Holderness Health

Social Prescribing Link Worker

The closing date is 26 September 2025

Job summary

We are looking for a confident, caring and compassionate individual to join our Social Prescribing Team, within our Proactive Care Department. In this role you will actively support patients to take control of their own health and well-being.

If you are passionate about making a positive impact on Patients Health & Wellbeing, we would love to hear from you!

For an informal chat about the role, please contact Tim Monaghan at tim.monaghan@nhs.net.

Closing Date - 26th September 2025.

Interview Date - 9th & 10th October 2025.

Main duties of the job

In this role you will support the Proactive Care Team and Practice in delivering excellent care by actively supporting patients to take control of their own health and well-being.

You will take referrals from within the practice and the wider PCN partners for individuals who would benefit from social prescribing support. By providing personalised support to individuals, their families and carers, you will assist people to take control of their health and wellbeing, live independently and improve their health access and outcomes. A key part of the role will be to co-produce Personalised Care and Support Plans to improve health and wellbeing, introducing or reconnecting people to appropriate community groups and statutory services.

About us

We are a large rural practice with over 35,000 patients. As a single-practice Primary Care Network, we have a wonderful opportunity to transform care for our patients. We operate from 7 locations across Holderness and you must also be willing to travel between sites as necessary. Our hard-working and dedicated team includes 23 GPs, an extensive multi-disciplinary team of healthcare professionals and a great patient services team.

We offer a welcoming practice environment, 25 days annual leave plus bank holidays, access to the NHS pension scheme and the chance to shape this brand new role which we see as central to the future of care for our most complex and vulnerable patients.

Details

Date posted

01 September 2025

Pay scheme

Other

Salary

£13.53 to £14.46 an hour In line with Holderness Health Pay Policy

Contract

Permanent

Working pattern

Full-time

Reference number

A1637-25-0109

Job locations

Church View Surgery

5 Market Hill House

Hedon

HU12 8JE


Hedon Group Practice

4 Market Hill

Hedon

Hull

HU12 8JD


Holderness Health

1501 Hedon Road

Hull

HU9 5NX


St. Nicholas Surgery

Queen Street

Withernsea

HU19 2PZ


Hodgson Lane Surgery

Hodgson Lane

Roos

Hull

HU12 0LF


Hedon Group Practice

Chapel Lane

Keyingham

Hull

HU12 9RA


St Patrick's Surgery

St Patrick's Green

Patrington

Hull

HU12 0PF


Job description

Job responsibilities

Role Purpose:

To support the practice in delivering excellent care by actively supporting patients to take control of their own health and well-being.

Provide personalised support

Take referrals from within the practice and the wider PCN partners for individuals who would benefit from social prescribing support

Provide personalised support to individuals, their families and carers to take control of their health and wellbeing, live independently and improve their health access and outcomes

Co-produce Personalised Care and Support Plans to improve health and wellbeing, introducing or reconnecting people to appropriate community groups and statutory services.

Help people identify the wider issues that impact on their health and wellbeing, such as debt, poor housing, being unemployed, loneliness and caring responsibilities, those who need support with low level mental health needs and long term health conditions

Help people maintain or regain independence through living skills, adaptations, enablement approaches and simple safeguards

Where appropriate, physically introduce people to culturally appropriate community groups, activities and statutory services, ensuring they are comfortable, feel valued and respected

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

Work closely with the practice Care Coordinators, Health & Wellbeing Coaches, GPs and wider clinical team to provide holistic, joined up support for patients

Seek advice and support from your GP supervisor and/or identified individual(s) to discuss patient-related concerns (e.g. abuse, domestic violence and support with mental health), referring the patient back to the GP or other suitable health professional if required

Development Activity

Promote social prescribing and the practices wider proactive care services both internally and externally

Develop strong links with local health agencies and the voluntary and community sector and work collaboratively for the benefit of our local community

Support the Social Prescribing Team Leader to develop projects aimed at addressing local health inequalities

Develop a rolling system of targeted health and wellness campaigns including both national campaigns and locally identified priorities

Educate non-clinical and clinical staff within the PCN s on what other services are available within the community and how and when patients can access them

Encourage people who have been connected to community support through social prescribing to volunteer and give their time freely to others, building their skills and confidence and strengthening community resilience

Support the Social Prescribing Team Leader to develop a team of volunteers, start new groups and find creative community solutions to local issues

Reporting

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

Produce case studies showing the impact of social prescribing

Work closely with staff across the practice to ensure that the social prescribing referral codes are inputted into clinical systems

Maintain effective records of activity and produce reports as required

Provide agreed performance/activity data

This job description is intended to provide an outline of the key tasks and responsibilities only. There may be other duties required of the post-holder commensurate with the position. This description will be open to regular review and may be amended to take into account development within the Practice. All members of staff should be prepared to take on additional duties or relinquish existing duties in order to maintain the efficient running of the Practice.

