About this role
Job summary
The Social Prescriber will work as part of the multidisciplinary PCN team to support patients with non-medical needs that impact their health and wellbeing. The role involves person-centred conversations, identifying what matters to people, and connecting them to community-based support, voluntary services, and local resources across the PCN footprint.
The post holder will work across five GP practices, ensuring equitable access to social prescribing services for patients and supporting population health priorities.
Main duties of the job
Key Responsibilities
Receive referrals from GPs, practice staff, and the wider PCN MDT Conduct holistic assessments using a person-centred, strengths-based approach Co-produce personalised care plans with patients Support individuals to address issues such as: Social isolation and loneliness Mental health and wellbeing Financial, housing, or employment concerns Lifestyle changes (e.g. physical activity, weight management) Long-term condition support Provide follow-up support to help patients engage with services and build confidence Build and maintain strong relationships with local VCSE organisations, community groups, and statutory services Maintain an up-to-date directory of local services across the PCN area Promote community assets and support services within GP practices Act as a link between primary care and the community sector. Work flexibly across five GP practices, attending MDT meetings as required Contribute to care coordination for complex patients Support PCN priorities such as: Health inequalities Long-term condition management Mental health and wellbeing Prevention and early intervention
About us
Nexus MK PCN offices are based in Linford Wood Milton Keynes and cover 5 practices which include Oakridge Park Medical Centre, Wolverton Health Centre, The Stonedean Practice, Sovereign Health Centre, Purbeck Medical Centre.
Job description Job responsibilities
Job Purpose
The Social Prescriber will work as part of the multidisciplinary PCN team to support patients with non-medical needs that impact their health and wellbeing. The role involves person-centred conversations, identifying what matters to people, and connecting them to community-based support, voluntary services, and local resources across the PCN footprint.
The post holder will work across five GP practices, ensuring equitable access to social prescribing services for patients and supporting population health priorities.
Key Responsibilities
Patient Support
Receive referrals from GPs, practice staff, and the wider PCN MDT Conduct holistic assessments using a person-centred, strengths-based approach Co-produce personalised care plans with patients Support individuals to address issues such as: Social isolation and loneliness Mental health and wellbeing Financial, housing, or employment concerns Lifestyle changes (e.g. physical activity, weight management) Long-term condition support Provide follow-up support to help patients engage with services and build confidence
Community Engagement & Partnership Working
Build and maintain strong relationships with local VCSE organisations, community groups, and statutory services Maintain an up-to-date directory of local services across the PCN area Promote community assets and support services within GP practices Act as a link between primary care and the community sector
Practice & PCN Working
Work flexibly across five GP practices, attending MDT meetings as required Contribute to care coordination for complex patients Support PCN priorities such as:
Health inequalities Long-term condition management Mental health and wellbeing Prevention and early intervention
Data, Monitoring & Reporting
Accurately record patient contacts and outcomes using clinical systems (SystmOne) Collect outcome data aligned to ARRS and PCN reporting requirements Contribute to audits, service evaluation, and continuous improvement Ensure compliance with information governance and confidentiality standards
Professional Practice
Work within the NHS Social Prescribing Model and PCN DES requirements Maintain professional boundaries and manage risk appropriately Engage in supervision, training, and continuous professional development Promote equality, diversity, and inclusion in all aspects of practice
Person Specification
Essential
Experience working in health, social care, community, or voluntary sector roles Strong communication and interpersonal skills Ability to work independently and across multiple sites Experience supporting individuals with complex or multiple needs Understanding of health inequalities and social determinants of health Confident IT skills and accurate record keeping
Desirable
Level 3 or above qualification in health, social care, or related field Experience working in primary care or GP practice settings Knowledge of local community services and VCSE sector Experience of social prescribing or care navigation Experience using NHS clinical systems
Values & Behaviours
Person-centred and compassionate Collaborative and team-oriented Flexible and adaptable Proactive and solution-focused
Person Specification
Values & Behaviours Essential
Person-centred and compassionate Collaborative and team-oriented Flexible and adaptable Proactive and solution-focused
Qualifications Essential
Experience working in health, social care, community, or voluntary sector roles Strong communication and interpersonal skills Ability to work independently and across multiple sites Experience supporting individuals with complex or multiple needs Understanding of health inequalities and social determinants of health Confident IT skills and accurate record keeping
Desirable
Level 3 or above qualification in health, social care, or related field Experience working in primary care or GP practice settings Knowledge of local community services and VCSE sector Experience of social prescribing or care navigation Experience using NHS clinical systems
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.
Employer details Employer name Oakridge Park Medical Centre
Address Nexus MK PCN - Scorpio House
Rockingham Drive
Milton Keynes
MK14 6LY
United Kingdom
Employer's website https://www.oakridgeparkmedical.nhs.uk/ (Opens in a new tab)