Arbennek is looking for an innovative and highly motivated person to join its team as a Social Prescriber.
The successful candidate will provide personalised support to our patients, their families and carers to take control of their wellbeing, live independantly and improve health outcomes
We will be holding interviews for shortlisted candidates on 01.12.25
Main duties of the job
Workingwith GPs, take referrals from a wide range of agencies, including PCNs GPPractices and multi-disciplinary teams: pharmacies, wider multi-disciplinaryteams, hospital discharge teams, allied health professionals, job centres,social care services and housing associations (list not exhaustive).
Providepersonalised support to individuals, their families and carers to take controlof their health and wellbeing, live independently and improve their healthaccess and outcomes, as a key member of the PCN multi-disciplinary team.
Develop trusting relationships by giving people time and focus on what mattersto me. Take a holistic approach, based on the persons priorities and thewider determinants of health. Co-produce a simple personalised care and supportplan to improve health and wellbeing, introducing or reconnecting people toappropriate community groups and statutory services.
Therole will require managing and prioritising your own caseload, in accordancewith the needs, priorities and any urgent support required by individuals onthe caseload. It is vital that you have a strong awareness and understanding ofwhen it is appropriate or necessary to refer people back to other healthprofessionals/agencies
About us
Arbennek PCN is located in the central ICA within theCornwall and Isles of Scilly Integrated Care System and has approximately32,453 people registered from 4 GP Practices Brannel Surgery, Clays Surgery,Probus Surgery and Roseland Surgeries.
The post holder will work a majority of their time out ofThe Roseland Surgeries.
Job responsibilities
Workingwith GPs, take referrals from a wide range of agencies, including PCNs GPPractices and multi-disciplinary teams: pharmacies, wider multi-disciplinaryteams, hospital discharge teams, allied health professionals, job centres,social care services and housing associations (list not exhaustive).
Providepersonalised support to individuals, their families and carers to take controlof their health and wellbeing, live independently and improve their healthaccess and outcomes, as a key member of the PCN multi-disciplinary team.Develop trusting relationships by giving people time and focus on what mattersto me. Take a holistic approach, based on the persons priorities and thewider determinants of health. Co-produce a simple personalised care and supportplan to improve health and wellbeing, introducing or reconnecting people toappropriate community groups and statutory services.
Therole will require managing and prioritising your own caseload, in accordancewith the needs, priorities and any urgent support required by individuals onthe caseload. It is vital that you have a strong awareness and understanding ofwhen it is appropriate or necessary to refer people back to other healthprofessionals/agencies, when what the persons needs are beyond the scope ofthe link worker role e.g. when there is a mental health need requiring aqualified practitioner.
Workwith a diverse range of people and communities, to draw on and increase thestrengths and capacities of local communities, enabling local VCSEorganisations and community groups to receive social prescribing referrals.
Alongsideother members of the PCN multi-disciplinary team, work collaboratively with alllocal diverse partners to contribute towards supporting the local VCSEorganisations and community groups to become sustainable, through sharingintelligence regarding any gaps or problems identified in local authorities.
SocialPrescribing Link Workers will have a role in educating non-clinical andclinical staff within their PCN multi-disciplinary teams on what other servicesare available within the community and how and when patients can access them.This may include verbal or written advice and guidance.
Promotesocial prescribing, its role in self-management, addressing health inequalitiesand the wider determinants of health.
Aspart of the PCN multi-disciplinary team, build relationships with staff in GPpractices within the local PCN, attending relevant MDT meetings, givinginformation and feedback on social prescribing.
Beproactive in developing strong links with all local agencies to encouragereferrals, recognising what they need to be confident in the service to makeappropriate referrals.
Workin partnership with all local agencies to raise awareness of social prescribingand how partnership working can reduce pressure on statutory services, improvehealth access and outcomes and enable a holistic approach to care.
Providereferral agencies with regular updates about social prescribing, includingtraining for their staff and how to access information to encourage appropriatereferrals.
Seekregular feedback about the quality of service and impact of social prescribingon referral agencies.
Beproactive in encouraging equality and inclusion, through self-referrals andconnecting with all diverse local communities, particularly those communitiesthat statutory agencies may find hard to reach.
Supportingthe safeguarding lead - liaising with professional services and the patientwhere appropriate.
Attendingand supporting patient group meetings and activities.
Meetpeople on a one-to-one basis, making home visits where appropriate withinorganisations policies and procedures. Give people time to tell their storiesand focus on what matters to me. Build trust and respect with the person,providing non-judgemental and non-discriminatory support, respecting diversityand lifestyle choices. Work from a strength-based approach focusing on apersons assets.
Bea friendly and engaging source of information about health, wellbeing andprevention approaches.
Helppeople identify the wider issues that impact on their health and wellbeing,such as debt, poor housing, being unemployed, loneliness and caringresponsibilities.
