MIAA Solutions

PCN Social Prescriber

Information:

This job is now closed

Job summary

MIAA Solutions are advertising the role on behalf of Chelford, Handforth, Alderley Edge, Wilmslow (CHAW) Primary Care Network (PCN).

We have an exciting opportunity for 2 Social Prescribers to join the PCN. The PCN is looking to expand its existing staff during 2023/24.

Social prescribing empowers people to take control of their health and wellbeing through referral to link worker who gives time, focuses on what matters to the patient and takes a holistic approach to an individuals health and wellbeing, connecting people to community groups and statutory services for practical and emotional support.

The employment contract will be held by Vernova Healthcare Community Interest Company.

www.chawhealth.co.uk

Main duties of the job

The Social Prescribing Link Worker and will be embedded within CHAW Primary Care Network multi-disciplinary teams to provide personalised support to individuals, their families and carers to take control of their wellbeing, live independently and improve their health outcomes. The Social Prescribing Link Worker will:

  • Develop trusting relationships by giving people time and focusing on what matters to them.
  • Take a holistic approach, based on the persons priorities, and the wider determinants of health.
  • Co-produce a personalised care and support plan to improve health and wellbeing.
  • Introduce or reconnect people to community groups and services, both over the phone and in person.
  • Evaluate the individual impact of a persons wellness progress.
  • Record referrals within GP clinical systems using the national SNOMED social prescribing codes and complete case management notes on Pathways systems.
  • Support the delivery of the comprehensive model of personalised care.
  • Draw on and increase the strengths and capacities of local communities, enabling local VCSE organisations and community groups to receive social prescribing referrals.
  • Support small grass roots organisations to develop capacity and sustainability.

  • Drawing together reports for the PCN on how through social prescribing the service has reduced avoidable patient demand in GP practices and/or reduced A&E attendance and hospital admissions.

About us

CHAW PCN covers practices across Chelford, Handforth, Alderley Edge, Wilmslow Primary Care Network. The practices are within close proximity to each other with a total patient population in excess of 48,000. Our aim is to provide exemplary patient care and find innovative solutions in general practice to deliver the best care we can for our patients.

Details

Date posted

25 July 2023

Pay scheme

Other

Salary

Depending on experience Band 5 depending on experience

Contract

Permanent

Working pattern

Full-time, Flexible working

Reference number

M0026-23-0056

Job locations

Wilmslow Health Centre

Chapel Lane

Wilmslow

Cheshire

SK9 5HX


Handforth Health Centre

Wilmslow Road

Handforth

Wilmslow

Cheshire

SK9 3HL


Kenmore Medical Centre

Alderley Road

Wilmslow

Cheshire

SK9 1PA


Chelford Surgery

Elmstead Road

Chelford

Macclesfield

Cheshire

SK11 9BS


Job description

Job responsibilities

As care social prescriber your key responsibilities will include, but not be limited to:

Main duties

1.As a member of the Primary Care Network (PCN) team, social prescribing link worker will establish referral routes and taking referrals from the PCNs members, expanding from to take referrals from a wide range of agencies in line with PCN requirements.

2.To promote social prescribing, its role in self-management and the wider determinants of health to members of the PCN and other agencies.

3.Build relationships with staff in GP practices within PCN, giving information and feedback on social prescribing.

4.Be proactive in developing strong links with all local agencies in line with the social prescribing implementation plan to encourage referrals recognising what they need to be confident in the service to make appropriate referrals.

5.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.

6.To ensure ongoing engagement with the PCN to ensure a minimum number of social prescribing attachments occur a year in line with PCN requirements / contractual requirements.

7.Provide referral agencies with regular updates about social prescribing, including training for their staff and how to access information to encourage appropriate referrals.

8.Seek regular feedback about the quality of the service and impact of social prescribing on referral agencies.

9.Work closely with PCN and MDT to ensure that the social prescribing referral codes are inputted into clinical systems in line with PCN contract.

10.To ensure data sharing agreements are in place and adhered to.

