Provide personalised support to individuals, their families and carers to take control of their wellbeing, live independently and improve their health outcomes. Develop trusting relationships by giving people time to focus on what matters to me. Based on the persons priorities and the impact of the wider determinants of health on their life, you will co-produce a personalised wellbeing plan to improve their health and wellbeing that will include connecting or reconnecting them to community groups and activities and statutory services where appropriate. The role will require managing and prioritising your own caseload, in accordance with the needs, priorities and any urgent support required by individuals on the caseload.
It is vital that you 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. Draw on and increase the strengths and capacities of local communities, enabling local VCSE organisations and community groups to receive social prescribing referrals. Ensure they are supported, have basic safeguarding processes for vulnerable individuals and can provide opportunities for the person to develop friendships, a sense of belonging, and build knowledge, skills and confidence.
Work together with all local partners to collectively ensure that local VCSE organisations and community groups are sustainable and that community assets are nurtured, for example by making them aware of small grants or micro-commissioning if available, including providing support to set up new community groups and services, where gaps are identified in local provision. Support PHD's work in compliance with CQC requirements. Key Tasks Accepting referrals from multiple sources. Creating a wellbeing assessment that takes into consideration the role and possible impact of the wider determinants of health on wellbeing.
Build relationships with key staff in GP practices within Darlington, attending relevant meetings, becoming part of the practice team, giving information and feedback on the role of social prescribing. Be proactive in developing strong links with all local agencies to encourage referrals. Meet people on a one-to-one basis, making home visits where appropriate within organisational policies and procedures. Give people time to tell their stories and focus on what matters to me.
Build trust with the person, providing non-judgemental support, respecting diversity and lifestyle choices. Work from a strengths-based approach focusing on a person's strengths. 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 responsibilities.
Work with individuals to co-produce a simple personalised support plan based on the persons priorities, interests, values and motivations. Manage expectations by explaining clearly 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. When appropriate, accompany people to community groups, activities and statutory services for support. Encourage people, their families and carers to provide peer support and to do things together.
Communicate effectively and sensitively and use language appropriate to clients and families/carers. Use a range of verbal and non-verbal methods of communication as appropriate for clients. Use available translation services for those clients who use English as a second language. Key Objectives To engage, facilitate and support adults to connect to activities that will help to reduce feelings of loneliness and isolation while supporting them to build positive relationships and improved connections with their community.
Improved engagement into a range of provisions and social opportunities. Developing and encouraging the self-motivation needed to set personal goals and develop aspirations. Improved understanding of risks to their overall wellbeing, manage and reduce personal risk, increased ability to make positive choices to keep safe and well. Data capture 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.
Work closely with GP practices within the PCN to ensure social prescribing referral codes are inputted to SystmOne so that the persons use of the NHS can be tracked. Adhere to data protection legislation and data sharing agreements with the PCN and Integrated Care Board (ICB). Professional development Work with your line manager to undertake continual personal and professional development activities. Take an active part in reviewing and developing your roles and responsibilities as a social prescriber.
Work with your line manager to access regular caseload management, peer supervision, clinical supervision and guidance on becoming a reflective practitioner as this will enable you to deal sensitively and effectively with the difficult issues that people present. Miscellaneous Collect feedback from your clients on the social prescribing service you delivered. Be prepared to actively seek out ways to improve the Social Prescribing service and raise the profile of the service in Darlington. 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.