Social Prescriber (Frailty) - Havering Liberty PCN

Integrated Care System; Romford; On-site; GBP 28,000 - 32,000; Full time

Job summary

An integrated care system in Romford is seeking a dedicated Social Prescriber to actively support older adults navigating frailty and complex needs. The role involves forging connections with various community services and developing personalized care plans to enhance well-being. Applicants should possess strong interpersonal and communication skills, with a minimum of two years' experience as a social prescriber in a multidisciplinary environment.

Qualifications

• Minimum of 2 years experience as a social prescriber.
• Experience working in multi-professional teams.
• Ability to handle sensitive and confidential information.

Responsibilities

• Support older individuals living with frailty to achieve healthier lives.
• Collaborate with community groups, social care, and healthcare professionals.
• Build trust and provide personalized care plans based on individuals' needs.

Skills

Interpersonal skills

Communication skills

Organizational skills

Team player

IT skills

Education

NVQ level 2 or equivalent literacy and numeracy

Tools

EMIS

Job description

Social Prescriber (Frailty) - Havering Liberty PCN

Are you motivated with excellent organisation and communicationskills? Do you want to make a differenceto support people to live longer and healthier lives? Do you have an interest in frailty?

Havering Liberty Primary Care Network is looking toappoint a Social Prescriber who has an interest in working with olderindividuals living with frailty or complex needs to live longer and healthierlives.

Main duties of the job

The post holder will be part of an already established SocialPrescribing team who support adults, children and young people. The addition of a Frailty Social Prescriberwill support the PCN-Aligned Community Team (PACT) who consist of two AdvancedClinical Practitioners and a Care Coordinator who complete home visits to proactively undertake comprehensive geriatric assessment to identifyholistic needs and develop high quality, personalised, anticipatory care topromote rehabilitation and prevent deterioration. The Frailty Social Prescriber is to develop an understanding ofservices that can support these patients and carers from a holistic perspectiveand work with the multidisciplinary PCN team, GP practices, community andvoluntary services to support the needs of the patients, families and carers.

About us

Havering Liberty Primary Care Network

We are a collaborative neighbourhoodhealthcare network of five General Practices serving the population with anextended multi-disciplinary team seeking to provide accessible,patient-centred, and high-quality primary care services that promote the healthand well-being of our community and our workforce.

The PCN supports numerous innovativeprojects, looking to improve the health and well-being of our community, e.g. SocialPrescriber projects supporting High Intensity Users, bereaved family/friends ofrecently deceased patients and identifying carers to complete welfare checks.

The Leadership Team of Havering Liberty PCN is headed by theClinical Director. This team includes the Strategy and Transformation Managerand the PCN Operations Manager and Digital Facilitator working in collaborationwith Leads for each practice within the PCN. The PCN receives support fromHavering Health Ltd, its GP Federation, which employs the PCN workforce. The GPFederation plays a crucial role in providing innovative, high-quality, andresponsible healthcare services to the residents of Havering.

Job responsibilities

JOBSUMMARY

The post holder will play a crucial role in actively supportingolder, individuals living with frailty to achieve longer and healthier lives.They will collaborate closely with community groups and services such as socialcare, housing associations, voluntary organisations, community and socialenterprises (VCSE), as well as general practitioners and multidisciplinaryteams within the Primary Care Network (PCN) to ensure that appropriate supportis provided to these individuals.

TheFrailty Social Prescriber will assist patients whose care is coordinated by thePCN Aligned Community Team (PACT). PACT serves as a single point of contact forindividuals and carers, coordinating the provision of comprehensive, integratedcare in collaboration with other services and professionals, such as specialistcommunity teams, social prescribers, voluntary sector organisations, andprimary care. The responsibility of the Frailty Social Prescriber is to developan understanding of services that can support patients and carers from aholistic perspective.

The post holder will work with individuals from various culturaland social backgrounds. The ability to perform effectively in a diverse andoccasionally demanding environment is required.

Training and support

Theideal candidate will possess exceptional interpersonal and communicationskills, coupled with strong organisational abilities, patience, and empathy.They should have substantial experience as a social prescriber, having workedin health, social care, or the voluntary, community, and social enterprise(VCSE) sector, with at least two years of direct engagement with individuals,families, or carers.

The post holder will be fully supported in their training andprofessional development. From theoutset you will be inducted into the role with full support of your colleagues,line manager and clinical supervisor. Thepost holder will be encouraged to attend any training courses that are relevantto the role.

Key Responsibilities

Service Delivery

Build a robustknowledge of health, social and third sector provision available withinHavering and surrounding areas.

Promote socialprescribing, its role in self-management, and the wider determinants of health.

Build relationshipswith key staff in GP practices within Liberty PCN. Attend relevant meetings and integrate aspart of the wider network team, providing information and feedback on socialprescribing matters.

Work proactively todevelop strong links with all local agencies to encourage referrals, torecognise their requirements and enable confident approach to making referrals.

Work in partnershipwith all local agencies to raise awareness of social prescribing anddemonstrate how partnership working can reduce pressure on statutory services,improve health outcomes and enable a holistic approach to care.

Provide referralagencies with regular updates relating to social prescribing and includetraining for their staff to promote effective access to information andencourage appropriate referrals.

Work proactively inencouraging self-referrals and connecting with all local communities,particularly those communities that statutory agencies may find hard to reach.

Personalised Care and Support

Build relationshipswith patients, their families and carers.Meet people on a one-to-one basis, undertaking home visits whereappropriate within organisations policies and procedures or consulting via thetelephone giving people time to tell their stories and focus on what mattersto me.

