for both medical students, GP trainees and career start nurses and encourage the development of specialist interests within the practice.

The practice has a Good rating by the CQC and we are committed to investing and improving the medical care we provide for our patients.

There is a strong sense of team within the practice will all team members working together making this truly enjoyable place to work.

Details

Date posted

27 May 2025

Pay scheme

Other

Salary

£26,530 to £29,114 a day Depending on Experience

Contract

Permanent

Working pattern

Part-time

Reference number

A5688-25-0000

Job locations

2 Scott Street

Stanley

County Durham

DH9 8AD


Job description

Job responsibilities

1. Promoting social prescribing, its role in self-management, and the wider determinants of health.

2. Build relationships with key staff in within the practice, attending relevant meetings, becoming part of the wider network team, giving information and feedback on social prescribing.

3. Be 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.

4. 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.

5. Provide colleagues with regular updates about social prescribing, including training staff and providing information on how to access information to encourage appropriate referrals.

6. Seek regular feedback about the quality of service and impact of social prescribing.

Provide personalised support

1. 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 persons assets.

2. Be a friendly source of information about wellbeing and prevention approaches.

3. Help people identify the wider issues that impact on their health and wellbeing, such as debt, poor housing, being unemployed, loneliness and caring responsibilities.

4. Proactively identify vulnerable and at risk patients who may benefit from personalised support.

5. Work with the person, their families and carers and consider how they can all be supported through social prescribing.

6. Help people maintain or regain independence through living skills, adaptations, enablement approaches and simple safeguards.

7. 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.

8. 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.

9. 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.

10. Forge strong links with local VCSE organisations, community and neighbourhood level groups, utilising their networks and building on whats already available to create a map or menu of community groups and assets.

11. Develop supportive relationships with local VCSE organisations, community groups and statutory services, to make timely, appropriate and supported referrals for the person being introduced.

12. Ensure that local community groups and VCSE organisations being referred to have basic procedures in place for ensuring that vulnerable individuals are safe and, where there are safeguarding concerns, work with all partners to deal appropriately with issues. Where such policies and procedures are not in place, support groups to work towards this standard before referrals are made to them.

13. Check that community groups and VCSE organisations meet in insured premises and that health and safety requirements are in place. Where such policies and procedures are not in place, support groups to work towards this standard before referrals are made to them.

14. Support local groups to act in accordance with information governance policies and procedures, ensuring compliance with the Data Protection Act.

15. Work with commissioners and local partners to identify unmet needs within the community and gaps in community provision.

Data capture

1. 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.

2. Encourage people, their families and carers to provide feedback and to share their stories about the impact of social prescribing on their lives.

3. 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.

4. Ensure that consultations and social prescribing referral codes are inputted into the practices clinical IT system (SystmOne), adhering to data protection legislation and data sharing agreements.

Clinical Governance

1. Identify risk issues that impact on peoples health or social care needs.

2. Take appropriate action to the significance of the risk and consistent with protection procedures, applying protection procedures, following lone worker procedure.

3. Demonstrate effective team working inclusive of all relevant professionals.

4. Report all accidents / incidents, and all ill health, failings in equipment and / or environment to line managers.

5. Contribute towards audit and data collection as required.

6. Once assessed as competent will be accountable for their own practice within their area of responsibility when identified and agreed with the line manager.

7. Professional development

8. Work with your line manager to undertake continual personal and professional development, taking an active part in reviewing and developing the roles and responsibilities.

9. Adhere to organisational policies and procedures, including confidentiality, safeguarding, lone working, information governance, and health and safety.

Miscellaneous

1. Work as part of the team to seek feedback, continually improve the service and contribute to business planning.

2. 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.

3. Duties may vary from time to time, without changing the general character of the post or the level of responsibility.

Job description

Job responsibilities

1. Promoting social prescribing, its role in self-management, and the wider determinants of health.

2. Build relationships with key staff in within the practice, attending relevant meetings, becoming part of the wider network team, giving information and feedback on social prescribing.

3. Be 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.

4. 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.

5. Provide colleagues with regular updates about social prescribing, including training staff and providing information on how to access information to encourage appropriate referrals.

6. Seek regular feedback about the quality of service and impact of social prescribing.

Provide personalised support

1. 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 persons assets.

2. Be a friendly source of information about wellbeing and prevention approaches.

3. Help people identify the wider issues that impact on their health and wellbeing, such as debt, poor housing, being unemployed, loneliness and caring responsibilities.

