Social Prescriber (Frailty) - Havering Liberty PCN
The closing date is 30 June 2025
Job summary
Are you motivated with excellent organisation and communication skills? Do you want to make a difference to support people to live longer and healthier lives? Do you have an interest in frailty?
Havering Liberty Primary Care Network is looking to appoint a Social Prescriber who has an interest in working with older individuals living with frailty or complex needs to live longer and healthier lives.
Main duties of the job
The post holder will be part of an already established Social Prescribing team who support adults, children and young people. The addition of a Frailty Social Prescriber will support the PCN-Aligned Community Team (PACT) who consist of two Advanced Clinical Practitioners and a Care Coordinator who complete home visits to proactively undertake comprehensive geriatric assessment to identify holistic needs and develop high quality, personalised, anticipatory care to promote rehabilitation and prevent deterioration. The Frailty Social Prescriber is to develop an understanding of services that can support these patients and carers from a holistic perspective and work with the multidisciplinary PCN team, GP practices, community and voluntary services to support the needs of the patients, families and carers.
About us
Havering Liberty Primary Care Network
We are a collaborative neighbourhood healthcare network of five General Practices serving the population with an extended multi-disciplinary team seeking to provide accessible, patient-centred, and high-quality primary care services that promote the health and well-being of our community and our workforce.
The PCN supports numerous innovative projects, looking to improve the health and well-being of our community, e.g. Social Prescriber projects supporting High Intensity Users, bereaved family/friends of recently deceased patients and identifying carers to complete welfare checks.
The Leadership Team of Havering Liberty PCN is headed by the Clinical Director. This team includes the Strategy and Transformation Manager and the PCN Operations Manager and Digital Facilitator working in collaboration with Leads for each practice within the PCN. The PCN receives support from Havering Health Ltd, its GP Federation, which employs the PCN workforce. The GP Federation plays a crucial role in providing innovative, high-quality, and responsible healthcare services to the residents of Havering.
Details
Date posted
17 June 2025
Pay scheme
Other
Salary
£28,000 to £32,000 a year Inclusive and dependent on experience.
Contract
Fixed term
Duration
12 months
Working pattern
Full-time, Part-time, Flexible working
Reference number
B0167-25-0013
Job locations
170 Rush Green Road
Rush Green
Romford
Essex
RM7 0JU
Job description
Job responsibilities
JOB SUMMARY
The post holder will play a crucial role in actively supporting older, individuals living with frailty to achieve longer and healthier lives. They will collaborate closely with community groups and services such as social care, housing associations, voluntary organisations, community and social enterprises (VCSE), as well as general practitioners and multidisciplinary teams within the Primary Care Network (PCN) to ensure that appropriate support is provided to these individuals.
The Frailty Social Prescriber will assist patients whose care is coordinated by the PCN Aligned Community Team (PACT). PACT serves as a single point of contact for individuals and carers, coordinating the provision of comprehensive, integrated care in collaboration with other services and professionals, such as specialist community teams, social prescribers, voluntary sector organisations, and primary care. The responsibility of the Frailty Social Prescriber is to develop an understanding of services that can support patients and carers from a holistic perspective.
The post holder will work with individuals from various cultural and social backgrounds. The ability to perform effectively in a diverse and occasionally demanding environment is required.
Training and support
The ideal candidate will possess exceptional interpersonal and communication skills, coupled with strong organisational abilities, patience, and empathy. They should have substantial experience as a social prescriber, having worked in health, social care, or the voluntary, community, and social enterprise (VCSE) sector, with at least two years of direct engagement with individuals, families, or carers.
The post holder will be fully supported in their training and professional development. From the outset you will be inducted into the role with full support of your colleagues, line manager and clinical supervisor. The post holder will be encouraged to attend any training courses that are relevant to the role.
Key Responsibilities
Service Delivery
Build a robust knowledge of health, social and third sector provision available within Havering and surrounding areas.
Promote social prescribing, its role in self-management, and the wider determinants of health.
Build relationships with key staff in GP practices within Liberty PCN. Attend relevant meetings and integrate as part of the wider network team, providing information and feedback on social prescribing matters.
Work proactively to develop strong links with all local agencies to encourage referrals, to recognise their requirements and enable confident approach to making referrals.
Work in partnership with all local agencies to raise awareness of social prescribing and demonstrate how partnership working can reduce pressure on statutory services, improve health outcomes and enable a holistic approach to care.
Provide referral agencies with regular updates relating to social prescribing and include training for their staff to promote effective access to information and encourage appropriate referrals.
Work proactively in encouraging self-referrals and connecting with all local communities, particularly those communities that statutory agencies may find hard to reach.
