Job summary This integrated role combines Adult Emotional Wellbeing Coordination with Social Prescribing Link Working to empower adults to take control of their health and wellbeing to non-medical link workers. The postholder provides timely emotional and mental health support (telephone, video, and face-to-face), uses validated baseline assessments to guide care, and connects people to community and statutory services for practical and emotional support. The approach is holistic, person-centred, strengths-based, and focused on 'what matters to me.' Social prescribing can help to strengthen community resilience and personal resilience and reduces health inequalities by addressing the wider detriments of health, such as debt, poor housing and physical inactivity, by increasing peoples active involvement with their local communities. It particularly works for people with long term conditions (including support for mental health), for people who are lonely or isolated, or have complex social needs which affect their wellbeing. Main duties of the job Focus: Support individuals to manage emotions (e.g., anxiety, stress, low mood), improve self-esteem, navigate social issues (bullying, relationships), and build resilience and coping strategies. Scope: Non-clinical, holistic support for everyday emotional challenges, signposting and enabling access to community resources, and facilitating group work where common needs are identified. Activities: One-to-one support, group sessions, and supported introductions to appropriate services and community assets; proactive liaison with primary care and local partners. About us About Alliance for Better Care CIC Alliance for Better Care is a GP Federation uniting 77 NHS GP member practices across 98 sites within 24 Primary Care Networks in Sussex and Surrey. We support our Primary Care colleagues - and their patients - to transform how healthcare is delivered in their communities. We work closely with GP Practices, PCNs, Hospitals, Community Organisations, and the Third Sector. These vital partnerships enable us to deliver a truly integrated approach that offers the support and expertise needed to effectively serve our populations. About Park and Orchard PCN Park and Orchard PCN in Horsham is a growing network supporting 31,000 patients with a higher than average elderly population and significant community needs, including cost of living pressures, social isolation and mental health challenges. We also work closely with iRock and YES to support young peoples mental health, with a new Youth Emotional Wellbeing Support Worker joining us to help ensure a smooth transition from youth to adult care. We are also developing our women's health offer in partnership with the Horsham Wellbeing Hub and local partners, including peri/menopause support, Menopause Cafe sessions and plans for a Women's Health Hub. We also prioritise dementia, young peoples mental health and cost of living support. Our personalised care team includes care coordinators and a social prescribing emotional support worker, supported by an experienced clinician with NHSE PCN Advisor expertise. Details Date posted 18 December 2025 Pay scheme Other Salary £27,496.86 to £34,188.93 a year pro rata, depending on experience Contract Permanent Working pattern Full-time Reference number B0141-25-0100 Job locations The Park Surgery Albion Way Horsham West Sussex RH12 1BG The Orchard Surgery Lower Tanbridge Way Horsham West Sussex RH12 1PJ Job description Job responsibilities Work with the GP practices within Park and Orchard PCN to provide personalised support to individuals, their families, and carers to take control of their wellbeing, live independently and improve their health outcomes. This will involve working with GPs and PCN practice staff and referrals from and to a wide range of agencies, including multi disciplinary teams, hospital discharge teams, allied health professionals, fire service, police, job centres, social care services, housing associations, and voluntary, community and social enterprise (VCSE) organisations (list not exhaustive). Key tasks Build relationships with key staff in GP practices within the Primary Care Network (PCN), attending relevant meetings, becoming part of the wider network team, educating, giving information and feedback on social prescribing. Promoting social prescribing with patients, staff and other agencies, its role in self-management, and the wider determinants of health. Be proactive in developing strong links with local agencies to ensure PCN staff are confident in the service to make appropriate referrals. Work in partnership with local agencies to raise awareness of social prescribing and how partnership working can improve health outcomes and enable a holistic approach to care. Seek regular feedback about the quality of service and impact of social prescribing on referral agencies. Be proactive in encouraging self-referrals and connecting with local communities, particularly those communities that statutory agencies may find hard to reach. Use the social prescribing platform to store information and data about referrals and patient feedback for the purposes of further developing the service. Personalised support: Meet people one-to-one (including home visits where appropriate), build trust, and focus on 'what matters to me'. Use an asset-based, non-judgemental approach; respect diversity and lifestyle choices. 