Senior Social Prescriber (older persons)

Job summary

Job Summary:

Working within the Proactive Care and Care Home Team this new Senior Social Prescriber role, for older persons over 65 years, is a central non clinical role which will help deliver the Enhanced Health in Care Homes, Social Prescribing and Proactive Care objectives of Avon Valley PCN.

As a key part of the NHS 10 Year Plan, you will work closely within the local neighbourhood, including Local Authorities and Voluntary, Community and Social Enterprise (VCSE) helping join up existing services in order to deliver better health care and community support for our older patients.

We are looking for a motivated and organised individual to join our team. Due to the nature of the role, you will be required to visit older people in their homes, so the postholder will require both the willingness and transport for this requirement.

We welcome applications from candidates with or without direct NHS experience and sone previous clinical experience would be highly desirable. We will consider full or part time applications.

Main duties of the job

There are three key areas

• Enhanced Health in Care Homes
• To support people entering, or already resident in an Avon Valley Care Home, to register with the relevant practice
• To help coordinate and deliver a weekly Care Home MDT within the PCN, including the lead GP/clinician and Care Home staff, facilitating any actions arising

• Social Prescribing for Older Persons
• To provide a single point of contact for this age cohort, to help meet the practical, social and emotional needs that can otherwise affect health and wellbeing
• To provide coordination and navigation for people and their carers across health and care services, working closely with the wider healthcare teams

• Proactive Care
• To lead the active management and coordination of the agreed Proactive Care caseload for the PCN, liaising directly with the clinical team from each practice and other healthcare professionals involved delivering this workstream
• To lead the administration and coordination of the clinical Comprehensive Frailty Assessments identified within the Proactive Care Plan KPIs
• To holistically bring together a patients care and support needs into a Personalised Care and Support Plan, including patient goals and relevant actions

• To attend relevant MDTs to support development and delivery of these plans

• To supervise any other new Social Prescriber (older persons) employed within the Proactive Care and Care Home Team

About us

Primary Care Networks (PCNs) are a fundamental part of the NHS Long-Term Plan, bringing GP practices together to enhance workforce recruitment and retention; manage financial and operational challenges; expand services for patients; and integrate more effectively with the broader healthcare system.

Avon Valley PCN is an innovative, friendly group of practices situated in the New Forest, and encompasses four practices; Fordingbridge Surgery, Ringwood Medical Centre,Cornerways Medical Centre (Ringwood) and Twin Oaks Surgery (Burley and Bransgore), serving over 40,000 patients.

We have successfully built a wider healthcare team to support the traditional work of the GP practice - Pharmacy Team; First Contact Practitioners (Musculoskeletal); Social Prescribers; Paramedics (Home Visiting Service); Care Coordinators; and a Mental Health Team.

We welcome early applications, as some interviews may be held before the closing date.