Community Health and Well-being Worker
5 months ago
**Key Duties & Responsibilities**: Monthly household visits (or more frequent if the household need requires it) within a defined geographical area (up to a maximum of 120 households) to assess the health and social needs of everyone within a household, adopting a proactive and holistic approach when supporting the local community. Community Health Workers will: Make contact with each household in a defined area on a regular basis, face to face or virtually as appropriate, listening and discussing health needs on each visit. Identify vulnerable households or individuals in conjunction with health care teams. Identify health and/or social care needs in conjunction with health care teams.
Act as an advocate to help households navigate the health and social care systems, access appropriate services and remove barriers to accessing services and resources. Manage their time to ensure that visits are completed. Adhere to the Lone Worker Policy when carrying out visits to households. To work collaboratively with colleagues across health, social care and the third sector to provide patient-centred, integrated care.
Develop supportive relationships with local VCSE organisations, community groups and statutory services, to make timely, appropriate, and supported referrals for the person being introduced. To liaise with the two practices (Hedena Health & Manor Surgery) and, where practicable, to standardise processes across the PCN. To promote health coaching and social prescribing amongst the PCN and networked practices. Educational To provide personalised support to individuals, their families, and carers to ensure that they are active participants in their own healthcare and to empower them to take more control in manging their own health and well-being, to live independently and to improve their health outcomes through the following: Providing interventions such as self-management, education, and peer support To signpost household members to the correct healthcare professional/service.
Supporting people to establish and attain goals set by the person based on what is important to them, building on goals that are important to the individual. Working with the social prescribing service to connect them to community-based activities which support their health and well-being. To refer household members who require the intervention of other healthcare professionals. Provide lifestyle advice such as smoking cessation, alcohol consumption, healthy diet, and physical exercise.
Provide up to date messaging, basic health education and give healthy lifestyle advice around breastfeeding, immunisation and screening following appropriate training. Delivering health information using culturally appropriate terms and concepts Deliver key messages on public health following appropriate training. Understand issues and health inequalities that impact the local area. To coach and motivate household members to identify their needs set goals and support them to implement their personalised health and care plan.
Clinical To identify those eligible for childhood immunisations and adult health and cancer screening appointments and encourage the uptake of missed appointments. Support chronic disease diagnosis & management through improved adherence to medication & early identification of signs & symptoms of chronic disease & its complications To identify household determinants of ill health and health seeking behaviour and play an active role in resolving these through linkage into the health and social care system. Navigational Signpost to appropriate local services and resources Support households to navigate the health and social care system and access the appropriate services for their needs. Signpost and refer into to other existing community services.
Work closely with volunteers who will support the Community Health Worker role once fully identified. Support Develop meaningful relationships with the local community. Offer informal counselling & empathetic listening and follow-up as needed with household members. Adopt health coaching & motivational approaches including, problem solving & goal setting.
Helping people understand their health condition(s) and develop strategies to improve their health and wellbeing. Record Keeping Keep digital records that reflect household and community need and progress via secure tablet that will be linked to the clinical system used by the Practices. Compliment GP records with the collected community outreach data Contribute your work and findings to the local GP and multidisciplinary Community team. Collect, collate, and share information about each visit with relevant partners in compliance with legislation.
To identify risk factors and categorise household members into appropriate risk banding. Engagement Engage with the community to ensure health services are satisfactory and appropriate in their design and delivery. Facilitate networks within communities to strengthen sources of informa
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