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. Be a friendly source of information about well-being and prevention approaches. Work with the person, their families and carers and consider how they can all be supported through social prescribing. Help people maintain or regain independence through living skills, adaptations, enablement approaches and simple safeguards. Help identify wider determinants of health impacting wellbeing (debt, housing, unemployment, loneliness, caring responsibilities) and co-produce a simple personalised support and recovery plan with clear goals. Where appropriate, physically introduce people to community groups, activities, and statutory services, ensuring they are comfortable. Follow up to ensure they are happy, able to engage, included and receiving good support. 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. Emotional wellbeing coordination: Provide timely telephone, video, and face-to-face support for patients identified by practices as requiring emotional wellbeing input. Support patients to identify needs and goals; facilitate development of personal support and recovery plans; run group activities in practice where common needs are identified. Liaise regularly with, and refer any clinical needs to, the clinical supervisor; provide feedback to primary care staff and record work using NHS/practice data systems. Assessment and outcome measurement: Use standardised baseline assessments to establish a starting point, guide personalised planning, monitor progress over time, identify risk, and evidence decisions. Recommended tools: ReQoL-10 (quality of life), GAD-7 (anxiety), PHQ-9 (depression), WEMWBS (wellbeing), Rosenberg Self-Esteem Scale, Social Provisions Scale (social support). Community development & partnership working: Develop supportive relationships with local VCSE organisations, community groups and statutory services, to make timely, appropriate and supported referrals for the person being introduced. Ensure that local community groups and VCSE organisations being referred to have basic procedures in place for ensuring that vulnerable individuals are safe and, where there are safeguarding concerns, work with all partners to deal appropriately with issues. Where policies and procedures are not in place, give help and support to groups to work towards this standard before referrals are made to them. Promote social prescribing, encourage self-referrals, and proactively reach communities that statutory agencies find hard to engage. Seek regular feedback on service quality and impact. Support local groups to act in accordance with information governance policies and procedures, ensuring compliance with GDPR/Data Protection. Work with commissioners and local partners to identify unmet needs within the community and gaps in community provision. Support local partners and commissioners to develop new groups and services where needed. Interventions and approaches: Use psychosocial tools such as CBT-informed approaches and counselling skills; mindfulness and relaxation; social skills training; confidence and self-esteem building. Provide mental health literacy (e.g., self-care via Maslows hierarchy; polyvagal-informed nervous system regulation; Internal Family Systems-informed techniques for self-compassion and managing the inner critic), positive psychology, and structured problem management. Facilitate peer support and mentoring; signpost to community activities; adopt trauma-informed practice with a 'what happened to you?' stance; promote physical and mind-body exercise (e.g., yoga, qi gong, Pilates). Please see full job description for further information. Job description Job responsibilities Work with the GP practices within Park and Orchard PCN to provide personalised support to individuals, their families, and carers to take control of their wellbeing, live independently and improve their health outcomes. This will involve working with GPs and PCN practice staff and referrals from and to a wide range of agencies, including multi disciplinary teams, hospital discharge teams, allied health professionals, fire service, police, job centres, social care services, housing associations, and voluntary, community and social enterprise (VCSE) organisations (list not exhaustive). Key tasks Build relationships with key staff in GP practices within the Primary Care Network (PCN), attending relevant meetings, becoming part of the wider network team, educating, giving information and feedback on social prescribing. Promoting social prescribing with patients, staff and other agencies, its role in self-management, and the wider determinants of health. Be proactive in developing strong links with local agencies to ensure PCN staff are confident in the service to make appropriate referrals. Work in partnership with local agencies to raise awareness of social prescribing and how partnership working can improve health outcomes and enable a holistic approach to care. Seek regular feedback about the quality of service and impact of social prescribing on referral agencies. Be proactive in encouraging self-referrals and connecting with local communities, particularly those communities that statutory agencies may find hard to reach. Use the social prescribing platform to store information and data about referrals and patient feedback for the purposes of further developing the service. Personalised support: Meet people one-to-one (including home visits where appropriate), build trust, and focus on 'what matters to me'. Use an asset-based, non-judgemental approach; respect diversity and lifestyle choices. 