GP Social Prescriber Link Worker

• Provide personalised, person-centred support to patients, helping them identify their needs, goals and priorities.
• Connect patients with appropriate community services, voluntary organisations, local activities and other sources of support.
• Develop and review personalised care and support plans, encouraging patients to build confidence and independence.
• Work collaboratively with GPs, healthcare professionals, families, carers and community organisations.
• Support patients with social, emotional, practical and wellbeing-related challenges that may affect their health.
• Promote social prescribing and strengthen links between primary care and local community services.
• Maintain accurate, confidential records and monitor outcomes to demonstrate the impact of support provided.
• Help identify and address barriers to accessing services, contributing to reducing health inequalities.
• Participate in multidisciplinary team meetings, training and service development activities.

• Undertake holistic assessments with patients to identify their social, emotional, practical and wellbeing needs.
• Work with patients to co-produce personalised support plans based on their individual priorities, interests, strengths, values and goals.
• Provide information, advice and signposting to relevant local, regional and national services, community groups and activities.
• Connect patients with appropriate support relating to mental wellbeing, social isolation, physical activity, employment, housing, financial difficulties, caring responsibilities and other wider determinants of health.
• Support patients to overcome barriers to accessing services and encourage confidence, independence and self-management.
• Provide continuity of support throughout the social prescribing journey, including appropriate follow-up to review progress and outcomes.
• Where appropriate, accompany patients to community services or activities where this is necessary to support engagement.
• Encourage patients to identify practical steps they can take to improve their own health and wellbeing.

• Promote self-referral and actively engage with local communities to improve awareness and accessibility of the service.
• Support people who may benefit from social prescribing, including those with mild to moderate anxiety, depression or low mood, long-term conditions, frequent healthcare use or wider non-clinical support needs.
• Participate in multidisciplinary team meetings and contribute social prescribing solutions for patients with complex needs.
• Provide appropriate feedback to referral agencies regarding patient progress, engagement and outcomes while maintaining confidentiality.
• Attend relevant meetings, community events, stalls and exhibitions to promote social prescribing and strengthen local partnerships.

• Maintain up-to-date knowledge of local services, groups, activities and support available to patients.
• Maintain accurate information on relevant services using internal systems and local information portals.
• Identify gaps or barriers within local provision and share relevant information with colleagues and partner organisations.
• Facilitate effective links between primary care, secondary care, community health services and voluntary and community organisations.
• Promote volunteering and community participation as opportunities to improve wellbeing, confidence, skills and social connection.

• Ensure social prescribing activity and appropriate coding are recorded accurately on clinical systems in line with current NHS guidance.
• Provide monitoring information, outcomes and case studies as required by the Practice Manager.
• Seek and respond to feedback from patients, referral agencies and partner organisations to improve the quality and effectiveness of the service.
• Participate in audit, evaluation, service development and quality improvement activities.
• Attend regular team meetings, supervision and clinical supervision where appropriate.
• Complete statutory, mandatory and role-specific training and maintain ongoing professional development.

• Following practice Health and Safety and Infection Prevention and Control policies.
• Identifying and reporting hazards, risks and safety concerns.
• Using appropriate infection prevention and control procedures.
• Maintaining a clean, safe and organised working environment.
• Completing required health and safety and infection control training.
• Taking reasonable care of their own health and safety and that of others affected by their work.

• Work within the limits of their role, skills and professional competence.
• Communicate effectively with patients, carers, colleagues and partner organisations.
• Manage their workload, time and resources effectively.
• Seek advice, support and supervision when required.
• Contribute to audit, quality improvement and service development.
• Reflect on their practice and participate in ongoing learning and professional development.
• Maintain professional boundaries and uphold the values and standards of the practice.
• Work collaboratively as part of the multidisciplinary team and with external partners.
• Comply with practice policies, procedures, relevant legislation and NHS guidance.

Essential

• Experience working in community development, adult health and social care, learning support or public health/health improvement, including voluntary experience.
• Experience supporting individuals, families and carers in a relevant role.
• Experience supporting people with mental health and wellbeing needs.
• Experience working with the voluntary, community and social enterprise (VCSE) sector, including volunteers and small community groups.
• Experience collecting data and using tools to monitor and demonstrate service impact.
• Ability to work flexibly, both independently and as part of a team.
• Understanding of confidentiality, safeguarding, lone working, information governance and health and safety procedures.
• Ability to recognise when a persons needs are outside the scope of the role and require referral or escalation to an appropriate health professional or agency.
• Good understanding of professional boundaries and the importance of working within the limits of the role.

Desirable

• Experience working in a GP Practice
• Excellent listening and empathy skills, with a person-centred and non-judgemental approach.
• Culturally sensitive and respectful of diverse backgrounds, lifestyles and communities.
• Commitment to reducing health inequalities and engaging with under-represented communities.
• Ability to build trust, motivate and empower people to achieve their goals and make positive changes.
• Skilled in motivational coaching, adapting support to individual needs, confidence and health literacy.
• Excellent verbal and written communication skills, with the ability to adapt communication to different audiences.
• Strong partnership-working skills, with the ability to build effective relationships across healthcare, VCSE and community organisations.
• Creative and collaborative approach to identifying solutions to individual and community needs.
• Ability to work effectively both independently and as part of a multidisciplinary team.
• Demonstrates personal accountability, resilience and the ability to remain effective under pressure.

Essential

• NVQ Level 3, Advanced level or equivalent qualifications or working towards
• Is enrolled in, undertaking or qualified from appropriate training as set out by the Personalised Care Institute
• Demonstrable commitment to professional and personal development