Personalised Care and Support
Build relationships with patients, their families and carers. Meet people on a one-to-one basis, undertaking home visits where appropriate within organisations policies and procedures or consulting via the telephone giving people time to tell their stories and focus on what matters to me.
Build trust with the person, providing non-judgmental support, respecting diversity and lifestyle choices.
Anticipate barriers to communication.
Be a friendly source of information about wellbeing and prevention approaches.
Help people identify the wider issues that impact on their health and wellbeing, such as debt, poor housing, being unemployed, loneliness and caring.
Communicate effectively with patients, families and carers recognising the need for alternative communication methods of communication to overcome different levels of understanding, cultural background and preferred ways of communicating.
Help people maintain or regain independence through living skills, adaptations, enablement approaches and simple safeguards.
Work with individuals to co-produce a simple personalised support plan; based on the persons priorities, interests, values and motivations, including what they can expect from the groups, activities and services they are being connected to and what the person can do for themselves to improve their health and wellbeing.
Where appropriate, physically introduce people to community groups, activities and statutory services, ensuring they are comfortable. Provide follow-up to ensure that they are happy, engaged, included and receiving good support.
Where required and as appropriate, refer patients back to other health professionals within the PCN.
General Tasks
Produce accurate records of patient contact, consistent with legislation, policies and procedures.
Work closely with GP practices within the PCN to ensure that social prescribing referral codes are input into the clinical system and that the persons use of the NHS can be tracked, adhering to data protection legislation and data sharing agreements.
Understand and apply legal issues that support the identification of vulnerable and abused children and adults and be aware of statutory child/vulnerable patients health procedures and local guidance.
Work as part of the team to seek feedback, continually improve the service and contribute to business planning.
Undertake any tasks consistent with the level of the post and the scope of the role, ensuring that work is delivered in a timely and effective manner.
Duties may vary from time to time, without changing the general character of the post or the level of responsibility.
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.
Collaborative working relationships
Works within the primary care team, contributing to leadership of service evaluation and research to promote quality improvement activity.
Collaborates with multi-disciplinary PCN team
Use healthcare technologies to optimise service delivery, patients access, and continuity of care
Management
Demonstrates understanding of the implications of national priorities for the team and/or service.
Uses resources effectively to manage patient treatment in line with local guidance and makes recommendations for changes where improvements can be made.
Follows professional and organisational policies
Education, learning and development
It is the responsibility of the employee to comply with all organisational and statutory requirements (eg. health and safety, infection control, equality and diversity, confidentiality, safeguarding adults and children, information governance).
Engages in annual appraisal, developing objectives to inform a Personal Development Plan, which may include 360-degree appraisal and use of patient feedback.
Participate in teaching and training of medical, nursing, and all other practice staff.
Supports the practice staff and responds to requests for advice and assistance.
Complete all mandatory and statutory training required by the role.
Take responsibility for personal development, learning and performance and maintain education through attendance on any courses and/or study days necessary to ensure that professional development requirements are met.
Undertaking additional training where necessary to provide enhanced services and participate in training programmes implemented by the PCN/practices as part of this employment.
Understands and demonstrates the characteristics of a role model to members in the team and/or service.
Demonstrates an understanding of current educational policies relevant to working areas of practice and keeps up to date with relevant clinical practice.
Quality
Under supervision and support of GPs in the practice, the post-holder will strive to maintain quality within the practices, and will:
Participating in clinical governance activity and contribute to the improvement in quality of health outcomes through audit, risk management and Quality Improvement
Alerts other team members to concerns about risk, quality, and safety
Participates in investigation of incidents and events as required
Identifies, applies, and disseminates research findings relating to own practice
Collects data for audit purposes and uses clinical audit to monitor quality in the service
Contributes to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the teams performance
Works effectively with individuals in other agencies to meet patients needs
Effectively manages own time, workload, and resources
Meets timescales/deadlines for audits and written returns to ensure that the Practice meets quality standards and receives the designated funding.
Job description
Job responsibilities
JOB SUMMARY
The post holder will play a crucial role in actively supporting older, individuals living with frailty to achieve longer and healthier lives. They will collaborate closely with community groups and services such as social care, housing associations, voluntary organisations, community and social enterprises (VCSE), as well as general practitioners and multidisciplinary teams within the Primary Care Network (PCN) to ensure that appropriate support is provided to these individuals.
The Frailty Social Prescriber will assist patients whose care is coordinated by the PCN Aligned Community Team (PACT). PACT serves as a single point of contact for individuals and carers, coordinating the provision of comprehensive, integrated care in collaboration with other services and professionals, such as specialist community teams, social prescribers, voluntary sector organisations, and primary care. The responsibility of the Frailty Social Prescriber is to develop an understanding of services that can support patients and carers from a holistic perspective.