11.Be proactive in undertaking community development to encourage self-referrals and connecting with all local communities, particularly those communities that statutory agencies may find hard to reach.

12.Forge strong links 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.

13.Work collectively with all local partners to ensure community groups are strong and sustainable.

14.Meet people on a one to one basis, making home visits where appropriate.

15.To effectively time manage a caseload of clients, and be able to effectively prioritise workload in accordance with needs, priorities and any urgent support required by clients on the caseload and to meet scheduling requirements.

16.Provide 1:1 support to assess patients current assets/needs using the agreed evidence based assessment tools including Patient Activation Measure, ONS to holistically identify how a patients health and wellbeing needs can be met by services and other opportunities available in the community. Giving people time to tell their stories and focus on what matters to them.

17.Using person centred strengths based approach, co-produce with the patient their personalised care and support plan to address the patients health and wellbeing needs by introducing or reconnecting people to community groups and statutory services both over the telephone and by accompanying the person.

18.Facilitate and coordinate activities to support behaviour change and maintenance through building motivation, confidence for change and through setting and supporting the clients to achieve goals.

19.Be a friendly, trusted source of information about health, wellbeing and prevention approaches, enabling the patient to focus on what matters to them.

20.Work with the person, their families and carers and consider how they can all be supported through social prescribing, using local agencies to maximise the package of support.

General Work Related Expectations

1. To work within CHAWs Values, Ethos and Vision.

2. To work in accordance with all Practices Policies and Procedures

3. To identify and attend training as required

4. To work in accordance with all relevant legislation

5. To undergo regular supervision and an annual appraisal and 360 feedback

6. To undertake any other duties as required, appropriate to the post

7. To work as part of the healthcare team to seek feedback, continually improving the service and contributing to business planning

* This Job Description does not provide an exhaustive list of duties and may be reviewed in conjunction with the post holder in light of service development.

Job description

Job responsibilities

As care social prescriber your key responsibilities will include, but not be limited to:

Main duties

1.As a member of the Primary Care Network (PCN) team, social prescribing link worker will establish referral routes and taking referrals from the PCNs members, expanding from to take referrals from a wide range of agencies in line with PCN requirements.

2.To promote social prescribing, its role in self-management and the wider determinants of health to members of the PCN and other agencies.

3.Build relationships with staff in GP practices within PCN, giving information and feedback on social prescribing.

4.Be proactive in developing strong links with all local agencies in line with the social prescribing implementation plan to encourage referrals recognising what they need to be confident in the service to make appropriate referrals.

5.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.

6.To ensure ongoing engagement with the PCN to ensure a minimum number of social prescribing attachments occur a year in line with PCN requirements / contractual requirements.

7.Provide referral agencies with regular updates about social prescribing, including training for their staff and how to access information to encourage appropriate referrals.

8.Seek regular feedback about the quality of the service and impact of social prescribing on referral agencies.

9.Work closely with PCN and MDT to ensure that the social prescribing referral codes are inputted into clinical systems in line with PCN contract.

10.To ensure data sharing agreements are in place and adhered to.

11.Be proactive in undertaking community development to encourage self-referrals and connecting with all local communities, particularly those communities that statutory agencies may find hard to reach.

12.Forge strong links 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.

13.Work collectively with all local partners to ensure community groups are strong and sustainable.

14.Meet people on a one to one basis, making home visits where appropriate.

15.To effectively time manage a caseload of clients, and be able to effectively prioritise workload in accordance with needs, priorities and any urgent support required by clients on the caseload and to meet scheduling requirements.

16.Provide 1:1 support to assess patients current assets/needs using the agreed evidence based assessment tools including Patient Activation Measure, ONS to holistically identify how a patients health and wellbeing needs can be met by services and other opportunities available in the community. Giving people time to tell their stories and focus on what matters to them.

17.Using person centred strengths based approach, co-produce with the patient their personalised care and support plan to address the patients health and wellbeing needs by introducing or reconnecting people to community groups and statutory services both over the telephone and by accompanying the person.

