We are looking for a confident, caring and compassionate individualto join our Social Prescribing Team, within our Proactive Care Department. Inthis role you will actively support patients to take control of their ownhealth and well-being.
If you are passionate about making a positive impact onPatients Health & Wellbeing, we would love to hear from you!
For an informal chat about the role, pleasecontact Tim Monaghan at tim.monaghan@nhs.net.
Closing Date - 26th September 2025.
Interview Date - 9th & 10th October 2025.
Main duties of the job
In this role you will support the Proactive Care Team and Practicein delivering excellent care by actively supporting patients to take control oftheir own health and well-being.
You will take referrals from within the practice and the wider PCNpartners for individuals who would benefit from social prescribing support. By providing personalised support toindividuals, their families and carers, you will assist people to take controlof their health and wellbeing, live independently and improve their healthaccess and outcomes. A key part of therole will be to co-produce Personalised Care and Support Plans to improvehealth and wellbeing, introducing or reconnecting people to appropriatecommunity groups and statutory services.
About us
We are a large rural practice with over 35,000 patients. As a single-practice Primary Care Network, we have a wonderful opportunity to transform care for our patients. We operate from 7 locations across Holderness and you must also be willing to travel between sites as necessary. Our hard-working and dedicated team includes 23 GPs, an extensive multi-disciplinary team of healthcare professionals and a great patient services team.
We offer a welcoming practice environment, 25 days annual leave plus bank holidays, access to the NHS pension scheme and the chance to shape this brand new role which we see as central to the future of care for our most complex and vulnerable patients.
Job responsibilities
Role Purpose:
To support the practice in deliveringexcellent care by actively supporting patients to take control of their ownhealth and well-being.
Take referrals from within thepractice and the wider PCN partners for individuals who would benefit fromsocial prescribing support
Provide personalised support toindividuals, their families and carers to take control of their health andwellbeing, live independently and improve their health access and outcomes
Co-produce Personalised Care andSupport Plans to improve health and wellbeing, introducing or reconnectingpeople to appropriate community groups and statutory services.
Help people identify the wider issuesthat impact on their health and wellbeing, such as debt, poor housing, beingunemployed, loneliness and caring responsibilities, those who need support withlow level mental health needs and long term health conditions
Help people maintain or regainindependence through living skills, adaptations, enablement approaches andsimple safeguards
Where appropriate, physically introducepeople to culturally appropriate community groups, activities and statutoryservices, ensuring they are comfortable, feel valued and respected
Where people may be eligible for apersonal health budget, help them to explore this option as a way of providingfunded, personalised support to be independent, including helping people togain skills for meaningful employment, where appropriate
Work closely with the practice CareCoordinators, Health & Wellbeing Coaches, GPs and wider clinical team toprovide holistic, joined up support for patients
Seek advice and support from your GPsupervisor and/or identified individual(s) to discuss patient-related concerns(e.g. abuse, domestic violence and support with mental health), referring thepatient back to the GP or other suitable health professional if required
Development Activity
Promote social prescribing andthe practices wider proactive care services both internally and externally
Develop strong links withlocal health agencies and the voluntary and community sector and workcollaboratively for the benefit of our local community
Support the Social PrescribingTeam Leader to develop projects aimed at addressing local health inequalities
Develop a rolling system of targetedhealth and wellness campaigns including both national campaigns and locallyidentified priorities
Educate non-clinical and clinical staffwithin the PCN s on what other services are available within the community andhow and when patients can access them
Encourage people who have beenconnected to community support through social prescribing to volunteer and givetheir time freely to others, building their skills and confidence andstrengthening community resilience
Support the Social Prescribing TeamLeader to develop a team of volunteers, start new groups and find creativecommunity solutions to local issues
Reporting
Work sensitively with people, theirfamilies and carers to capture key information, enabling tracking of the impactof social prescribing on their health and wellbeing
Produce case studies showingthe impact of social prescribing
Work closely with staff across thepractice to ensure that the social prescribing referral codes are inputted intoclinical systems
Maintain effective records ofactivity and produce reports as required
Provide agreedperformance/activity data
Thisjob description is intended to provide an outline of the key tasks andresponsibilities only. There may be other duties required of the post-holdercommensurate with the position. This description will be open to regular reviewand may be amended to take into account development within the Practice. Allmembers of staff should be prepared to take on additional duties or relinquishexisting duties in order to maintain the efficient running of the Practice.
Person Specification
Knowledge
* Knowledge of the personalised care approach.
* 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 SYSTM1 clinical system.
* Knowledge of VCSE and community services within the Holderness locality.
Skills & Abilities
* Able to prioritise and manage your own workload.
* Able to use IT systems including Microsoft Office software and quickly learn to use in-house IT software.
* Able to identify risk and assess/manage risk when working with individuals.
* Able to work from an asset based approach, building on existing community and personal assets.
* Able to communicate effectively with any audience, both verbally and in writing.
Personal Qualities
* Able to understand and prioritise the needs of patients.
* Comfortable working in a team and providing a strong role model.
* Able to demonstrate the principles of equality and inclusion in all aspects of this role.
* Ability to listen, empathises 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.
* Able to support people in a way that inspires trust and confidence, motivating others to reach their potential.
* Able to gain the confidence of others.
Other
* Able and willing to work across all HH sites (number of days based at Withernsea).
* Able and willing to homework as required by the practice.
* Punctual and flexible across hours of work when required (including holiday cover).
* Able to demonstrate alignment with the values of the practice
* Be emotionally resilient and able to ask for support.
Qualifications
* NVQ Level 3, Advanced level or equivalent qualifications or working towards.
* Evidence of continuing professional development
* Educated to degree level.
* Training in motivational coaching and interviewing or equivalent experience.
Experience
* Experience of working in community development, adult health and social care, learning support or public health/health improvement.
* Experience of supporting people, their families and carers in a professional capacity.
* Experience of working with voluntary, community or social enterprise sector.
* Experience of working with volunteers and community groups.
* Experience of data collection and providing monitoring information to assess the impact of services.
* Experience of partnership working and of building relationships across a range of organisations.
* Experience of working in a healthcare setting, ideally general practice.
* Experience of supporting people with their mental health.
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.
£13.53 to £14.46 an hourIn line with Holderness Health Pay Policy
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