Job description

Job responsibilities

Role Purpose:

To support the practice in delivering excellent care by actively supporting patients to take control of their own health and well-being.

Provide personalised support

Take referrals from within the practice and the wider PCN partners for individuals who would benefit from social prescribing support

Provide personalised support to individuals, their families and carers to take control of their health and wellbeing, live independently and improve their health access and outcomes

Co-produce Personalised Care and Support Plans to improve health and wellbeing, introducing or reconnecting people to appropriate community groups and statutory services.

Help people identify the wider issues that impact on their health and wellbeing, such as debt, poor housing, being unemployed, loneliness and caring responsibilities, those who need support with low level mental health needs and long term health conditions

Help people maintain or regain independence through living skills, adaptations, enablement approaches and simple safeguards

Where appropriate, physically introduce people to culturally appropriate community groups, activities and statutory services, ensuring they are comfortable, feel valued and respected

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

Work closely with the practice Care Coordinators, Health & Wellbeing Coaches, GPs and wider clinical team to provide holistic, joined up support for patients

Seek advice and support from your GP supervisor and/or identified individual(s) to discuss patient-related concerns (e.g. abuse, domestic violence and support with mental health), referring the patient back to the GP or other suitable health professional if required

Development Activity

Promote social prescribing and the practices wider proactive care services both internally and externally

Develop strong links with local health agencies and the voluntary and community sector and work collaboratively for the benefit of our local community

Support the Social Prescribing Team Leader to develop projects aimed at addressing local health inequalities

Develop a rolling system of targeted health and wellness campaigns including both national campaigns and locally identified priorities

Educate non-clinical and clinical staff within the PCN s on what other services are available within the community and how and when patients can access them

Encourage people who have been connected to community support through social prescribing to volunteer and give their time freely to others, building their skills and confidence and strengthening community resilience

Support the Social Prescribing Team Leader to develop a team of volunteers, start new groups and find creative community solutions to local issues

Reporting

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

Produce case studies showing the impact of social prescribing

Work closely with staff across the practice to ensure that the social prescribing referral codes are inputted into clinical systems

Maintain effective records of activity and produce reports as required

Provide agreed performance/activity data

This job description is intended to provide an outline of the key tasks and responsibilities only. There may be other duties required of the post-holder commensurate with the position. This description will be open to regular review and may be amended to take into account development within the Practice. All members of staff should be prepared to take on additional duties or relinquish existing duties in order to maintain the efficient running of the Practice.

Person Specification

Knowledge

Essential

  • Knowledge of the personalised care approach.
  • Understanding of the wider determinants of health including social, economic and environmental factors and their impact on communities.
  • Knowledge of community development approaches.

Desirable

  • Knowledge of SYSTM1 clinical system.
  • Knowledge of VCSE and community services within the Holderness locality.

Skills & Abilities

Essential

  • Able to prioritise and manage your own workload.
  • Able to use IT systems including Microsoft Office software and quickly learn to use in-house IT software.
  • Able to identify risk and assess/manage risk when working with individuals.
  • Able to work from an asset based approach, building on existing community and personal assets.
  • Able to communicate effectively with any audience, both verbally and in writing.

Personal Qualities

Essential

  • Able to understand and prioritise the needs of patients.
  • Comfortable working in a team and providing a strong role model.
  • Able to demonstrate the principles of equality and inclusion in all aspects of this role.
  • Ability to listen, empathises with people and provide person-centred support in a non judgemental way.
  • Able to get along with people from all backgrounds and communities, respecting lifestyles and diversity.
  • Able to support people in a way that inspires trust and confidence, motivating others to reach their potential.
  • Able to gain the confidence of others.

Other

Essential

  • Able and willing to work across all HH sites (number of days based at Withernsea).
  • Able and willing to homework as required by the practice.
  • Punctual and flexible across hours of work when required (including holiday cover).
  • Able to demonstrate alignment with the values of the practice
  • Be emotionally resilient and able to ask for support.