Build trust with theperson, providing non-judgmental support, respecting diversity and lifestylechoices.

Anticipate barriers tocommunication.

Be a friendly sourceof information about wellbeing and prevention approaches.

Help people identifythe wider issues that impact on their health and wellbeing, such as debt, poorhousing, being unemployed, loneliness and caring.

Communicateeffectively with patients, families and carers recognising the need foralternative communication methods of communication to overcome different levelsof understanding, cultural background and preferred ways of communicating.

Help people maintainor regain independence through living skills, adaptations, enablementapproaches and simple safeguards.

Work with individualsto co-produce a simple personalised support plan; based on the personspriorities, interests, values and motivations, including what they can expectfrom the groups, activities and services they are being connected to and whatthe person can do for themselves to improve their health and wellbeing.

Where appropriate,physically introduce people to community groups, activities and statutoryservices, ensuring they are comfortable. Provide follow-up to ensure that theyare happy, engaged, included and receiving good support.

Whererequired and as appropriate, refer patients back to other health professionalswithin the PCN.

General Tasks

Produce accuraterecords of patient contact, consistent with legislation, policies andprocedures.

Work closely with GPpractices within the PCN to ensure that social prescribing referral codes are inputinto the clinical system and that the persons use of the NHS can be tracked,adhering to data protection legislation and data sharing agreements.

Understand and applylegal issues that support the identification of vulnerable and abused childrenand adults and be aware of statutory child/vulnerable patients healthprocedures and local guidance.

Work as part of theteam to seek feedback, continually improve the service and contribute tobusiness planning.

Undertake any tasksconsistent with the level of the post and the scope of the role, ensuring that workis delivered in a timely and effective manner.

Duties may vary from time to time, without changing the generalcharacter of the post or the level of responsibility.

Disclosure and Barring Service Check

Thispost is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975and as such it will be necessary for a submission for Disclosure to be made tothe Disclosure and Barring Service (formerly known as CRB) to check for anyprevious criminal convictions.

Collaborative working relationships

Workswithin the primary care team, contributing to leadership of service evaluationand research to promote quality improvement activity.

Collaborateswith multi-disciplinary PCN team

Usehealthcare technologies to optimise service delivery, patients access, andcontinuity of care

Management

Demonstratesunderstanding of the implications of national priorities for the team and/orservice.

Usesresources effectively to manage patient treatment in line with local guidanceand makes recommendations for changes where improvements can be made.

Followsprofessional and organisational policies

Education, learning and development

Itis the responsibility of the employee to comply with all organisational andstatutory requirements (eg. health and safety, infection control, equality anddiversity, confidentiality, safeguarding adults and children, informationgovernance).

Engagesin annual appraisal, developing objectives to inform a Personal DevelopmentPlan, which may include 360-degree appraisal and use of patient feedback.

Participatein teaching and training of medical, nursing, and all other practice staff.

Supportsthe practice staff and responds to requests for advice and assistance.

Completeall mandatory and statutory training required by the role.

Takeresponsibility for personal development, learning and performance and maintaineducation through attendance on any courses and/or study days necessary toensure that professional development requirements are met.

Undertakingadditional training where necessary to provide enhanced services andparticipate in training programmes implemented by the PCN/practices as part ofthis employment.

Understandsand demonstrates the characteristics of a role model to members in the teamand/or service.

Demonstratesan understanding of current educational policies relevant to working areas ofpractice and keeps up to date with relevant clinical practice.

Quality

Under supervision and support of GPs in the practice, thepost-holder will strive to maintain quality within the practices, and will:

Participatingin clinical governance activity and contribute to the improvement in quality ofhealth outcomes through audit, risk management and Quality Improvement

Alertsother team members to concerns about risk, quality, and safety

Participatesin investigation of incidents and events as required

Identifies,applies, and disseminates research findings relating to own practice

Collectsdata for audit purposes and uses clinical audit to monitor quality in theservice

Contributesto the effectiveness of the team by reflecting on own and team activities andmaking suggestions on ways to improve and enhance the teams performance

Workseffectively with individuals in other agencies to meet patients needs

Effectivelymanages own time, workload, and resources

Meetstimescales/deadlines for audits and written returns to ensure that the Practicemeets quality standards and receives the designated funding.

Person Specification

Knowledge

• NHS Priorities and Issues
• Good working knowledge of Outlook, Word, Excel, Power point, Access
• Update and maintain efficient administration systems
• Maintain confidentiality/data protection
• Able to analyse systems to improve services

Qualifications

• NVQ level 2 or Grade A-C equivalent standard of literacy and numeracy

Experience

• Working in the role of a social prescriber for a minimum of 2 years
• Working in a multi-professional team environment.
• Handling sensitive and confidential information
• Working in an NHS environment
• Experience of using EMIS

Other

• Able to travel efficiently throughout the area of Havering Liberty PCN
• Commitment to continuing professional development
• Standard driving skills and access to own vehicle for work purposes

Skills

• Establish and maintain good working relationships
• Excellent interpersonal skills
• Team Player
• Clear communication skills including excellent writing, data entry and presentation skills
• Able to construct and deliver clear information/instructions to others
• Able to multi-task
• Able to work without supervision and use own initiative
• Organise and prioritise own workload
• competency sufficient to
• communicate effectively with all staff and clients
• Demonstrates attention to detail, accuracy and numeracy skills
• Advanced level IT skills

Demonstration of PCN Values

• Patient centred care and health equity
• Sustainability and efficiency
• Collaboration and team working
• Quality and excellence
• Inclusivity and respect
• Accountability and integrity

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.

£28,000 to £32,000 a yearInclusive and dependent on experience.