About this role
Job summary
The post holder will work as an employee of IMP Primary Care Network.
The post holder will act as high intensity use lead working with people with high intensity use of healthcare, through direct contact with the client group, seek to create a connection and discover and address any underlying reasons (social or emotional) that may be contributing to elevated health care contacts. This will deliver measurable improved outcomes for the benefit of clients, staff, and the community.
Main duties of the job
The main focus includes unmet social needs that present as medical or mental health episodes to A&E. Other reasons why HIU individuals attend healthcare more than expected include, homelessness, individuals who self-harm, and medical, social presentations. They may not be accessing scheduled services and therefore rely heavily on unscheduled services. The ability to connect with others is pivotal to this role, actively listening and working together to underpin changes the client needs support with rather than resorting to punitive measures.
About us
IMP PCN is a collaborative network of nine GP practices serving North Lincoln and the surrounding villages, providing joined-up primary care services to a population of approximately 75,000 patients. The network brings practices together to deliver integrated, proactive care closer to home while improving access, population health outcomes and the sustainability of general practice services.
Members practices include, Abbey Medical Practice, Cliff House Medical Practice, Glebe Park Surgery, Lindum Medical Practice, Minster Medical Practice, The Ingham Surgery, Nettleham Medical Practice, Welton Family Health Centre and Willingham by Stow surgery.
Job description Job responsibilities
To provide holistic one to one person centred support for people aged 18 and over who have high dependency on emergency services and who are frequent visitors/ callers of A&E, the Urgent Care Centre and East Midlands Ambulance Service.
Carry out the role of a facilitator, broker, sign poster, community connector and navigator, acting as an enabler between the voluntary and community sector, patients, GPs and health clinicians, and social care.
Provide support to patients, generally in their own homes, up to 3-4 months to help direct and connect them to alternative sources of non-medical support services and activities.
Offer a personalised approach to sensitively uncover the real reasons for them calling 999 or presenting frequently at A&E/UCC.
During client visits undertake an assessment to gather baseline data and to identify the support needs and actions. Generating personalised care and support or wellbeing plans, which may include risk management.
Ensure support actions agreed with the patient are carried out by the service. Support areas could include making referrals into a range of services provided by the voluntary, statutory or private sector, help with non-means tested benefit form filling e.g. Personal Independent Payments, Attendance Allowance, housing forms etc, distributing food bank vouchers, identifying suitable volunteering opportunities, connecting people into peer to peer led activities, initially taking patients to services if their confidence is low etc.
Once support has been provided carry out a final assessment
To work and collaborate with the voluntary and community sector to help identify appropriate referral destinations and to explore opportunities to meet gaps in services and activities.
Keep abreast of a wide range of support services on offer in the voluntary and community sector through undertaking research, making connections with organisations and groups and by using a range of local online directories and Community Connectors.
Build and maintain positive relationships with a wide range of voluntary and community sector providers.
When gaps is services and activities are identified discuss and raise these with the team and if required liaise with voluntary organisations and Community Connector to help identify solutions.
To ensure effective record keeping and storage of patient data to demonstrate outputs and outcomes which is compliant with GDPR.
Ensure all patient records and actions are entered onto our record keeping systems.
Ensure GDPR requirements are adhered to in relation to data management.
When required, support in gathering any data required for working out cost savings to the wider health and social care sector as a result of the service interventions.
To actively contribute as a member of a well-established Neighbourhood team who support the most vulnerable in society.
Actively contribute to team meetings, away days, planning activities and reflective practice activities.
Share progress, learning and challenges within the existing Integrated Plus social prescribing team.
Share ideas about how the service could develop and evolve.
Adhere to all Lincolnshire CVS, Integrated Plus policies and procedures e.g. lone working, patient consent, information governance, and local governance policy and procedure
Person Specification
Experience Essential
No formal qualifications required but must have high emotional intelligence and resilience, be win-win negotiators and be brave enough to change the culture around high intensity use of services. Needs to shine and connect well in interviews to demonstrate these skills. It would be desirable for applicant to have experience in working in person centred roles, social prescribing and skills linked with some of our most vulnerable groups, housing, drug and alcohol etc or care and support co-ordination. Training Provided to support the role.
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 Imp Federation Ltd
Address Commerce House
Lincoln
LN2 4wj
United Kingdom
Employer's website http://imphealthcare.co.uk/ (Opens in a new tab)