The post holder will work with individuals from various cultural and social backgrounds. The ability to perform effectively in a diverse and occasionally demanding environment is required.
Training and support
The ideal candidate will possess exceptional interpersonal and communication skills, coupled with strong organisational abilities, patience, and empathy. They should have substantial experience as a social prescriber, having worked in health, social care, or the voluntary, community, and social enterprise (VCSE) sector, with at least two years of direct engagement with individuals, families, or carers.
The post holder will be fully supported in their training and professional development. From the outset you will be inducted into the role with full support of your colleagues, line manager and clinical supervisor. The post holder will be encouraged to attend any training courses that are relevant to the role.
Key Responsibilities
Service Delivery
Build a robust knowledge of health, social and third sector provision available within Havering and surrounding areas.
Promote social prescribing, its role in self-management, and the wider determinants of health.
Build relationships with key staff in GP practices within Liberty PCN. Attend relevant meetings and integrate as part of the wider network team, providing information and feedback on social prescribing matters.
Work proactively to develop strong links with all local agencies to encourage referrals, to recognise their requirements and enable confident approach to making referrals.
Work in partnership with all local agencies to raise awareness of social prescribing and demonstrate how partnership working can reduce pressure on statutory services, improve health outcomes and enable a holistic approach to care.
Provide referral agencies with regular updates relating to social prescribing and include training for their staff to promote effective access to information and encourage appropriate referrals.
Work proactively in encouraging self-referrals and connecting with all local communities, particularly those communities that statutory agencies may find hard to reach.
Personalised Care and Support
Build relationships with patients, their families and carers. Meet people on a one-to-one basis, undertaking home visits where appropriate within organisations policies and procedures or consulting via the telephone giving people time to tell their stories and focus on what matters to me.
Build trust with the person, providing non-judgmental support, respecting diversity and lifestyle choices.
Anticipate barriers to communication.
Be a friendly source of information about wellbeing and prevention approaches.
Help people identify the wider issues that impact on their health and wellbeing, such as debt, poor housing, being unemployed, loneliness and caring.
Communicate effectively with patients, families and carers recognising the need for alternative communication methods of communication to overcome different levels of understanding, cultural background and preferred ways of communicating.
Help people maintain or regain independence through living skills, adaptations, enablement approaches and simple safeguards.
Work with individuals to co-produce a simple personalised support plan; based on the persons priorities, interests, values and motivations, including what they can expect from the groups, activities and services they are being connected to and what the person can do for themselves to improve their health and wellbeing.
Where appropriate, physically introduce people to community groups, activities and statutory services, ensuring they are comfortable. Provide follow-up to ensure that they are happy, engaged, included and receiving good support.
Where required and as appropriate, refer patients back to other health professionals within the PCN.
General Tasks
Produce accurate records of patient contact, consistent with legislation, policies and procedures.
Work closely with GP practices within the PCN to ensure that social prescribing referral codes are input into the clinical system and that the persons use of the NHS can be tracked, adhering to data protection legislation and data sharing agreements.
Understand and apply legal issues that support the identification of vulnerable and abused children and adults and be aware of statutory child/vulnerable patients health procedures and local guidance.
Work as part of the team to seek feedback, continually improve the service and contribute to business planning.
Undertake any tasks consistent with the level of the post and the scope of the role, ensuring that work is delivered in a timely and effective manner.
Duties may vary from time to time, without changing the general character of the post or the level of responsibility.
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.
Collaborative working relationships
Works within the primary care team, contributing to leadership of service evaluation and research to promote quality improvement activity.
Collaborates with multi-disciplinary PCN team
Use healthcare technologies to optimise service delivery, patients access, and continuity of care
Management
Demonstrates understanding of the implications of national priorities for the team and/or service.
Uses resources effectively to manage patient treatment in line with local guidance and makes recommendations for changes where improvements can be made.
Follows professional and organisational policies
Education, learning and development
It is the responsibility of the employee to comply with all organisational and statutory requirements (eg. health and safety, infection control, equality and diversity, confidentiality, safeguarding adults and children, information governance).
Engages in annual appraisal, developing objectives to inform a Personal Development Plan, which may include 360-degree appraisal and use of patient feedback.
Participate in teaching and training of medical, nursing, and all other practice staff.
Supports the practice staff and responds to requests for advice and assistance.
Complete all mandatory and statutory training required by the role.
Take responsibility for personal development, learning and performance and maintain education through attendance on any courses and/or study days necessary to ensure that professional development requirements are met.