4. Proactively identify vulnerable and at risk patients who may benefit from personalised support.

5. Work with the person, their families and carers and consider how they can all be supported through social prescribing.

6. Help people maintain or regain independence through living skills, adaptations, enablement approaches and simple safeguards.

7. 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.

8. 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.

9. 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.

10. Forge strong links with local VCSE organisations, community and neighbourhood level groups, utilising their networks and building on whats already available to create a map or menu of community groups and assets.

11. Develop supportive relationships with local VCSE organisations, community groups and statutory services, to make timely, appropriate and supported referrals for the person being introduced.

12. Ensure that local community groups and VCSE organisations being referred to have basic procedures in place for ensuring that vulnerable individuals are safe and, where there are safeguarding concerns, work with all partners to deal appropriately with issues. Where such policies and procedures are not in place, support groups to work towards this standard before referrals are made to them.

13. Check that community groups and VCSE organisations meet in insured premises and that health and safety requirements are in place. Where such policies and procedures are not in place, support groups to work towards this standard before referrals are made to them.

14. Support local groups to act in accordance with information governance policies and procedures, ensuring compliance with the Data Protection Act.

15. Work with commissioners and local partners to identify unmet needs within the community and gaps in community provision.

Data capture

1. 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.

2. Encourage people, their families and carers to provide feedback and to share their stories about the impact of social prescribing on their lives.

3. 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.

4. Ensure that consultations and social prescribing referral codes are inputted into the practices clinical IT system (SystmOne), adhering to data protection legislation and data sharing agreements.

Clinical Governance

1. Identify risk issues that impact on peoples health or social care needs.

2. Take appropriate action to the significance of the risk and consistent with protection procedures, applying protection procedures, following lone worker procedure.

3. Demonstrate effective team working inclusive of all relevant professionals.

4. Report all accidents / incidents, and all ill health, failings in equipment and / or environment to line managers.

5. Contribute towards audit and data collection as required.

6. Once assessed as competent will be accountable for their own practice within their area of responsibility when identified and agreed with the line manager.

7. Professional development

8. Work with your line manager to undertake continual personal and professional development, taking an active part in reviewing and developing the roles and responsibilities.

9. Adhere to organisational policies and procedures, including confidentiality, safeguarding, lone working, information governance, and health and safety.

Miscellaneous

1. Work as part of the team to seek feedback, continually improve the service and contribute to business planning.

2. 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.

3. Duties may vary from time to time, without changing the general character of the post or the level of responsibility.

Person Specification

Personal Attributes & Abilities

Essential

  • Ability to listen, empathise with people and provide person- centred support in a non- judgemental way
  • Able to get along with people from all backgrounds and communities, respecting lifestyles and diversity
  • Commitment to reducing health inequalities and proactively working to reach people from all communities
  • Able to support people in a way that inspires trust and confidence, motivating others to reach their potential
  • Ability to communicate effectively, both verbally and in writing, with people, their families, carers, community groups, partner agencies and stakeholders
  • Ability to identify risk and assess/manage risk when working with individuals
  • Have a strong awareness and understanding of when it is appropriate or necessary to refer people back to other health professionals/agencies, when what the person needs is beyond the scope of the link worker role
  • Ability to maintain effective working relationships and to promote collaborative practice with all colleagues
  • Commitment to collaborative working with all local agencies
  • Demonstrates personal accountability, emotional resilience and works well under pressure
  • Ability to organise, plan and prioritise on own initiative, including when under pressure and meeting deadlines
  • High level of written and oral communication skills
  • Ability to work flexibly and enthusiastically within a team or on own initiative
  • Understanding of the needs of small volunteer-led community groups and ability to support their development
  • Knowledge of and ability to work to policies and procedures, including confidentiality, safeguarding, lone working, information governance, and health & safety
  • Meets DBS reference standards and has a clear criminal record, in line with the law on spent
  • Willingness to work flexible hours when required to meet work demands
  • Current full driving licence and sole use of car.
  • Ability to travel across the locality on a regular basis, including to visit people in their own homes

