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Social Prescribing Link Worker

2 months ago


Andover, Hampshire, United Kingdom Andover Health Centre Medical Practice Full time
About the Role

We are seeking a highly skilled and motivated Social Prescribing Link Worker to join our team at Andover Health Centre Medical Practice. As a key member of our Primary Care Network, you will play a vital role in supporting patients with complex social needs and promoting health and wellbeing in our local community.

Key Responsibilities
  • Promote social prescribing and its role in self-management and the wider determinants of health
  • Build relationships with key staff in GP practices within the local Primary Care Network (PCN), attending relevant meetings and becoming part of the wider network team
  • Be proactive in developing strong links with all local agencies to encourage referrals and recognising what they need to be confident in the service to make appropriate referrals
  • Provide an advice and signposting service for service users, carers, and professionals
  • 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
  • Be an active part of the town-wide network focusing on people's mental health
  • Provide referral agencies with regular updates about social prescribing, including training for their staff and how to access information to encourage appropriate referrals
  • Seek regular feedback about the quality of service and impact of social prescribing on referral agencies
  • Be proactive in encouraging self-referrals and connecting with all local communities, particularly those communities that statutory agencies may find hard to reach
  • Regular participation in MDT discussions to benefit patient outcomes and follow appropriate safeguarding procedures
  • Proactively plan new projects and identify how best to evaluate outcomes
  • Growing and establishing the service
  • Flexibility to work in new ways
Personalised Support
  • Meet people on a one-to-one basis, making home visits where appropriate within organisations' policies and procedures. Give people time to tell their stories and focus on what matters to me. Build trust with the person, providing non-judgemental support, respecting diversity and lifestyle choices. Work from a strength-based approach focusing on a person's assets
  • Be a friendly source of information about 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
  • Work with the person, their families, and carers and consider how they can all be supported through social prescribing
  • 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 based on the person's priorities, interests, values, and motivations, including what they can 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
  • Work with people with a range of needs, dealing with issues ranging from social isolation and keeping people engaged in their community to prevent unnecessary admission to hospital or care homes
  • Where appropriate, physically introduce people to community groups, activities, and statutory services, ensuring they are comfortable. 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 providing funded, personalised support to be independent, including helping people to gain skills for meaningful employment, where appropriate
  • Assist people to access an assessment for Adult Social Care where appropriate, and to provide information in connection with personal budgets
  • Make follow-up visits to patients and their carers to support them, facilitate the implementation of holistic care action plans, and the coordination with other services
  • Ensure referrals are recorded within GP clinical systems using the new national SNOMED codes
Support Community Groups and VCSE Organisations to Receive Referrals
  • Forge strong links with local VCSE organisations, community, and neighbourhood-level groups, utilising their networks and building on what's already available to create a map or menu of community groups and assets. Use these opportunities to promote micro-commissioning or small grants if available
  • Develop supportive relationships with local VCSE organisations, community groups, and statutory services, to make timely, appropriate, and supported referrals for the person being introduced
  • Ensure that local community groups and VCSE organisations being referred to have basic procedures in place for ensuring that vulnerable individuals are safe, and where there are safeguarding concerns, work with all partners to deal appropriately with issues. Where such policies and procedures are not in place, support groups to work towards this standard before referrals are made to them
  • Check that community groups and VCSE organisations meet in insured premises and that health and safety requirements are in place. Where such policies and procedures are not in place, support groups to work towards this standard before referrals are made to them
  • Support local groups to act in accordance with information governance policies and procedures, ensuring compliance with the Data Protection Act
Work Collectively with All Local Partners to Ensure Community Groups Are Strong and Sustainable
  • Work with commissioners and local partners to identify unmet needs within the community and gaps in community provision
  • Support local partners and commissioners to develop new groups and services where needed, through small grants for community groups, micro-commissioning, and development support
  • Encourage people who have been connected to community support through social prescribing to volunteer and give their time freely to others, in order to build their skills and confidence, and strengthen community resilience
  • Develop a team of volunteers within your service to provide buddying support for people, starting new groups, and finding creative community solutions to local issues
  • Encourage people, their families, and carers to provide peer support and to do things together, such as setting up new community groups or volunteering
  • Provide a regular confidence survey to community groups receiving referrals, to ensure that they are strong, sustained, and have the support they need to be part of social prescribing
Data Capture
  • Work sensitively with people, their families, and carers to capture key information, enabling tracking of the impact of social prescribing on their health and wellbeing
  • Encourage people, their families, and carers to provide feedback and to share their stories about the impact of social prescribing on their lives
  • Support referral agencies to provide appropriate information about the person they are referring. Use the case management system to track the person's progress. Provide appropriate feedback to referral agencies about the people they referred
  • Work closely with GP practices within the PCN to ensure that social prescribing referral codes are inputted to EMIS and that the person's use of the NHS can be tracked, adhering to data protection legislation and data sharing agreements with the clinical commissioning group (CCG)
Education and Training
  • To undertake training for Social Prescribing Link Workers as set out by the Personalised Care Institute
  • To maintain your own continuing professional development, keeping up to date with developments around Mental Health and Wellbeing
  • To work to attain whatever quality assurance standards are required within both the employing organisation and within the Primary Care Mental Health Service
Information Management
  • To maintain appropriate confidentiality of information relating to the organisation and its staff and maintain compliance with the Data Protection Act
  • To be responsible for maintaining the confidentiality of all patient and staff records
  • Support good integrated governance and information governance practice within the practice
  • Report any concerns or incidents as per policy