Social Prescribing Link Worker

Job summary Gateshead Inner West PCN are seeking an experienced, self-motivated, hard-working, and patient focused Social prescribing link worker to join our team.The post holder will work closely with our GP's and other primary care professionals within the PCN to proactively identify and manage a caseload of patients within the community, making sure that support and care is made available to them and that their complex needs are addressed.This role is offered on a full-time basis, for hours per week, Monday - Friday.
Main duties of the job Provide personalised support to individuals, their families and carers to take control of their wellbeing, live independently and improve their health outcomes.Take referrals from GP Practices and multi-disciplinary teams within Primary Care NetworksDevelop trusting relationships by giving people time and focus on what matters to me.
Take a holistic approach, based on the persons priorities and the wider determinants of health.
Co-produce a personalised support plan to improve health and wellbeing, introducing or reconnecting people to community groups and statutory services.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 caseloadIt 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 persons needs is beyond the scope of the link worker role , when there is a mental health need requiring a qualified practitioner.Work together with all local partners to collectively ensure that local VCSE organisations and community groups are sustainable and that community assets are nurtured, 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.
About us Based in the Inner West of Gateshead our Primary Care Network serves over 45,000 patients across our five member Practices of: Whickham Medical Cottage, Chainbridge Medical Partnership, Glenpark Medical Practice, Teams Medical Practice & Sunniside Surgery.We provide integrated services to our local population.
Aiming to deliver more personalised, coordinated health and social care for people close to home.The successful candidate will work within the community of our locality across all five sites.
Job description Job responsibilities Social prescribing empowers people to take control of their health and wellbeing through referral to non-medical link workers who give time, focus on what really matters to me and take a holistic approach, connecting people to community groups and statutory services for practical and emotional support.
Link workers support existing groups to be accessible and sustainable and work collaboratively with all local partners.Core Duties Provide personalised support to individuals, their families and carers to take control of their wellbeing, live independently and improve their health outcomes.
Take referrals from GP Practices and multi-disciplinary teams within Primary Care Networks Develop trusting relationships by giving people time and focus on what matters to me.
Take a holistic approach, based on the persons priorities and the wider determinants of health.
Co-produce a personalised support plan to improve health and wellbeing, introducing or reconnecting people to community groups and statutory services.
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 persons needs is beyond the scope of the link worker role , 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, 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.Referrals Promoting social prescribing, its role in self-management, and the wider determinants of health.
Build relationships with key staff in GP practices within the local Primary Care Network (PCN), attending relevant meetings, becoming part of the wider network team, giving information and feedback on social prescribing.
Be proactive in developing strong links with all local agencies to encourage referrals, recognising what they need to be confident in the service to make appropriate referrals.
Work in partnership with all local agencies to raise awareness of social prescribing and 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 about social prescribing, including training for their staff and how to access information to encourage appropriate referrals.
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 all local communities, particularly those communities that statutory agencies may find hard to reach.Provide personalised support Meet people on a one-to-one basis, making home visits where appropriate within organisations 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, respectingdiversity, and lifestyle choices.
Work from a strength-based approach focusing on a persons assets.
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 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.
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.
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.Support community groups and VCSE organisations to receive referrals Forge strong links with local VCSE organisations, community and neighbourhood level groups, utilising their networks and building on whats already available to create a map or menu of community groups and assets.
Use these opportunities to promote micro commissioning or small grants if available.
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 such policies and procedures are not in place, support groups to work towards this standard before referrals are made to them.
Check that community groups and VCSE organisations meet in insured premises and that health and safety requirements are in place.
Where such policies and procedures are not in place, support groups to work towards this standard before referrals are made to them.
Support local groups to act in accordance with information governance policies and procedures, ensuring compliance with the Data Protection Act.Work collectively with all local partners to ensure community groups are strong and sustainable 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, through small grants for community groups, micro-commissioning and development support.
Encourage people who have been connected to community support through social prescribing to volunteer and give their time freely to others, in order to build their skills and confidence, and strengthen community resilience.
Develop a team of volunteers within your service to provide buddying support for people, starting new groups and finding creative community solutions to local issues.
Encourage people, their families and carers to provide peer support and to do things together, such as setting up new community groups or volunteering.
Provide a regular confidence survey to community groups receiving referrals, to ensure that they are strong, sustained and have the support they need to be part of social prescribing.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.
Encourage people, their families and carers to provide feedback and to share their stories about the impact of social prescribing on their lives.
Support referral agencies to provide appropriate information about the person they are referring.
Use the case management system to track the persons progress.
Provide appropriate feedback to referral agencies about the people they referred.
Work closely with GP practices within the PCN to ensure that social prescribing referral codes are inputted to EMIS and that the persons use of the NHS can be tracked, adhering to data protection legislation and data sharing agreements with the clinical commissioning group (CCG).Clinical Governance Identify risk issues that impact on peoples health or social care needs.
Take appropriate action to the significance of the risk and consistent with protection procedures, applying protection procedures, following lone worker procedure.
Demonstrate effective team working inclusive of all relevant professionals.
Report all accidents / incidents, and all ill health, failings in equipment and / or environment to line managers.
Person Specification Experience Essential 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 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 Able to prioritise and manage your own workload Able to use IT systems including Microsoft Office 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 Desirable Experience of working in a healthcare setting, ideally general practice Knowledge of EMIS clinical system Knowledge of VCSE and community services within the Gateshead locality Experience of supporting people with their mental health Qualifications Essential NVQ Level 3, Advanced level or equivalent qualifications or working towards Evidence of continuing professional development