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Social Prescriber
3 months ago
Job summary
The role involves working veryclosely with the practices and the multidisciplinary team (MDT) within the PCN.The role is pivotal in ensuring all patients receive the best possible care andservice. The link worker will be first point of contact on Social Prescribingmatters across network.
Main duties of the job
As members of the PCNs team ofhealth professionals, take referrals from the PCNs Core Network Practices andfrom a wide range of agencies to support the health and wellbeing of patients.
Assess how far a patientshealth and wellbeing needs can be met by services and other opportunitiesavailable in the community.
Co-produce a simplepersonalised care and support plan to address the patients health andwellbeing needs by introducing or reconnecting people to community groups andstatutory services, including weight management support and signposting whereappropriate and it matters to the person.
Evaluate how far the actions inthe care and support plan are meeting the patients health and wellbeing needs.
Provide personalised support topatients, their families and carers to take control of their health and wellbeing,live independently, improve their health outcomes and maintain a healthy lifestyle.
Develop trusting relationshipsby giving people time and focus on what matters to them.
Take a holistic approach, basedon the patients priorities and the wider determinants of health, includingsupporting people to take up employment, training and welfare support.
Explore and support access to apersonal health budget where appropriate.
Manage and priorities their owncaseload, in accordance with the health and wellbeing needs of their population.
Where required and asappropriate, refer patients back to other health professionals within the PCN.
About us
Havering Health is a Federation of 41 Practices that provide care for over 234,000 people. As one of Londons safest and greenest boroughs, Havering is ambitious to continually improve the quality of care and life for its patients and residents
As an emerging Federation we already provide a range of community and primary care services to our residents, as well as several support services including professional staff training across the practices.
We are a core partner in Havering our local Integrated Care Partnership that coordinates health and social care provision in the Borough to improve wellbeing through the delivery of person-centred care and self-help services across our community.
Havering is a great place to live and work, within easy travelling distance to the centre of London. We have retail parks, leisure facilities, country parks plus the historic Romford market on our doorstep and the Olympic park, a short 15-minute train journey away.
Job description
Job responsibilities
Key Role
As members of the PCNs team ofhealth professionals, take referrals from the PCNs Core Network Practices andfrom a wide range of agencies to support the health and wellbeing of patients.
Assess how far a patientshealth and wellbeing needs can be met by services and other opportunitiesavailable in the community.
Co-produce a simplepersonalised care and support plan to address the patients health andwellbeing needs by introducing or reconnecting people to community groups andstatutory services, including weight management support and signposting whereappropriate and it matters to the person.
Evaluate how far the actions inthe care and support plan are meeting the patients health and wellbeing needs.
Provide personalised support topatients, their families and carers to take control of their health and wellbeing,live independently, improve their health outcomes and maintain a healthy lifestyle.
Develop trusting relationshipsby giving people time and focus on what matters to them.
Take a holistic approach, basedon the patients priorities and the wider determinants of health, includingsupporting people to take up employment, training and welfare support.
Explore and support access to apersonal health budget where appropriate.
Manage and priorities their owncaseload, in accordance with the health and wellbeing needs of their population.
Where required and asappropriate, refer patients back to other health professionals within the PCN.
COLLABORATIVE WORKING RELATIONSHIPS:
1.Works within the primary careteam, contributing to leadership of service evaluation and research to promotequality improvement activity.
2.Collaborates with mutlidisciplinary PCN team
3.Uses healthcare technologies tooptimise service delivery, patients access, and continuity of care
MANAGEMENT:
1.Demonstrates understanding ofthe implications of national priorities for the team and/or service.
2.Uses resources effectively tomanage patient treatment in line with local guidance and makes recommendationsfor change where improvements can be made.
3.Follows professional andorganisational policies
EDUCATION, LEARNING AND DEVELOPMENT:
It is the responsibility of the employee tocomply with all organisational and statutory requirements ( health andsafety, infection control, equality and diversity, confidentiality, safeguardingadults and children, information governance).
1.Engages in annual appraisal,developing objectives to inform a Personal Development Plan, which may include360-degree appraisal and use of patient feedback.
2.Participate in teaching andtraining of medical, nursing, and all other practice staff.
3.Supports the practice staff andresponds to requests for advice and assistance.
4.Complete all mandatory andstatutory training required by the role.
5.Takes responsibility forpersonal development, learning and performance and maintain education throughattendance on any courses and/or study days necessary to ensure thatprofessional development requirements are met.
6.Undertakes additional trainingwhere necessary to provide enhanced services and participate in trainingprogrammes implemented by the PCN/practices as part of this employment.
7.Understands and demonstratesthe characteristics of a role model to members in the team and/or service.
8.Demonstrates an understandingof current educational policies relevant to working areas of practice and keepsup to date with relevant clinical practice.
QUALITY
Under supervision and support of GPs in thepractice, the post-holder will strive to maintain quality within the practices,and will:
1.Participate in clinicalgovernance activity and contribute to the improvement in quality of healthoutcomes through audit, risk management and Quality Improvement
2.Alerts other team members toconcerns about risk, quality, and safety
3.Participates in investigationof incidents and events as required
4.Identifies, applies, anddisseminates research findings relating to own practice
5.Collects data for auditpurposes and uses clinical audit to monitor quality in the service
6.Contributes to theeffectiveness of the team by reflecting on own and team activities and makingsuggestions on ways to improve and enhance the teams performance
7.Works effectively withindividuals in other agencies to meet patients needs
8.Effectively manages own time,workload, and resources
9. Meets timescales/deadlinesfor audits and written returns to ensure that the Practice meets qualitystandards and receives the designated funding.
Person Specification
Qualifications
Essential
GCSE grades A to C in English and Maths
Desirable
Has enrolled in, undertaking or qualified from appropriate training as set out by the Personalised Care Institute
Experience
Essential
At least 2 years' experience of working in health, social care or other support roles in direct contact with people, families or carers (in a paid or voluntary capacity) Experience of working within multi- professional team environments Experience of working with elderly or vulnerable people, complying with best practice and relevant legislation Ability to collect and record information and data, for record- keeping, monitoring and evaluation
Desirable
Experience or training in person-centred care planning
Special Skills/Aptitudes
Essential
Strong organisational skills including planning, prioritising, time management, report writing and record keeping Ability to recognise gaps in services and to identify and act on safety concerns Ability to recognise and work within limits of competence and seek advice when needed Evidence of good verbal and written communication skills Ability to build and maintain long- term-working relationships with colleagues A professional and compassionate attitude to patient care, providing support while maintaining professional boundaries Ability to work effectively under pressure, delivering against agreed objectives Ability to remain diplomatic when dealing with sensitive matters or having challenging discussions with patients or carers Ability to work safely unaided in home settings Willingness to take a pro-active and flexible approach to the role as it develops over time
Desirable
Experience of using the EMIS computer system Up-to-date knowledge of the services and organisations available to support patients and carers