Social Prescribing Link Worker

7 months ago

Sunderland, United Kingdom Sunderland GP Alliance Full time

MAIN DUTIES AND RESPONSIBILITIES Working under the guidance of the referring GP, take referrals from a wide range of agencies, including PCNs, GP practices and multi-disciplinary teams as well as the wider system and occasionally via self-referral. Provide personalised support to individuals, their families and carers to empower people to take control of their lives, support low level mental health and promote self-care. Encourage people to live independently and improve their health access and outcomes, as a key member of the PCN multi-disciplinary team. Engage and develop trusting relationships by giving people time and focus on what matters to me and taking a holistic approach, based on the persons priorities and the wider determinants of health.

Co-produce a simple personalised care and support plan to improve health and wellbeing, including introducing or reconnecting people to appropriate community groups and statutory services. Manage and prioritise own caseload in accordance with the needs and priorities of individuals on the caseload. Maintain a strong awareness and understanding of when it is appropriate or necessary to refer people back to other health professionals/agencies. Work with a diverse range of people and their communities, to draw on and increase the strengths and capacity of local community groups, enabling local VCSE organisations to receive social prescribing referrals.

Work collaboratively with all local partners to contribute towards supporting the local VCSE organisations and community groups to become sustainable. Ensure that community assets are nurtured, through sharing intelligence regarding any gaps or problems identified in local provision with commissioners and local authorities. Educate non-clinical and clinical staff within their PCN multi-disciplinary teams on what services are available within the community and how to access them. Role Specific Key Tasks Education Promote all aspects of social prescribing across the PCN, Health & Social Care professionals and the wider system, including its role in self-management, addressing health inequalities and the wider determinants of health.

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 access and outcomes and enable a holistic approach to care. Provide referral agencies with regular updates about social prescribing, including training for their staff and how to access information to encourage appropriate referrals. Promote low level mental health guidance, signpost to self-help and the most appropriate service. Referrals Receive and action referrals for social prescriptions via agreed systems.

Manage and prioritise referrals appropriately. Redirect referrals, using the agreed protocols, to more appropriate Social Prescribing Link Workers or agencies. Be proactive in developing strong links with all local agencies to encourage referrals. Support referral agencies to provide appropriate information about the person they are referring.

Provide appropriate feedback to referral agencies about the people they referred. Personalised Support Listen to and talk with people and their families about what matters to me by giving people time to tell their stories. Be proactive in encouraging equality and inclusion, through connecting with diverse local communities, particularly those communities that statutory agencies may find hard to reach. Meet people on a one-to-one basis, making home visits where appropriate within SGPA policies and procedures.

Build trust and respect with the person, providing non-judgemental and non-discriminatory support, respecting diversity and lifestyle choices. Work from a strength-based approach focusing on a persons assets. Be a friendly and engaging source of information about health, wellbeing and prevention approaches. Help people identify the wider issues that impact on their health and wellbeing, such as debt, poor housing, being unemployed, loneliness and caring responsibilities.

Help people maintain or regain independence through living skills, adaptations, enablement approaches and simple safeguards. 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, cultural and religious/faith needs and motivations. Identify what individuals 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. Where appropriate, physically introduce people to culturally appropriate community groups, activities and statutory services, ensuring they are comfortable, feel valued and respected.

Follow up to ensure they are happy, able to engage, included and receiving good support. Where people may be eligible for a personal health budget, help them to explore this option as a way of

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