Job summary
Social Prescriber Link Workers play an important role within a Practice
to proactively identify and work with people, to provide non-medical support
that improves their health and wellbeing. The service will support patients to
access all available opportunities by linking individuals with community and
volunteering support so they can take charge of their own health and
well-being.
The role is an integral part of the Practice
multi-disciplinary team and should address the wider determinants of health,
such as debt, poor housing and physical inactivity. You will be required to provide
personalised support to individuals, their families and carers to achieve
better health outcomes.
Main duties of the job
- You will be required to assess, plan, develop, implement and evaluate programmes & individual care plans that promote health, primarily by services & opportunities that are available in the community.
- You will be required to expand the referral gateway to take referrals from a wide range of agencies in line with Practice requirements.
- To promote social prescribing, its role in self-management & the wider determinants of health.
- Assess and integrate issues surrounding what the patient sees as important for them into the overall therapy process.
- Be proactive in developing strong links with all local agencies in line with the social prescribing implementation plan to encourage referrals recognising what they need to be confident in the service to make appropriate referrals.
- Produce a simple personalised care plan to address the patients health & wellbeing needs by introducing or reconnecting people to community groups or statutory services.
- You will be required to liaise with patients, their families/representatives, healthcare professionals, social services, GPs & other organisations to ensure that the care needs of the patient is being met & the desired outcomes achieved.
- A high level of communication is required to work with individuals to establish their goals.Coaching skills and motivational interviewing will be used to motivate, encourage & support individuals.Difficult conversations will be required to understand why individuals decline to work to the agreed programme.
About us
About Us: At
Victoria Park Health Centre, our mission is to provide compassionate,
accessible, high-quality healthcare to our patients. Our friendly Partners (Dr Khunti,
Dr Browne, Dr Shah & Dr Unadkat) along with the team are looking for a like-minded
person who can help us fulfil this mission and make a real difference to our
patients' lives! As a team we are committed to continued education and training.
We are a large, dynamic, friendly practice
consisting of 4 Partners, 14 Salaried GPs, 6 Clinical Pharmacists, 2 Practice
Nurses, 2 HCA's, 1 Phlebotomist, 1 Social Prescribers & 1 Physician Associate.
We serve 26,000 patients with a focus on clinical excellence and engagement
with the modern NHS. Being located adjacent to the University of Leicester we
do have a large student population.
We have a very strong team ethos. We also
demonstrate strong performance in QOF, CQC and we play a lead role within our
PCN.
Job description
Job responsibilities
-
You will give advice to and help individuals
establish a programme that will address their needs, which could be around a
broad range of health and social issues such as social isolation, mental
health, long term conditions etc.
-
You will be responsible for assisting the practice
in developing a holistic health and social care service which meets the needs
of the practice population. This may include proposing changes to current
working practices and procedures and evaluating the effectiveness of these.
-
You will provide telephone or home visits when the
need arises for patients unable to be seen at the practice
-
Effectively prioritise tasks to meet unexpected
emergencies and changes in care packages
-
Develop trusting relationships by giving people
time and focus on what matters to them
-
You will need to manage and prioritise your own
caseload in accordance with the health and wellbeing needs of the population
-
You will be the lead for organising and chairing
the MDT, Safeguarding and PPG meetings as necessary
-
You will act as the clinical lead at the PPG
meetings forging strong links between the PPG members and the Practice
-
Attendance and contribution at Practice Meetings,
MDT Meetings, Clinical Meetings and Safeguarding Meetings and any other
meetings as necessary.
-
Inform
and advise practice staff about what services are available within the
community and how and when patients can access them.
-
Work
collaboratively with all staff to contribute towards supporting local
organisations and community groups to become more sustainable through sharing
information regarding any gaps or problems identified in local provision with
commissioners and local authorities
-
The post holder will be responsible in planning
their day to day work but will also be responsible for planning and organising
activities or programmes some of which may be ongoing.
-
Establish
strong links with Practice staff and contribute to the wider aims and
objectives of the organisation
-
Be a
champion to promote co-ordinated care and support for all
-
Liaise
with a range of multi-disciplinary professionals who are involved in a
patients care, ensuring a smooth and coordinated approach, especially where
multiple agencies are involved.
-
Support
the Practice vision in the management of care and avoid unnecessary hospital
admissions and unnecessary GP referrals.
-
You
will develop a more robust and effective way of working in managing registers
for patients who are on the MDT, Safeguarding, Palliative and Carers register. Ensuring that we are achieving better health
outcomes for our more vulnerable patients.