Undertaking additional training where necessary to provide enhanced services and participate in training programmes implemented by the PCN/practices as part of this employment.
Understands and demonstrates the characteristics of a role model to members in the team and/or service.
Demonstrates an understanding of current educational policies relevant to working areas of practice and keeps up to date with relevant clinical practice.
Quality
Under supervision and support of GPs in the practice, the post-holder will strive to maintain quality within the practices, and will:
Participating in clinical governance activity and contribute to the improvement in quality of health outcomes through audit, risk management and Quality Improvement
Alerts other team members to concerns about risk, quality, and safety
Participates in investigation of incidents and events as required
Identifies, applies, and disseminates research findings relating to own practice
Collects data for audit purposes and uses clinical audit to monitor quality in the service
Contributes to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the teams performance
Works effectively with individuals in other agencies to meet patients needs
Effectively manages own time, workload, and resources
Meets timescales/deadlines for audits and written returns to ensure that the Practice meets quality standards and receives the designated funding.
Person Specification
Knowledge
Essential
- NHS Priorities and Issues
- Good working knowledge of Outlook, Word, Excel, Power point, Access
- Update and maintain efficient administration systems
- Maintain confidentiality/data protection
- Able to analyse systems to improve services
Qualifications
Essential
- NVQ level 2 or Grade A-C equivalent standard of literacy and numeracy
Experience
Essential
- Working in the role of a social prescriber for a minimum of 2 years
- Working in a multi-professional team environment.
- Significant administrative experience
- Handling sensitive and confidential information
Desirable
- Working in an NHS environment
- Experience of using EMIS
Other
Essential
- Able to travel efficiently throughout the area of Havering Liberty PCN
- Commitment to continuing professional development
Desirable
- Standard driving skills and access to own vehicle for work purposes
Skills
Essential
- Establish and maintain good working relationships
- Excellent interpersonal skills
- Team Player
- Clear communication skills including excellent writing, data entry and presentation skills
- Able to construct and deliver clear information/instructions to others
- Able to multi-task
- Able to work without supervision and use own initiative
- Organise and prioritise own workload
- English language
- competency sufficient to
- communicate effectively with all staff and clients
- Demonstrates attention to detail, accuracy and numeracy skills
Desirable
- Advanced level IT skills
Demonstration of PCN Values
Essential
- Patient centred care and health equity
- Sustainability and efficiency
- Collaboration and team working
- Quality and excellence
- Inclusivity and respect
- Accountability and integrity
Person Specification
Knowledge
Essential
- NHS Priorities and Issues
- Good working knowledge of Outlook, Word, Excel, Power point, Access
- Update and maintain efficient administration systems
- Maintain confidentiality/data protection
- Able to analyse systems to improve services
Qualifications
Essential
- NVQ level 2 or Grade A-C equivalent standard of literacy and numeracy
Experience
Essential
- Working in the role of a social prescriber for a minimum of 2 years
- Working in a multi-professional team environment.
- Significant administrative experience
- Handling sensitive and confidential information
Desirable
- Working in an NHS environment
- Experience of using EMIS
Other
Essential
- Able to travel efficiently throughout the area of Havering Liberty PCN
- Commitment to continuing professional development
Desirable
- Standard driving skills and access to own vehicle for work purposes
Skills
Essential
- Establish and maintain good working relationships
- Excellent interpersonal skills
- Team Player
- Clear communication skills including excellent writing, data entry and presentation skills
- Able to construct and deliver clear information/instructions to others
- Able to multi-task
- Able to work without supervision and use own initiative
- Organise and prioritise own workload
- English language
- competency sufficient to
- communicate effectively with all staff and clients
- Demonstrates attention to detail, accuracy and numeracy skills
Desirable
- Advanced level IT skills
Demonstration of PCN Values
Essential
- Patient centred care and health equity
- Sustainability and efficiency
- Collaboration and team working
- Quality and excellence
- Inclusivity and respect
- Accountability and integrity
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
Havering Health Ltd
Address
170 Rush Green Road
Rush Green
Romford
Essex
RM7 0JU
Employer's website
Employer details
Employer name
Havering Health Ltd
Address
170 Rush Green Road
Rush Green
Romford
Essex
RM7 0JU
Employer's website
Employer contact details
For questions about the job, contact:
Details
Date posted
17 June 2025
Pay scheme
Other
Salary
£28,000 to £32,000 a year Inclusive and dependent on experience.
Contract
Fixed term
Duration
12 months
Working pattern
Full-time, Part-time, Flexible working
Reference number
B0167-25-0013
Job locations
170 Rush Green Road
Rush Green
Romford
Essex
RM7 0JU