Inclusion Health Support Worker

5 months ago


Plymouth, United Kingdom Livewell Southwest Full time

Bring knowledge of the relevant homelessness legislation, local services and welfare entitlements to the team. Conduct detailed individualised assessments of housing and support needs to patients. Escort patients to appointments. Facilitate reconnection of patients to areas of local connection as appropriate.

Advocate and resolve disputes with local authorities and providers of other services. Be familiar with the principles of safeguarding of vulnerable adults. Be committed to involving patients as fully as possible in the process of planning for their care and discharge from hospital. All team members are expected to work collaboratively and supportively with each other across Primary, Secondary Care and Community care boundaries to improve outcomes for people who are homeless.

They should also work to the Pathway model (with flexibility as required), to attend team handover and MDT meetings, and to be present to take referrals, and undertake assessments and ward rounds where needed Carry out rapid, detailed assessments of new homeless patients referred to the team, identifying support needs, risks, and any possible rapid routes into housing for the most vulnerable homeless patients. Produce individualised, clear and patient led care plans around any issues affecting the homeless patients health and housing circumstances, including identifying and addressing risks to the patient, staff, and other patients. Provide direct assistance with housing, financial and wellbeing needs including access to primary and specialist health services on discharge. Coordinate and support reconnection of patients to housing and other services in areas of local connection as appropriate.

Advise, signpost and refer patients to a range of external services relevant to homeless and multiply excluded patients in their local area. Proactively identify and act on safeguarding issues, ensuring Safeguarding of Vulnerable Adults and Children legislation and relevant service protocols are adhered to. Maintain regular contact with and support a caseload of patients. Accompany patients to housing offices to provide face to face advocacy and support when needed.

All team members are expected to work collaboratively and supportively with each other across Primary, Secondary Care and Community care boundaries to improve outcomes for people who are homeless. Positive, pro-active partnership, utilising the expertise of Pathway team colleagues as well as other staff to ensure care plans are holistic and facilitate safe and timely discharges of homeless hospital patients. Involve patients in developing their care plan, working transparently by managing expectations, explaining potential options in a way that patients can understand. Assist patients to understand and obtain their welfare, housing and related rights, addressing any barriers to understanding and involvement such as language, culture, mental or physical health.

Advocate on behalf of individual patients effectively, clearly communicating the relevant circumstances of patients lives to hospital staff multi-disciplinary teams. Advocate assertively on behalf of individual patients to external agencies to ensure health, care, support and housing needs are met on discharge. As the housing advisor for the team, advise and support Pathway team colleagues around knowledge of housing options and housing services. To suggest and critically explore new concepts without prejudice or assumption.



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