Workwith the person, their families and carers and consider how they can all besupported through social prescribing.
Helppeople maintain or regain independence through living skills, adaptations,enablement approaches and simple safeguards.
Workwith individuals to co-produce a simple personalised support plan to addressthe persons health and wellbeing needs based on the persons priorities,interests, values, cultural and religious/faith needs and motivationsincluding what they can expect from the groups, activities and services theyare being connected to and what the person can do for themselves to improvetheir health and wellbeing.
Whereappropriate, physically introduce people to appropriate community groups,activities and statutory services, ensuring they are comfortable, feel valuedand respected. Follow up to ensure they are happy, able to engage, included andreceiving good support.
Wherepeople may be eligible for a personal health budget, help them to explore thisoption as a way of providing funded, personalised support to be independent,including helping people to gain skills for meaningful employment, whereappropriate.
Seekadvice and support from the GP supervisor and/or identified individual(s) todiscuss patient-related concerns (e.g. abuse, domestic violence and supportwith mental health), referring the patient back to the GP or other suitablehealth professional if required.
Forge strong links with a wide range of local VCSE organisations,community and neighbourhood level groups, utilising their networks and buildingon whats already available to create a menu of diverse community groups andassets, who promote diversity and inclusion
Developsupportive relationships with local diverse VCSE organisations, appropriatecommunity groups and statutory services, to make timely, appropriate andsupported referrals for the person being introduced.
Workwith commissioners and local partners to identify unmet diverse needs withinthe community and gaps in community provision.
Encouragepeople who have been connected to community support through social prescribingto volunteer and give their time freely to others, building their skills andconfidence and strengthening community resilience.
Develop a team of volunteers within your service to provide buddyingsupport for people, starting new groups and finding creative communitysolutions to local issues
Encourage people, their families and carers to provide peer support andto do things together, such as setting up new community groups or volunteering
Worksensitively with people, their families and carers to capture key information,enabling tracking of the impact of social prescribing on their health andwellbeing.
Encouragepeople, their families and carers to provide feedback and to share theirstories about the impact of social prescribing on their lives.
Supportreferral agencies to provide appropriate information about the person they arereferring. Provide appropriate feedback to referral agencies about the peoplethey referred
Workclosely within the MDT and with GP practices within the PCN to ensure that thesocial prescribing referral codes are inputted into clinical systems (asoutlined in the Network Contract DES), adhering to data protection legislationand data sharing agreements.
Workwith your supervising GP and/or line manager (if different) to undertakecontinual personal and professional development, taking an active part inreviewing and developing the roles and responsibilities.
Adhereto organisational policies and procedures, including confidentiality,safeguarding, lone working, information governance, equality, diversity andinclusion training and health and safety.
Workwith your supervising GP to access regular clinical supervision, to enableyou to deal effectively with the difficult issues that people present.
Workas part of the healthcare team to seek feedback, continually improve theservice and contribute to business planning.
Contributeto the development of policies and plans relating to equality, diversity andhealth inequalities.
Undertakeany 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.
Dutiesmay vary from time to time, without changing the general character of the postor the level of responsibility.
Person Specification
Qualifications
* NVQ Level 3, Advanced level or equivalent qualifications or working towards
* Demonstrable commitment to professional and personal development
* Training in motivational coaching and interviewing or equivalent experience
Experience
* 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 supporting people with their mental health, either in a paid, unpaid or informal capacity
* Experience of working with the VCSE sector (in a paid or unpaid capacity), including with volunteers and small community groups
* Experience of data collection and using tools to measure the impact of services
* Experience of partnership/collaborative working and of building relationships across a variety of organisations
* Knowledge of the personalised care approach
* Understanding of the wider determinants of health, including social, economic and environmental factors and their impact on communities, individuals, their families and carers
* Understanding of, and commitment to, equality, diversity and inclusion
* 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
* Local knowledge of VCSE and community services in the locality
* Knowledge of how the NHS works, including primary care
Personal Qualities & Attributes
* Ability to actively listen, empathise with people and provide person-centred support in a non-judgemental way
* Able to provide a culturally sensitive service, by supporting people from all backgrounds and communities, respecting lifestyles and diversity
* Commitment to reducing health inequalities and proactively working to reach people from diverse 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
* 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
* Can demonstrate personal accountability, emotional resilience and ability to work well under pressure
* Ability to organise, plan and prioritise on own initiative, including when under pressure and meeting deadlines
* High level of written and oral communication skills
* 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
* Able to provide motivational coaching to support peoples behaviour change
* Knowledge of, and ability to work to, policies and procedures, including confidentiality, safeguarding, lone working, information governance, and health and safety
* Meets DBS reference standards and criminal record checks
* Access to own transport and ability to travel across the locality on a regular basis, including to visit people in their own homes
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.
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