- This role profile is not exhaustive; it will be
subject to periodic review and may be amended to meet the changing needs of the
business.
- You will be the Practice Carer & Veteran Champion
Job description
Job responsibilities
-
You will give advice to and help individuals
establish a programme that will address their needs, which could be around a
broad range of health and social issues such as social isolation, mental
health, long term conditions etc.
-
You will be responsible for assisting the practice
in developing a holistic health and social care service which meets the needs
of the practice population. This may include proposing changes to current
working practices and procedures and evaluating the effectiveness of these.
-
You will provide telephone or home visits when the
need arises for patients unable to be seen at the practice
-
Effectively prioritise tasks to meet unexpected
emergencies and changes in care packages
-
Develop trusting relationships by giving people
time and focus on what matters to them
-
You will need to manage and prioritise your own
caseload in accordance with the health and wellbeing needs of the population
-
You will be the lead for organising and chairing
the MDT, Safeguarding and PPG meetings as necessary
-
You will act as the clinical lead at the PPG
meetings forging strong links between the PPG members and the Practice
-
Attendance and contribution at Practice Meetings,
MDT Meetings, Clinical Meetings and Safeguarding Meetings and any other
meetings as necessary.
-
Inform
and advise practice staff about what services are available within the
community and how and when patients can access them.
-
Work
collaboratively with all staff to contribute towards supporting local
organisations and community groups to become more sustainable through sharing
information regarding any gaps or problems identified in local provision with
commissioners and local authorities
-
The post holder will be responsible in planning
their day to day work but will also be responsible for planning and organising
activities or programmes some of which may be ongoing.
-
Establish
strong links with Practice staff and contribute to the wider aims and
objectives of the organisation
-
Be a
champion to promote co-ordinated care and support for all
-
Liaise
with a range of multi-disciplinary professionals who are involved in a
patients care, ensuring a smooth and coordinated approach, especially where
multiple agencies are involved.
-
Support
the Practice vision in the management of care and avoid unnecessary hospital
admissions and unnecessary GP referrals.
-
You
will develop a more robust and effective way of working in managing registers
for patients who are on the MDT, Safeguarding, Palliative and Carers register. Ensuring that we are achieving better health
outcomes for our more vulnerable patients.
- This role profile is not exhaustive; it will be
subject to periodic review and may be amended to meet the changing needs of the
business.
- You will be the Practice Carer & Veteran Champion
Person Specification
Qualifications
Essential
- GCSE grade A to C in English and Maths.
Desirable
- Training in motivational coaching and interviewing or equivalent experience
- Evidence of continuous professional development with regard to wellbeing.
- Mental health awareness training
- Personalised care institute training
Experience
Essential
- Experience in coaching, counselling, or other appropriate background relevant to the role
- Proven experience of planning and goal setting to help improve health and well-being outcomes
- Has experience in relationship building skills across a variety of different networks
- Knowledge of Primary Care and the voluntary and community sector
- Experience of delivering general and/or specialist advice and information to clients
- An understanding of Social Prescribing and how it may contribute to health and wellbeing
- Good IT Skills and the ability to complete all necessary patient records
- A confident and professional approach to working with a variety of stakeholders
- A proven understanding of safeguarding and ability to implement relevant policies and procedures
- The ability to work autonomously and to plan, prioritise work under pressure and adapt to new models of working
Desirable
- Use of SystmOne
- Experience of working in a GP Practice
Person Specification
Qualifications
Essential
- GCSE grade A to C in English and Maths.
Desirable
- Training in motivational coaching and interviewing or equivalent experience
- Evidence of continuous professional development with regard to wellbeing.
- Mental health awareness training
- Personalised care institute training
Experience
Essential
- Experience in coaching, counselling, or other appropriate background relevant to the role
- Proven experience of planning and goal setting to help improve health and well-being outcomes
- Has experience in relationship building skills across a variety of different networks
- Knowledge of Primary Care and the voluntary and community sector
- Experience of delivering general and/or specialist advice and information to clients
- An understanding of Social Prescribing and how it may contribute to health and wellbeing
- Good IT Skills and the ability to complete all necessary patient records
- A confident and professional approach to working with a variety of stakeholders
- A proven understanding of safeguarding and ability to implement relevant policies and procedures
- The ability to work autonomously and to plan, prioritise work under pressure and adapt to new models of working
Desirable
- Use of SystmOne
- Experience of working in a GP Practice
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.
