About this role
Job summary
We are looking for a part time Social Prescriber (30 hours) to join our growing team. The applicant needs to be friendly, engaging, and empathetic individual to work within General Practice to support and empower people to take control of their health and wellbeing. Social Prescribers work 1:1 with people, focusing on what matters to me and building a trusting relationship with the person referred to them. We are building strong partnerships with Adult Social Care, Specialist Mental Health Services and both local and national charities. Together, our aim is to transform how we care and support our patients. They create a shared personalised support plan and connect people to local community groups, VCSE organisations and services. The role helps people to work on their health and wellbeing, improving health outcomes and addressing wider determinants of health, such as debt, poor housing and physical inactivity, as well as other lifestyle issues and low-level mental health concerns. This approach particularly helps people with long term conditions (including support for mental health), people who are lonely or isolated, or who have complex social needs which affect their wellbeing.
Main duties of the job
This role is perfect for you if you enjoy working with people, are a good listener, can think creatively and can make beneficial connections between people and organisations. You should be proactive in getting to know and support local community assets and should be motivated by helping people to become active and independent members of their local community. You should have experience of working positively with people facing complex social and emotional challenges, and some knowledge of solution-focused coaching approaches. You will be working with people from diverse cultural and social backgrounds and will need to work confidently and effectively in a diverse, and sometimes challenging environment. A problem-solving attitude and a natural curiosity about people and communities are an asset. You will be a team-player, and will learn quickly and on your own initiative.
About us
Cygnet PCN covers a large geographical area within the East Riding of Yorkshire. Our network covers over 52,000 patients and is made up of the five following GP Practices:
Bartholomew Medical Group
Snaith & Rawcliffe Medical Group
Montague Medical Practice
Howden Medical Centre
Gilberdyke Health Centre
Our network comprises of a range of roles from Clinical Director to Care Co-ordinator.
PCN's build on existing primary care services and enable greater provision of proactive, personalised, coordinated and more integrated health and social care for people close to home. Our PCN are proactively providing care and services for the people and communities we serve.
New roles are being introduced to the network as we are expanding into different areas of Healthcare.
The network provides a single point of access for the nursing, residential and learning disability homes in the area.
All our team are passionate and committed to making a difference to patient care.
Job description Job responsibilities
The PCN Social prescriber will review all referrals and allocate appropriate referrals
Hold own case load of complex cases
Introduce or coordinate an appropriate group support session
Make referrals directly to external providers e.g., DWP, VSC, Help Hub Manage dedicated caseload of complex cases:
Develop trusting relationships, giving individuals time and focus on what matters to them.
Support individuals to identify the wider issues that impact their health and Wellbeing, such as debt, poor housing, unemployment, isolation, and caring responsibilities.
Co-produce a simple personalised care and support plan to improve health and wellbeing.
Where appropriate introduce individuals to appropriate community groups, activities, and statutory services, ensuring they feel comfortable, valued, and respected.
Hold 1-1 appointment with individuals at the most appropriate location to meet individual needs, making home visits where appropriate within PCN policies and procedures.
Work with individuals their families and carers to maintain or regain independence through living skills, adaptations, enablement, and simple safeguards.
Have an awareness and understanding of when it is appropriate or necessary to refer individuals back to other health professionals/agencies, when there are additional needs such as mental health that requires a trained practitioner.
Where people are eligible for a personal health budget, support them to explore this option as a way of providing funding to enhance personalised support, to be independent and gain skills for meaningful employment, where appropriate.
Seek advice and support from the GP supervisor to discuss patient related concerns (e.g., abuse, domestic violence, and support with mental health) referring to the GP or other suitable health professional. Support population health management projects:
Work as part of the PCN project team to pilot new ways of working in response to population health data, delivering any aspect relating to social prescribing, and advising on community and voluntary sector services that should be included in the solution
Be proactive in developing strong links with the PCN practice teams to encourage referrals and raise awareness on what other services are available within the community and how patients can access them
Expanding the referral criteria to include wider agencies such as pharmacies, hospital discharge teams, allied health professionals, fire service, job centres, social care services, housing associations, VCSE organisations, the list is not exhaustive.
Work in partnership with all local agencies to educate and raise awareness of social prescribing and how partnership working can reduce pressure on statutory services.
Provide referral agencies with regular updates about social prescribing, including training their staff and how to access information, and seek their feedback
Be proactive in encouraging equality and inclusion, through self-referrals and connecting with all diverse local communities particularly those that statutory agencies may find hard to reach.
Work with commissioners and local partners to identify unmet diverse needs within the community and gaps in community provision.
Encourage individuals their families and carers to provide peer support and do things together such as setting up new community groups or volunteering. Oversee the data capture, reporting and evaluation for the service
By working sensitively with individuals, their families, and carers, use a suitable evaluation tool to capture key information to demonstrate the impact of social prescribing on their health and wellbeing.
Encourage individuals, their families, and carers to provide feedback and to share their personal stories about the impact of social prescribing on their lives.
Work closely within the multi-disciplinary team to ensure relevant data is captured efficiently throughout the process and relevant reports are completed and reviewed
Work as part of the healthcare team to seek feedback and continually improve the service and contribute to business planning Professional Development
Work with Clinical Director and line manager to undertake continual personal and professional development, taking an active part in reviewing and developing the roles and responsibilities
Adhere to organisational policies and procedures, including confidentiality, safeguarding, lone working, information governance, equality, diversity and inclusion training and health and safety.
Elements of this role will include projects with patients and their carers suffering from Dementia.
Person Specification
Experience Essential
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 data collection and using tools to measure the impact of services Experience of supporting individuals, their carers, and families Experience of leading a team; coordinating workload and troubleshooting issues
Other Essential
Meet DBS reference standards and criminal record checks Willingness to work flexible hours when required to meet work demands Access to own transport, ability to travel across the locality on a regular basis, including visiting individuals in their own homes Valid Full UK driving licence and business use insurance
Skills & Knowledge Essential
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 equality, diversity, and inclusion 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 & Attirbutes Essential
Ability to actively listen, empathise with people and provide person-centred support in a non-judgemental and culturally sensitive way Ability to communicate effectively, both verbally and in writing, with individuals, their families, carers, community groups, partner agencies and stakeholders Ability to Identify risk, assess and manage risk when working with individuals 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 find creative solutions to traditional barriers 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
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.
UK Registration
Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).
Employer details Employer name Cygnet PCN
Address Bartholomew Medical Group
Woodland Avenue
Goole
DN146RU
United Kingdom
Employer's website https://cygnetpcn.nhs.uk/ (Opens in a new tab)