18.Facilitate and coordinate activities to support behaviour change and maintenance through building motivation, confidence for change and through setting and supporting the clients to achieve goals.

19.Be a friendly, trusted source of information about health, wellbeing and prevention approaches, enabling the patient to focus on what matters to them.

20.Work with the person, their families and carers and consider how they can all be supported through social prescribing, using local agencies to maximise the package of support.

General Work Related Expectations

1. To work within CHAWs Values, Ethos and Vision.

2. To work in accordance with all Practices Policies and Procedures

3. To identify and attend training as required

4. To work in accordance with all relevant legislation

5. To undergo regular supervision and an annual appraisal and 360 feedback

6. To undertake any other duties as required, appropriate to the post

7. To work as part of the healthcare team to seek feedback, continually improving the service and contributing to business planning

* This Job Description does not provide an exhaustive list of duties and may be reviewed in conjunction with the post holder in light of service development.

Person Specification

Skills and Knowledge

Essential

  • Understanding of the wider determinants of health, including social, economic and environmental factors and their impact.
  • 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.

Desirable

  • Knowledge of the personalised care approach.

Qualifications

Essential

  • Demonstrable commitment to professional and personal development.

Desirable

  • Training in motivational coaching and interviewing or equivalent experience.

Other

Essential

  • Meets DBS reference standards.

Experience

Essential

  • Experience of supporting people, their families and carers in a related role (including unpaid work).
  • Experience of partnership/collaborative working and of building relationships across a variety of organisations.

Desirable

  • Experience of supporting people with their mental health, either in a paid, unpaid or informal capacity.

Personal Attributes and 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.
  • 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 maintain effective working relationships and to promote collaborative practice with all colleagues.
  • Ability to work flexibly and enthusiastically within a team or on own initiative.
Person Specification

Skills and Knowledge

Essential

  • Understanding of the wider determinants of health, including social, economic and environmental factors and their impact.
  • 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.

Desirable

  • Knowledge of the personalised care approach.

Qualifications

Essential

  • Demonstrable commitment to professional and personal development.

Desirable

  • Training in motivational coaching and interviewing or equivalent experience.

Other

Essential

  • Meets DBS reference standards.

Experience

Essential

  • Experience of supporting people, their families and carers in a related role (including unpaid work).
  • Experience of partnership/collaborative working and of building relationships across a variety of organisations.

Desirable

  • Experience of supporting people with their mental health, either in a paid, unpaid or informal capacity.

Personal Attributes and 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.
  • 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 maintain effective working relationships and to promote collaborative practice with all colleagues.
  • Ability to work flexibly and enthusiastically within a team or on own initiative.

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

MIAA Solutions

Address

Wilmslow Health Centre

Chapel Lane

Wilmslow

Cheshire

SK9 5HX


Employer's website

https://cmgeneralpracticejobs.nhs.uk/ (Opens in a new tab)

Employer details

Employer name

MIAA Solutions

Address

Wilmslow Health Centre

Chapel Lane

Wilmslow

Cheshire

SK9 5HX


Employer's website

https://cmgeneralpracticejobs.nhs.uk/ (Opens in a new tab)

Employer contact details

For questions about the job, contact:

Associate Specialist

Anita Denton

anita.denton@miaa.nhs.uk

Details

Date posted

25 July 2023

Pay scheme

Other

Salary

Depending on experience Band 5 depending on experience

Contract

Permanent

Working pattern

Full-time, Flexible working

Reference number

M0026-23-0056

Job locations

Wilmslow Health Centre

Chapel Lane

Wilmslow

Cheshire

SK9 5HX


Handforth Health Centre

Wilmslow Road

Handforth

Wilmslow

Cheshire

SK9 3HL


Kenmore Medical Centre

Alderley Road

Wilmslow

Cheshire

SK9 1PA


Chelford Surgery

Elmstead Road

Chelford

Macclesfield

Cheshire

SK11 9BS


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