Job responsibilities
Delivering the Social
Prescribing Service to the Marshalls Primary Care Network in Havering. Working with GPs and other health
professionals to provide holistic assessments for patients, and with
individuals to co-produce bespoke wellbeing plans that focus on What matters
to Me to address health and wellbeing needs. Taking a holistic approach to an
individuals health and wellbeing, connecting people to local VCSEs community
groups and networks to create a menu of community groups and assets to link individuals to
as part of their wellbeing plan.
Working collaboratively with stakeholders and raising
the profile of the service in the local area, in order to strengthen community
resilience and capacity. Working in partnership with all local agencies to
raise awareness of social prescribing, how partnership working can reduce
pressure on statutory services, improve health outcomes and enable a holistic
and personalised approach to care
Key tasks and
responsibilities:
1. To undertake holistic
assessments and co-design Health and Well-being Plans with service users,
focusing on what matters to me principles, identifying support needs to
ensure maximum engagement in improving health and well-being, including some
home visits when required.
2. 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 social prescribing.
Train and develop GPs and health teams knowledge on how to identify patients
suitable for social prescribing service on a quarterly basis
3. To provide service users with continuity and a
co-ordinated experience of care, remaining point of contact throughout the
individuals social prescription.
4. Be proactive in encouraging self-referrals and
connecting with all local communities, removing barriers particularly for those
communities who may be under-represented in this service. Be a friendly source
of information about health, wellbeing and prevention approaches.
5. 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.
6. Work with individuals to co-produce a simple
personalised support plan to address the persons health and wellbeing needs
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.
7. Where appropriate, physically introduce people to
community groups, activities and statutory services, following up when
necessary to provide additional support to assist them being able to
engage. Facilitate groups where there
is a gap or is required by the PCN.
8. To ensure you have an understanding (appropriate to your role) of, and
comply with Family Actions procedures for promoting and safeguarding the
welfare of children and vulnerable adults.
Seek advice and support from supervisor and/or identified individuals to
discuss patient-related concerns and risk (eg abuse, domestic violence,
escalated mental health).
9.
Forge strong
links and collaborative relationships with local VCSE organisations, community
and neighbourhood level groups, utilising their networks and building on what
is already available to create a menu of community groups and assets. To ensure
information on sources of voluntary and community support are up to date at all
times to enable effective and accurate signposting and linking of service users
with services.
10. To establish and maintain effective liaison with
stakeholders including health, voluntary, social and education resources,
attending relevant meetings as necessary.
11. Encourage service users 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.
12. Encourage service users, their families and carers to
provide feedback and to share their stories about the impact of social
prescribing on their lives.
13. Work with your line manager to undertake continual
personal and professional development, taking an active part in regular
supervision (as well as clinical supervision).
14. Seek regular feedback about the quality of service and
impact of social prescribing on referral agencies.
15. Set up and maintain comprehensive data and evaluation
systems, including outcome tools (Well-Being Star, EQ5D, ONS4) and work with
MDT and PCNs to ensure that social prescribing referral codes are inputted
into clinical systems as per NHSE guidance.
16. Provide quarterly comprehensive outcome focussed
reports detailing the progress of the service.
17. To be self-administering
and keep timely and accurate records of your work whilst at all times adhering
to confidentiality, GDPR, information sharing protocols and provide monitoring
information as required.
18. To take part in Family Actions and other
organisations meetings and events to promote, support and celebrate the work
of the service and the agencies.
19. To have an understanding of, and comply with Family
Actions procedures for promoting and safeguarding the welfare of children and
vulnerable adults.
20. To ensure the implementation of Family Actions
Equality & Diversity Policy and Ethical Policy in every aspect of your work
and positively promote the principles of these policies amongst colleagues,
service users and other members of the community.
21. To comply with Family Actions Health and Safety
Policy, Data Protection, GDPR Policy and to protect your own and others
health, safety and welfare.
22. To work flexibly as may be required by the needs of
the service and carry out any other reasonable duties as required.