Experience

Essential

  • Understanding of the wider determinants of health, including social, economic and environmental factors and their impact
  • Knowledge of community development approaches
  • Knowledge of IT systems, including ability to use word processing skills, emails and the internet to create simple plans
  • Knowledge of motivational coaching and interview skills
  • Knowledge of VCSE and community services in the locality
  • Awareness of GDPR
  • Awareness of Safeguarding Children & Adults
  • Experience of supporting people, their families and carers in a related role (including unpaid work)
  • Experience of working directly in a community development context, adult health and social care, learning support or public health/health improvement (including unpaid work)
  • Experience of partnership/collaborative working and of building relationships across a variety of organisations

Desirable

  • Knowledge of the personalised care approach
  • Experience of working with the VCSE sector (in a paid or unpaid capacity), including with volunteers and small community groups
  • Experience of data collection and providing monitoring information to assess the impact of services
  • Experience of supporting people with their mental health, either in a paid, unpaid or informal capacity

Qualifications

Essential

  • NVQ Level 3, Advanced level or equivalent qualifications or working towards this level.
  • Demonstrable commitment to professional and personal development

Desirable

  • Training in motivational coaching and interviewing or equivalent experience
Person Specification

Personal Attributes & Abilities

Essential

  • Ability to listen, empathise with people and provide person- centred support in a non- judgemental way
  • Able to get along with people from all backgrounds and communities, respecting lifestyles and diversity
  • Commitment to reducing health inequalities and proactively working to reach people from all communities
  • Able to support people in a way that inspires trust and confidence, motivating others to reach their potential
  • Ability to communicate effectively, both verbally and in writing, with people, their families, carers, community groups, partner agencies and stakeholders
  • Ability to identify risk and assess/manage risk when working with individuals
  • Have a strong awareness and understanding of when it is appropriate or necessary to refer people back to other health professionals/agencies, when what the person needs is beyond the scope of the link worker role
  • Ability to maintain effective working relationships and to promote collaborative practice with all colleagues
  • Commitment to collaborative working with all local agencies
  • Demonstrates personal accountability, emotional resilience and works well under pressure
  • Ability to organise, plan and prioritise on own initiative, including when under pressure and meeting deadlines
  • High level of written and oral communication skills
  • Ability to work flexibly and enthusiastically within a team or on own initiative
  • Understanding of the needs of small volunteer-led community groups and ability to support their development
  • Knowledge of and ability to work to policies and procedures, including confidentiality, safeguarding, lone working, information governance, and health & safety
  • Meets DBS reference standards and has a clear criminal record, in line with the law on spent
  • Willingness to work flexible hours when required to meet work demands
  • Current full driving licence and sole use of car.
  • Ability to travel across the locality on a regular basis, including to visit people in their own homes

Experience

Essential

  • Understanding of the wider determinants of health, including social, economic and environmental factors and their impact
  • Knowledge of community development approaches
  • Knowledge of IT systems, including ability to use word processing skills, emails and the internet to create simple plans
  • Knowledge of motivational coaching and interview skills
  • Knowledge of VCSE and community services in the locality
  • Awareness of GDPR
  • Awareness of Safeguarding Children & Adults
  • Experience of supporting people, their families and carers in a related role (including unpaid work)
  • Experience of working directly in a community development context, adult health and social care, learning support or public health/health improvement (including unpaid work)
  • Experience of partnership/collaborative working and of building relationships across a variety of organisations

Desirable

  • Knowledge of the personalised care approach
  • Experience of working with the VCSE sector (in a paid or unpaid capacity), including with volunteers and small community groups
  • Experience of data collection and providing monitoring information to assess the impact of services
  • Experience of supporting people with their mental health, either in a paid, unpaid or informal capacity

Qualifications

Essential

  • NVQ Level 3, Advanced level or equivalent qualifications or working towards this level.
  • Demonstrable commitment to professional and personal development

Desirable

  • Training in motivational coaching and interviewing or equivalent experience

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

Tanfield View Medical Group

Address

2 Scott Street

Stanley

County Durham

DH9 8AD


Employer's website

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

Employer details

Employer name

Tanfield View Medical Group

Address

2 Scott Street

Stanley

County Durham

DH9 8AD


Employer's website

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

Employer contact details

For questions about the job, contact:

Business Manager

Kim Beedham

kim.beedham@nhs.net

01207288082

Details

Date posted

27 May 2025

Pay scheme

Other

Salary

£26,530 to £29,114 a day Depending on Experience

Contract

Permanent

Working pattern

Part-time

Reference number

A5688-25-0000

Job locations

2 Scott Street

Stanley

County Durham

DH9 8AD


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