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Social Prescribing Link Worker @ Morecambe Bay Primary Care Collaborative

GBOnsiteFull-timeJob reference B0160-26-0024
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About this role

Job summary

This is an exciting opportunity to join the Western Dales Primary Care Network as a Social Prescribing Link Worker, working directly with patients and helping to make a meaningful difference to their health, wellbeing and everyday lives.

Working across our communities in Sedbergh, Bentham and Kirkby Lonsdale, you will support people to explore what matters most to them, identify the challenges affecting their health and wellbeing, and connect them with the right support, opportunities and services.

Social prescribing is about seeing the whole person, not simply their health condition. You will have the time to listen, build trusted relationships and work alongside patients to identify their goals, build confidence and independence, and help them make positive and sustainable changes in their lives.

You will become part of our established personalised care team, working alongside other Social Prescribing Link Workers, Care Coordinators and Health and Wellbeing Coaches, as well as colleagues across our GP practices and wider community.

This is a varied and rewarding role for someone who enjoys working with people, building relationships and finding practical and creative ways to help. No two days will be the same, and the work you do has the potential to make a genuine difference to people living across the Western Dales.

Main duties of the job

The Social Prescribing Link Worker will work proactively with patients, GP practices, multidisciplinary teams and community organisations to provide personalised, practical and compassionate support. Key responsibilities will include:

Take referrals from clinicians and multi-disciplinary teams, and work closely with other PCN team colleagues to triage those patients and allocate to the most appropriate person

Discuss the persons needs with them, based on guidance from the referrer, and identify a range of options that could assist the person to improve their independence and health and wellbeing

Strengthen community and personal resilience, focusing on what matters to me and taking a holistic approach with each individual case

Co-produce a simple personalised care and support plan to improve health and wellbeing introducing or reconnecting people to community groups and statutory services

Manage and prioritise own caseload, in accordance with the needs

Have a strong awareness and understanding of when it is appropriate or necessary to refer people back to other health professionals/agencies, when the persons needs are beyond the scope of the link worker role e.g. when there is a need requiring a qualified practitioner

Identify new, and work in partnership with voluntary and statutory organisations.

About us

Western Dales Primary Care Network is a collaboration of three practices; Bentham Medical Practice, Lunesdale Surgery and Sedbergh Medical Practice with a combined population upwards of 20,000.

We are looking for a Social Prescribing Link Worker to work within a team of social prescribers, care coordinators and health and well-being coaches, developing relationships and personalised care plans to support patients in reaching their identified goals.

Job description Job responsibilities

Duties & Responsibilities

The Social Prescribing Link Worker will work proactively with patients, GP practices, multidisciplinary teams and community organisations to provide personalised, practical and compassionate support. Key responsibilities will include:

Take referrals from clinicians and multi disciplinary teams, and work closely with other PCN team colleagues to triage those patients and allocate to the most appropriate person

Discuss the persons needs with them, based on guidance from the referrer, and identify a range of options that could assist the person to improve their independence and health and wellbeing

Strengthen community and personal resilience, focusing on what matters to me and taking a holistic approach with each individual case

Co-produce a simple personalised care and support plan to improve health & wellbeing introducing or reconnecting people to community groups and statutory services

Manage and prioritise own caseload, in accordance with the needs

Have a strong awareness and understanding of when it is appropriate or necessary to refer people back to other health professionals and agencies, when the persons needs are beyond the scope of the link worker role e.g. when there is a need requiring a qualified practitioner

Identify new, and work in partnership with voluntary and statutory organisations

Understand the barriers and opportunities for people to self manage their conditions in the community

Have a role in educating clinical and non clinical staff within their PCN multi disciplinary teams on what other services are available within the community and how and when people can access them

Be responsible to undertake continual personal and professional development, attend regular clinical supervision and study days. Take an active part in reviewing and developing the roles and responsibilities

Network with other local Social Prescribing Link Workers and where possible form mutual support

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

To promote the development of those working within the PCN team. Actively participate in regular co supervision of peers organise and attend regular team meetings.

Key Tasks:

Promote social prescribing, its role in self management and the wider determinants of health

As part of the PCN multi-disciplinary team, attend relevant MDT Network meetings, providing information and feedback on social prescribing on request

Be proactive in encouraging self referrals and connecting with all local communities, particularly those communities that support groups may find hard to reach

Identify and work with charitable and volunteer organisations, promoting their services to your patients as well as advising practice staff on the support available

Be a friendly source of information about well being 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

Seek advice and support from relevant GPs to discuss people-related concerns (e.g. abuse, domestic violence and support with mental health), escalating the support back to the GP or other suitable health professional if required

Work with the PCN Digital & Transformation Lead, GP Federation, commissioners and local partners to identify unmet needs within the community and gaps in community provision

Where possible, encourage people, their families and carers to provide peer support and to do things together, such as setting up new community groups or volunteering

The SPLW will be expected to keep accurate and up to date records on relevant health and social care systems

The SPLW will gather record and collate data, including case studies, in a prescribed format in order to demonstrate the impact of the service

Undertake and 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

All staff have an individual responsibility to comply with the organisations policies and practices.

Duties will vary from time to time under the direction of the clinical director and network management leads, in agreement with the post holder, dependent on current and evolving practice workload and staffing levels.

Recruitment Process

Shortlisted candidates will be invited to attend a 30 to 45 minute interview.

Candidates progressing to the next stage will also be invited to take part in a short informal meet and engage exercise, designed to help us understand how they communicate, build rapport and interact with others in a community setting.

Further details about the exercise will be provided to candidates in advance of the second stage.

Please call Abi, PCN Manager on 07825987927 if you would like to chat further about the role or recruitment process

Person Specification

Experience Essential

Experience of working directly in a community development context, adult health and social care, learning support or public health and health improvement (including unpaid work) Experience of supporting people, their families and carers in a related role (including unpaid work)

Desirable

Experience of supporting people in the creation of Personalised Care Plans, and supporting the implementation of their Care Plans 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 providing monitoring information to assess the impact of services Experience of partnership and collaborative working and of building relationships across a variety of organisations

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 Knowledge of IT systems, EMIS clinical system, ability to use word processing skills, emails and the internet to create simple plans and reports

Desirable

Knowledge of motivational coaching and interview skills Knowledge of VCSE and community services in the locality and community development approaches

Qualifications Essential

NVQ Level 3 Advanced level or equivalent qualifications or working towards Demonstrable commitment to professional and personal development

Desirable

Training in motivational coaching and interviewing or equivalent experience

Other Essential

Meets DBS reference standards and has a clear criminal record, in line with the law on spent convictions Willingness to work flexible hours when required to meet work demands 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.

Employer details Employer name Morecambe Bay Primary Care Collaborative

Address Lunesdale Surgery

Wellington Court

Kirkby Lonsdale

LA6 2HQ

United Kingdom

Employer's website https://mbpcc.co.uk/ (Opens in a new tab)

Skills

PermanentHealthcareNHS

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