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. Be a friendly source of information about well-being and prevention approaches. Work with the person, their families and carers and consider how they can all be supported through social prescribing. Help people maintain or regain independence through living skills, adaptations, enablement approaches and simple safeguards. Help identify wider determinants of health impacting wellbeing (debt, housing, unemployment, loneliness, caring responsibilities) and co-produce a simple personalised support and recovery plan with clear goals. Where appropriate, physically introduce people to community groups, activities, and statutory services, ensuring they are comfortable. Follow up to ensure they are happy, able to engage, included and receiving good support. 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. Emotional wellbeing coordination: Provide timely telephone, video, and face-to-face support for patients identified by practices as requiring emotional wellbeing input. Support patients to identify needs and goals; facilitate development of personal support and recovery plans; run group activities in practice where common needs are identified. Liaise regularly with, and refer any clinical needs to, the clinical supervisor; provide feedback to primary care staff and record work using NHS/practice data systems. Assessment and outcome measurement: Use standardised baseline assessments to establish a starting point, guide personalised planning, monitor progress over time, identify risk, and evidence decisions. Recommended tools: ReQoL-10 (quality of life), GAD-7 (anxiety), PHQ-9 (depression), WEMWBS (wellbeing), Rosenberg Self-Esteem Scale, Social Provisions Scale (social support). Community development & partnership working: Develop supportive relationships with local VCSE organisations, community groups and statutory services, to make timely, appropriate and supported referrals for the person being introduced. Ensure that local community groups and VCSE organisations being referred to have basic procedures in place for ensuring that vulnerable individuals are safe and, where there are safeguarding concerns, work with all partners to deal appropriately with issues. Where policies and procedures are not in place, give help and support to groups to work towards this standard before referrals are made to them. Promote social prescribing, encourage self-referrals, and proactively reach communities that statutory agencies find hard to engage. Seek regular feedback on service quality and impact. Support local groups to act in accordance with information governance policies and procedures, ensuring compliance with GDPR/Data Protection. Work with commissioners and local partners to identify unmet needs within the community and gaps in community provision. Support local partners and commissioners to develop new groups and services where needed. Interventions and approaches: Use psychosocial tools such as CBT-informed approaches and counselling skills; mindfulness and relaxation; social skills training; confidence and self-esteem building. Provide mental health literacy (e.g., self-care via Maslows hierarchy; polyvagal-informed nervous system regulation; Internal Family Systems-informed techniques for self-compassion and managing the inner critic), positive psychology, and structured problem management. Facilitate peer support and mentoring; signpost to community activities; adopt trauma-informed practice with a 'what happened to you?' stance; promote physical and mind-body exercise (e.g., yoga, qi gong, Pilates). Please see full job description for further information. Person Specification Other Requirements Essential Meets DBS reference standards and has a clear criminal record, in line with the law on spent convictions Willingness to work flexible hours when required to meet work demands Access to own transport and ability to travel across the locality on a regular basis, including visiting people in their own homes Hold a current driving licence with business insurance Qualifications Essential NVQ Level 3 Health and Social Care, or equivalent qualifications or working towards Trained and experienced in providing Cognitive Behavioural Therapy (CBT) and/or counselling Training in trauma-informed practice Demonstrable commitment to professional and personal development Desirable Training in motivational coaching and interviewing or equivalent experience Skills and Knowledge Essential Understanding of the wider determinants of health, including social, economic and environmental factors and their impact on communities Knowledge of community development approaches Knowledge of IT systems, including ability to use word processing skills, emails and the internet to create simple plans and reports Knowledge of motivational coaching and interview skills Personal Qualities and Attributes Essential Ability to listen, empathise 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 Commitment to reducing health inequalities and proactively working to reach people from all communities Able to support people in a way that inspires trust and confidence, motivating others to reach their potential Ability to communicate effectively, both verbally and in writing, with people, their families, carers, community groups, partner agencies and stakeholders Ability to identify risk and assess/manage risk when working with individuals Have a strong awareness and understanding of when it is appropriate or necessary to refer people back to other health professionals/agencies, when what the person needs is beyond the scope of the link worker role e.g. when there is a mental health need requiring a qualified practitioner Able to work from an asset-based approach, building on existing community and personal assets Able to provide leadership and to finish work tasks Ability to