PCN Social Prescriber

Job description

Farnham Road PCN (SPINE) is looking for an enthusiastic Social Prescriber to be part of the practice team and support the delivery of Primary Care Networks ambitions to the highest quality and safety. The successful candidate will provide personalised support to our patients, their families and carers to take control of their wellbeing, live independently and improve their health outcomes. They will develop trusting relationships by giving people time and focus on what matters to me.

Take a holistic approach, based on the person's priorities and the wider determinants of health. The role will require managing and prioritising your own caseload, in accordance with the needs and priorities of the practices and any urgent support required by individuals.

• Take referrals from GPs and MDT team within practices of SPINE network and work with allied health professionals, fire service, police, job centres, social care services, housing associations, and voluntary, community and social enterprise (VCSE) organisations (list not exhaustive) to help signpost patients to relevant organisations for support.
• 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 and focus on what matters to me. Take a holistic approach, based on the person's 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.
  
  Choose an item 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.
• 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 part of the practice teams for anticipatory care planning and attend Integrated care team meetings as part of the regular cluster catch ups within the network.
• 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.
• To work as part of the practice Multi‑Disciplinary Team and receive and share information within that team to safeguard individuals and support them to work towards their goals and aspirations.
• To maintain accurate information systems of records and activities, complete data sheets and monitoring and evaluating data.
• To organise and facilitate group‑based workshops and activities, ensuring self‑help and peer support groups cover a flexible timetable.
• To support service design, co‑production, development and improvement ensuring quality is maintained throughout.
• To manage a caseload of individuals with complex needs.
• To develop appropriate resources and materials for the service.

This is not an exhaustive list of duties, please refer to the job description for a full list.

• Excellent communication skills.
• Able to work from an asset based approach, building on existing community and personal assets.
• Ability to maintain…