Social Prescriber

4 weeks ago

South Cave, United Kingdom Yorkshire Health Partners Ltd Full time

Job summary

Social prescribing empowers people to take control of their health andwellbeing through referral to non-medical social prescribers who give time tofocus on what matters to me. This role specifically works with individualswith chronic lung conditions such as COPD and Asthma, by taking a holisticapproach to their health and wellbeing, by creating personalised care andsupport plans and coordinating appropriate support and interventions.

Main duties of the job

The successfulcandidate will play a key role in proactively identifying and working withpeople, including the frail/elderly and those with long-term conditions, toprovide coordination and navigation of care and support across health and careservices.

They will workclosely with GPs and multidisciplinary teams, making sure that appropriatesupport is made available to people; supporting them to understand and managetheir condition and ensuring their changing needs are addressed. They willenable people to access the services and support they require to meet theirhealth and wellbeing needs, helping to improve peoples quality of life andlive independently.

They will workalongside a multidisciplinary team to provide an all-encompassing approach topersonalised care and enable people to navigate through the health and caresystem. The work will be led by the wants and needs of the individualsthemselves and may need some flexibility in working hours to fit availabilityof these people.

The post holderwill work with a diverse range of people from different cultural and socialbackgrounds. The ability to work confidently and effectively in a varied, andsometimes challenging environment is essential.

The successfulcandidate will have excellent interpersonal and communication skills, and beorganised, patient and empathetic. They will have experience of working inhealth, social care or other support roles including direct contact withpeople, families, or carers.

About us

Yorkshire Health Partners LTD (YHP) is an at scale providerand GP federation, collaborating with 23 GP practices spanning eight PrimaryCare Networks in the East Riding and Hull Place to support primary care acrossthe Humber and North Yorkshire Integrated Care System.

Our vision is to remain a primary care centred organisationthat works collaboratively with our partners across all sectors to ensure thedelivery of high quality, innovative and responsive services for ourpopulation. We will achieve this by working together to harness the collectivevoice of primary care to lead innovation, quality improvement and integrationby supporting a population health approach through People, Patients andPartners.

If you want to work for an organisation that brings creativeand compassionate thinking delivering agile solutions to improve peoples lives,then YHP is the place for you.

Job description

Job responsibilities

Toact as a main point of contact for individuals accessing the service.

Accept referrals and assess how far a patientshealth and wellbeing needs can be met by services and other opportunities inthe community.

Manage and prioritise your caseload reflecting yourpatients needs.

Together produce a simple personalised care andsupport plan to address their health and wellbeing needs.

Develop trusting relationships by giving people timeand focus on what matters to them.

Following a patients journey, evaluate how far theactions in the care and support plan are meeting their health and wellbeingneeds.

Proactivelyidentify and work with people, including the frail/elderly and those withlong-term conditions, to provide coordination and navigation of care andsupport across health and care services.

Where required refer patients back to other healthprofessionals within the team.

Liaisewith appropriate statutory and voluntary sector agencies working in Public& Mental Health, Primary and Secondary Care, Social Care and build upappropriate networks that promote timely access to support individuals.

Towork systemically, liaise with and include families/carers, healthprofessionals etc. when appropriate and as agreed by the service users.

Tobuild strong working relationships with internal and external services and topromote the link worker/social prescribing model.

Work collaboratively with local Voluntary, Communityand Social Enterprise (VCSE) organisations and community groups.

Ensure data is captured in the clinical systems andSNOMED codes are utilised.

Discuss concerns with a relevant GP to ensuresafeguarding procedures are followed appropriately.

Toattend multi-disciplinary team meetings (MDTs) as required.

Toensure individuals are made aware of key processes complaints, informationsharing, getting involved, and to make sure that they are asked about how theywould prefer information.

For your own personal and professional development,you will be expected to participate in monthly supervision with a healthprofessional.

Toattend mandatory training and abide by policies and procedures on safeguarding,health and safety and equality and diversity.

Toattend appropriate continuing professional development and training events,team meeting and supervision sessions.

Tocarry out, from time to time, any other appropriate duties in line withcapabilities as directed by the line manager.

Managementof workload and personal development

Act on own initiative in prioritising and managingworkload, in respect of clinical, managerial, and administrative areas, asnecessary.

Maintain own personal and professional development asagreed at your annual review.

Person Specification

Other

Essential

Drive and have access to transport to attend visits or sites across the Driffield area. Immunisation status for Covid -19 (unless exempt in accordance with regulations)

Qualities

Essential

Communicates with colleagues well to ensure the smooth delivery of services Proactively supports others to deliver team objectives Takes responsibility for actions and looks to enhance the service and its reputation in all activities undertaken Actively engages with building personal capacity and resilience Being motivated to deliver excellent services to support the ARI Hub and Primary Care in the Driffield area

Qualifications

Essential

Good standard of secondary education including Maths and English Has undertaken the NHS England and NHS Improvement online learning programme Enrolled/in progress/qualified from appropriate training as set out by the Personalised Care Institute

Desirable

Has safeguarding knowledge either level 2 or the equivalent experience Training in motivational coaching and interviewing or equivalent experience

Values

Essential

Working Together Improvement and Development Respect and Compassion Engagement and Involvement

Experience

Essential

To understand and in practice apply Caldicott Principles, Data Protection Act 2018 and appropriately protect and individuals personal data, disclosing where appropriate only Demonstrable commitment to CPD Understands person-centred approaches To deliver outcomes based on set targets Liaise with other colleagues to promote the success of the PCN and its Partner organisations in primary care Work to perpetuate a culture that is transparent and open A good listener who demonstrates empathy Has the skills to assess risk and identify ways to mitigate these Awareness of and has well-developed IT skills to facilitate quick and confident learning of new systems to support the management of patients in a primary care setting (including Microsoft packages) Working well with others to deliver goals Experience of working within a community, social care, or voluntary sector Has experience of supporting people in a paid or unpaid capacity

Desirable

Aware of voluntary sector, community groups and statutory services locally Experience of working with people with Long Term Conditions Has previously worked in a Primary Care setting Has managed a patient/client case load Has produced care plans for individuals

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