PCN Social Prescriber

Cygnet PCN; Brough, Goole; On-site; GBP 25,000 - 35,000; Full time

Job summary

A community health service provider in the UK seeks a Social Prescriber to support individuals in managing their health and well-being. The role focuses on building trusting relationships, developing personalized care plans, and connecting individuals to local services and groups. Candidates should have experience in community health or social care and demonstrate a proactive approach to improving health outcomes. The position can be full-time or part-time, offering a dynamic and rewarding work environment.

Qualifications

• Experience working in community health or social care.
• Experience supporting individuals with complex needs.
• Ability to maintain effective working relationships.

Responsibilities

• Hold and manage a caseload of complex cases.
• Develop personalized care and support plans.
• Work closely with local agencies and community groups.

Skills

Community development experience

Data collection skills

Understanding of health determinants

IT systems knowledge

Effective communication

Job description

We are looking for a full time or part time Social Prescriber to join our growing team. The applicant need 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. 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

CygnetPCN covers a large geographical area within the East Riding of Yorkshire. Ournetwork covers over 52,000 patients and is made up of the five following GPPractices:

Bartholomew Medical Group

Snaith & Rawcliffe Medical Group

Montague Medical Practice

Howden Medical Centre

Ournetwork comprises of a range of roles from Clinical Director to CareCo-ordinator.

PCN's build on existing primary care services and enable greaterprovision of proactive, personalised, coordinated and more integrated healthand social care for people close to home. Our PCN are proactively providingcare and services for the people and communities we serve.

Newroles are being introduced to the network as we are expanding into differentareas of Healthcare.

Thenetwork provides a single point of access for the nursing, residential andlearning disability homes in the area.

Allour team are passionate and committed to making a difference to patient care.

Job responsibilities

The PCN Socialprescriber will review all referrals and allocate appropriate referrals

Hold own caseload of complex cases

Introduce orcoordinate an appropriate group support session

Make referralsdirectly to external providers e.g., DWP, VSC, Help Hub Manage dedicatedcaseload of complex cases:

Develop trustingrelationships, giving individuals time and focus on what matters to them.

Supportindividuals to identify the wider issues that impact their health andWellbeing, such as debt, poor housing, unemployment, isolation, and caringresponsibilities.

Co-produce asimple personalised care and support plan to improve health and wellbeing.

Where appropriateintroduce individuals to appropriate community groups, activities, andstatutory services, ensuring they feel comfortable, valued, and respected.

Hold 1-1appointment with individuals at the most appropriate location to meetindividual needs, making home visits where appropriate within PCN policies andprocedures.

Work withindividuals their families and carers to maintain or regain independencethrough living skills, adaptations, enablement, and simple safeguards.

Have an awarenessand understanding of when it is appropriate or necessary to refer individualsback to other health professionals/agencies, when there are additional needssuch as mental health that requires a trained practitioner.

Where people areeligible for a personal health budget, support them to explore this option as away of providing funding to enhance personalised support, to be independent andgain skills for meaningful employment, where appropriate.

Seek advice andsupport from the GP supervisor to discuss patient related concerns (e.g.,abuse, domestic violence, and support with mental health) referring to the GPor other suitable health professional. Support population health managementprojects:

Work as part ofthe PCN project team to pilot new ways of working in response to populationhealth data, delivering any aspect relating to social prescribing, and advisingon community and voluntary sector services that should be included in thesolution

Be proactive indeveloping strong links with the PCN practice teams to encourage referrals andraise awareness on what other services are available within the community andhow patients can access them

Expanding thereferral criteria to include wider agencies such as pharmacies, hospitaldischarge teams, allied health professionals, fire service, job centres, socialcare services, housing associations, VCSE organisations, the list is notexhaustive.

Work inpartnership with all local agencies to educate and raise awareness of socialprescribing and how partnership working can reduce pressure on statutoryservices.

Provide referralagencies with regular updates about social prescribing, including trainingtheir staff and how to access information, and seek their feedback

Be proactive inencouraging equality and inclusion, through self-referrals and connecting withall diverse local communities particularly those that statutory agencies mayfind hard to reach.

Work withcommissioners and local partners to identify unmet diverse needs within thecommunity and gaps in community provision.

Encourageindividuals their families and carers to provide peer support and do thingstogether such as setting up new community groups or volunteering. Oversee thedata capture, reporting and evaluation for the service

By workingsensitively with individuals, their families, and carers, use a suitableevaluation tool to capture key information to demonstrate the impact of socialprescribing on their health and wellbeing.

Encourageindividuals, their families, and carers to provide feedback and to share theirpersonal stories about the impact of social prescribing on their lives.

Work closelywithin the multi-disciplinary team to ensure relevant data is capturedefficiently throughout the process and relevant reports are completed andreviewed

Work as part ofthe healthcare team to seek feedback and continually improve the service andcontribute to business planning Professional Development

Work with ClinicalDirector and line manager to undertake continual personal and professionaldevelopment, taking an active part in reviewing and developing the roles andresponsibilities

Adhere toorganisational policies and procedures, including confidentiality,safeguarding, lone working, information governance, equality, diversity andinclusion training and health and safety.

Elements of this role will include projects with patients and their carers suffering from Dementia.

Person Specification

Experience

• 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

• 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

• 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

• 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.