maintain effective working relationships and to promote collaborative practice with all colleagues Commitment to collaborative working with all local agencies (including VCSE organisations and community groups). Able to work with others to reduce hierarchies and find creative solutions to community issues Ability to organise, plan and prioritise on own initiative, including when under pressure and meeting deadlines Ability to work flexibly and enthusiastically within a team or on own initiative Understanding of the needs of small volunteer-led community groups and ability to support their development Knowledge of and ability to work to policies and procedures, including confidentiality, safeguarding, lone working, information governance, and health and safety Experience Essential Minimum of 2 years experience of supporting people with their mental health in a paid capacity Experience of working directly in a community development context, adult health and social care, learning support or public health/health improvement (including unpaid work) Experience of supporting people, their families and carers in a related role (including unpaid work) Experience of working with the VCSE sector (in a paid or unpaid capacity), including with volunteers and small community groups Experience of partnership/collaborative working and of building relationships across a variety of organisations Desirable Experience of data collection and providing monitoring information to assess the impact of services Person Specification Other Requirements Essential Meets DBS reference standards and has a clear criminal record, in line with the law on spent convictions Willingness to work flexible hours when required to meet work demands Access to own transport and ability to travel across the locality on a regular basis, including visiting people in their own homes Hold a current driving licence with business insurance Qualifications Essential NVQ Level 3 Health and Social Care, or equivalent qualifications or working towards Trained and experienced in providing Cognitive Behavioural Therapy (CBT) and/or counselling Training in trauma-informed practice Demonstrable commitment to professional and personal development Desirable Training in motivational coaching and interviewing or equivalent experience Skills and Knowledge Essential Understanding of the wider determinants of health, including social, economic and environmental factors and their impact on communities Knowledge of community development approaches Knowledge of IT systems, including ability to use word processing skills, emails and the internet to create simple plans and reports Knowledge of motivational coaching and interview skills Personal Qualities and Attributes Essential Ability to listen, empathise 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 Commitment to reducing health inequalities and proactively working to reach people from all communities Able to support people in a way that inspires trust and confidence, motivating others to reach their potential Ability to communicate effectively, both verbally and in writing, with people, their families, carers, community groups, partner agencies and stakeholders Ability to identify risk and assess/manage risk when working with individuals Have a strong awareness and understanding of when it is appropriate or necessary to refer people back to other health professionals/agencies, when what the person needs is beyond the scope of the link worker role e.g. when there is a mental health need requiring a qualified practitioner Able to work from an asset-based approach, building on existing community and personal assets Able to provide leadership and to finish work tasks Ability to maintain effective working relationships and to promote collaborative practice with all colleagues Commitment to collaborative working with all local agencies (including VCSE organisations and community groups). Able to work with others to reduce hierarchies and find creative solutions to community issues Ability to organise, plan and prioritise on own initiative, including when under pressure and meeting deadlines Ability to work flexibly and enthusiastically within a team or on own initiative Understanding of the needs of small volunteer-led community groups and ability to support their development Knowledge of and ability to work to policies and procedures, including confidentiality, safeguarding, lone working, information governance, and health and safety Experience Essential Minimum of 2 years experience of supporting people with their mental health in a paid capacity Experience of working directly in a community development context, adult health and social care, learning support or public health/health improvement (including unpaid work) Experience of supporting people, their families and carers in a related role (including unpaid work) Experience of working with the VCSE sector (in a paid or unpaid capacity), including with volunteers and small community groups Experience of partnership/collaborative working and of building relationships across a variety of organisations Desirable Experience of data collection and providing monitoring information to assess the impact of services 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 Alliance for Better Care CIC Address The Park Surgery Albion Way Horsham West Sussex RH12 1BG Employer's website https://allianceforbettercare.org/ (Opens in a new tab) Employer details Employer name Alliance for Better Care CIC Address The Park Surgery Albion Way Horsham West Sussex RH12 1BG Employer's website https://allianceforbettercare.org/ (Opens in a new tab)