So: Linked Hospital Community Navigator

2 weeks ago

Southampton, Southampton, United Kingdom SPECTRUM Centre For Independent Living Full time

Key Job Objectives
To support individuals to

  • Identify, local, low/no cost solutions to address their needs/aspirations via community resources
  • Connect to local community and voluntary groups offering a range of activities and services.
  • Develop behaviors to help improve health and well being;
  • Identify strengths/capacities of individuals to solve their own problems
  • Build valued, supportive relationships and identify opportunities to contribute to their communities
  • Improve their general welfare, with a specific focus on reducing loneliness and improving community connectedness

Areas of Specific Responsibility
a) working alongside Southampton General Hospital's Discharge team to support those being discharged from hospital to develop pathways and navigate their transition of care, as part of the in-reach hospital discharge navigation service. This will include utilising community resources to assist with the discharge process and to reduce demand on commissioned services.

b) linking individuals to community support services, groups and activities in the Southampton area.

This includes access to social activities, befriending services, housing support, finance and debt support services, food provisions and various other community services that meet individual social needs.

This is achieved via information sharing, direct referrals and telephone support.

c) complete holistic assessments with service users, both in person and over the phone, to identity key support needs, goals and aspirations, and develop a person-centred support plan.

e) to maintain thorough records of your interventions in line with GDPR principles.

f) work with Integrated Teams and local health services to support their work within the target groups.

Focus on supporting community-based practice, early intervention, and helping to develop strength and asset based, rather than deficit based service models.

g)

  • Level
  • Contact with service users who are able to plan their needs but need some additional assistance. To provide information and advice and/or limited support. (people can reconnect at later date if needed).

Advice to include:

accessing information, services or other community resources, including information made available on our website SOLID, SID and other community resources.


  • Level
  • Intermediary level support. A number of appointments are arranged and a plan produced to address service user needs. Achieved through holistic person centred needs assessment and support planning.


 Level3
  • Advanced level support: direct support and guidance over an extended period. Oneone support for people wanting to build relationships; achieve selfsufficiency or find practical solutions to problems. Achieved thorough holistic person centred needs assessment and support planning, identifying appropriate support and understand their goals and what assets, skills, knowledge and resources are available.

NB:

Target Groups are defined as:

  • People who are frequent attenders to primary care and or urgent care services
  • People, who are not receiving intensive case management from a health or social care professional, but have an identified significant underlying unmet need
  • Risk stratified patients by the Multi-Disciplinary Team (involving primary care, community health services, social care, housing, voluntary sector).

NB:
Expected outcomes for the project are identified as:

  • To empower people to take control/action of their health and wellbeing
  • To build and maximise community opportunities
  • To reduce pressure on health and social care services
  • To challenge services to become person centred
  • To help people who can't help themselves
  • Partnership approach - making a difference
  • Identifying gaps and building on what we already have
  • Investment of the future not short term benefits

PERSON SPECIFICATION

Knowledge / awareness of:

Essential

  • Community groups, facilities and local services within Southampton
  • Equal Opportunities issues
  • Personalisation and public health agendas, including a holistic view of health and social care service provision
  • Knowledge of SPECTRUM's Community Navigator project and expected outcomes: maintain an understanding of the project plan to prioritise your work in areas that contributes to the plan and outcomes being met
  • Knowledge of SPECTRUM's Business Plan and activities: Ensure your role coordinates and communicates efficiently and adds value to the work of colleagues
Desirable

  • Equality & Rights issues
  • Independent Living / promoting individual choice and control

Skills in:

Essential

  • IT Skills: word processing, spreadsheets, Internet, web based searches, social media and databases
  • Excellent communication skills (both verbal and written), able to build professional relationships with people from wide range of backgrounds
  • Competent with words and numbers, able to write reports
  • Time Management: Prioritise your work

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