Qualifications

Essential

  • NVQ Level 3, Advanced level or equivalent qualifications or working towards.
  • Evidence of continuing professional development

Desirable

  • Educated to degree level.
  • Training in motivational coaching and interviewing or equivalent experience.

Experience

Essential

  • Experience of working in community development, adult health and social care, learning support or public health/health improvement.
  • Experience of supporting people, their families and carers in a professional capacity.
  • Experience of working with voluntary, community or social enterprise sector.
  • Experience of working with volunteers and community groups.
  • Experience of data collection and providing monitoring information to assess the impact of services.
  • Experience of partnership working and of building relationships across a range of organisations.

Desirable

  • Experience of working in a healthcare setting, ideally general practice.
  • Experience of supporting people with their mental health.
Person Specification

Knowledge

Essential

  • Knowledge of the personalised care approach.
  • Understanding of the wider determinants of health including social, economic and environmental factors and their impact on communities.
  • Knowledge of community development approaches.

Desirable

  • Knowledge of SYSTM1 clinical system.
  • Knowledge of VCSE and community services within the Holderness locality.

Skills & Abilities

Essential

  • Able to prioritise and manage your own workload.
  • Able to use IT systems including Microsoft Office software and quickly learn to use in-house IT software.
  • Able to identify risk and assess/manage risk when working with individuals.
  • Able to work from an asset based approach, building on existing community and personal assets.
  • Able to communicate effectively with any audience, both verbally and in writing.

Personal Qualities

Essential

  • Able to understand and prioritise the needs of patients.
  • Comfortable working in a team and providing a strong role model.
  • Able to demonstrate the principles of equality and inclusion in all aspects of this role.
  • Ability to listen, empathises with people and provide person-centred support in a non judgemental way.
  • Able to get along with people from all backgrounds and communities, respecting lifestyles and diversity.
  • Able to support people in a way that inspires trust and confidence, motivating others to reach their potential.
  • Able to gain the confidence of others.

Other

Essential

  • Able and willing to work across all HH sites (number of days based at Withernsea).
  • Able and willing to homework as required by the practice.
  • Punctual and flexible across hours of work when required (including holiday cover).
  • Able to demonstrate alignment with the values of the practice
  • Be emotionally resilient and able to ask for support.

Qualifications

Essential

  • NVQ Level 3, Advanced level or equivalent qualifications or working towards.
  • Evidence of continuing professional development

Desirable

  • Educated to degree level.
  • Training in motivational coaching and interviewing or equivalent experience.

Experience

Essential

  • Experience of working in community development, adult health and social care, learning support or public health/health improvement.
  • Experience of supporting people, their families and carers in a professional capacity.
  • Experience of working with voluntary, community or social enterprise sector.
  • Experience of working with volunteers and community groups.
  • Experience of data collection and providing monitoring information to assess the impact of services.
  • Experience of partnership working and of building relationships across a range of organisations.

Desirable

  • Experience of working in a healthcare setting, ideally general practice.
  • Experience of supporting people with their mental health.

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Employer details

Employer name

Holderness Health

Address

Church View Surgery

5 Market Hill House

Hedon

HU12 8JE


Employer's website

https://www.holdernesshealth.nhs.uk/ (Opens in a new tab)

Employer details

Employer name

Holderness Health

Address

Church View Surgery

5 Market Hill House

Hedon

HU12 8JE


Employer's website

https://www.holdernesshealth.nhs.uk/ (Opens in a new tab)

Employer contact details

For questions about the job, contact:

Tim Monaghan

tim.monaghan@nhs.net

Details

Date posted

01 September 2025

Pay scheme

Other

Salary

£13.53 to £14.46 an hour In line with Holderness Health Pay Policy

Contract

Permanent

Working pattern

Full-time

Reference number

A1637-25-0109

Job locations

Church View Surgery

5 Market Hill House

Hedon

HU12 8JE


Hedon Group Practice

4 Market Hill

Hedon

Hull

HU12 8JD


Holderness Health

1501 Hedon Road

Hull

HU9 5NX


St. Nicholas Surgery

Queen Street

Withernsea

HU19 2PZ


Hodgson Lane Surgery

Hodgson Lane

Roos

Hull

HU12 0LF


Hedon Group Practice

Chapel Lane

Keyingham

Hull

HU12 9RA


St Patrick's Surgery

St Patrick's Green

Patrington

Hull

HU12 0PF


Supporting documents

Privacy notice

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