Health & Wellbeing Practitioner

As the Health and Wellbeing Practitioner, you will play a central role in ensuring WE: Flourish delivers safe, effective and person-centred support across Erewash. You will provide leadership and oversight of the service, supporting referral management, triage, quality assurance, multidisciplinary working, complex case support and service development.

Working closely with GP practices, Social Prescribers, Adult Social Care, VCSE organisations and wider health and care partners, you will help ensure people receive the right support at the right time whilst maintaining a strong focus on quality, safety and outcomes.

single GP partnership providing core primary care services and support services

across its constituent practices. EHP is also the prime provider for services

delivered on behalf of Erewash Primary Care Network.

WE Flourish is a PCN-wide, non-emergency

health and wellbeing service for adults aged 18 and over whose health and

wellbeing are affected by appropriate social, emotional, practical, lifestyle

or wider non-medical factors.

The WE: Flourish Health and Wellbeing

Practitioner will act as Clinical and Service Manager, providing day-to-day

clinical and operational leadership for the EHP/PCN-employed WE: Flourish team.

The post holder will oversee the Single Point of Access (SPOA), support triage

and tier allocation, assure Quality Conversations, coordinate complex case

support and the weekly multidisciplinary meeting (MDM), and oversee outcome

monitoring and discharge processes across the pathway.

The role will help ensure that WE: Flourish

operates as a safe, coordinated and person-centred service for adults

registered with an Erewash PCN practice. Clinical supervision and clinical

decision-making are required; therefore, the post holder must hold an

appropriate registered clinical qualification.

At all times, the post holder will behave

professionally, promote high-quality person-centred support, provide safe

leadership and foster continual improvement across WE: Flourish, EHP and EPCN.

This job description is not intended to be

exhaustive. The post holder will carry out other duties that may reasonably be

required within the main purpose and level of the role, in response to changing

service needs.

Provide day-to-day clinical and

operational leadership for the PCN-employed WE: Flourish team, in line with

professional competence and registration requirements.

Oversee referral flow, tier

allocation, workload and waiting-list management, ensuring referrals are

reviewed through the SPOA and triaged within the service standard of three

working days; provide allocation support where risk, complexity or uncertainty

is identified.

Ensure people receive support

according to need and intervention intensity: Tier 1 navigation and supported

signposting; Tier 2 coaching, Social Prescribing or other supported

intervention; and Tier 3 Quality Conversation, complex support, case holding and

MDM discussion where required.

Provide line management,

clinical supervision where appropriately qualified, professional support and

day-to-day guidance to PCN-employed WE: Flourish roles.

Work closely with Erewash

Voluntary Action (EVA) so that its commissioned Social Prescribing capacity is

integrated into the WE: Flourish pathway, while recognising that EVA retains

employment and line-management responsibility for Social Prescribing staff.

Support quality assurance of

Quality Conversations, personalised support planning, case navigation and

follow-up.

Support the weekly MDM,

including preparation, case discussion, agreement of ownership and actions,

documentation, patient communication and follow-up, while maintaining each

practitioners and organisations professional responsibilities.

Maintain clear escalation

routes for acute mental health crisis, safeguarding concerns, clinical

concerns, requests for further senior clinical advice and operational concerns,

in line with the agreed pathway.

Support performance monitoring,

outcome reporting, patient feedback and evaluation.

Ensure consistent use of

approved SystmOne referral, triage, Quality Conversation, MDM outcome, caseload

and discharge documentation, with accurate coding and a clear audit trail.

Identify training needs and

support staff development across personalised care, risk management,

safeguarding, strengths-based conversations and health inequalities.

Support service development,

pathway refinement and reporting into PCN governance arrangements.

Promote WE: Flourish across

practices and partner organisations.

Monitor service risks and

support mitigations, including demand, capacity, pathway delays and

inconsistent patient experience.

Ensure the team works within

agreed role boundaries and escalation routes, particularly in relation to

clinical risk, mental health concerns and safeguarding.

Caseload,

Ensure case-holding

arrangements follow the service specification: open cases reviewed at least

every two weeks, normally held for no longer than three months, and

transferred, discharged or escalated appropriately.

Oversee implementation of

appointment confirmation, non-attendance, reassessment, transfer between tiers,

discharge and re-referral processes, including risk review before discharge

where safeguarding, vulnerability or significant concerns are known.

Support delivery across

PCN/practice and agreed community locations by telephone or face to face within

the service operating model.

Monitor referral volume, triage

and Quality Conversation waiting times, tier distribution, caseload,

case-holding duration, outcomes, re-referral, patient feedback, equity of

access and demand against workforce capacity.

and Relationships

Build effective working

relationships across primary care, mental health, adult social care, public

health, Social Prescribing, voluntary, community and social enterprise

organisations and community partners.

Communicate complex or

sensitive information clearly, compassionately and appropriately to people,

carers, staff, clinicians, managers and partner organisations.

Promote person-centred,

strengths-based and compassionate practice, focused on what matters to the

person.

Recognise and respond to the

effect of wider determinants of health, including housing, debt, isolation,

bereavement, unemployment, caring responsibilities and low confidence.

Support equitable access by

adapting communication and engagement approaches for people and communities who

experience barriers to care.

Manage competing priorities,

staff workflow and service risks, escalating concerns to the appropriate senior

colleague or service.

Standard keyboard and digital

skills are required.

Use of EHP and PCN IT systems,

including SystmOne.

Regular use of computer and

telephone systems, alongside face-to-face work in practice and community

settings.

Pathway Design Lead

PCN-employed WE: Flourish

delivery team

Erewash PCN Clinical Directors

and practice teams

EHP operational, data and

performance colleagues

Named safeguarding and senior

clinical escalation leads

Erewash Voluntary Action and

commissioned Social Prescribing staff

Community health and mental

health services

Health

Voluntary, community and social

enterprise organisations

Other health and care partners

involved in coordinated support

Maintain professional registration and

practise within professional competence, organisational policies, agreed

pathways and supervision arrangements. Recognise limits of competence and seek

advice or escalate concerns appropriately.

Maintain the confidentiality of

patient-identifiable, staff and organisational information. Information may

only be shared with authorised people and in accordance with organisational

policies, data protection requirements and local record-keeping standards.

and Safety

Promote and maintain personal and workplace

health, safety and security. Follow relevant policies and procedures, manage

risks appropriately, report hazards and incidents, and apply infection

prevention and control requirements within the scope of the role.

This is a unique opportunity to be part of an ambitious and innovative model that brings together healthcare, personalised care and community support to help people flourish.

The role offers the opportunity to make a lasting impact on individuals, communities and the future development of neighbourhood-based health and wellbeing support across Erewash.

If you are motivated by helping people live well, reducing health inequalities and leading a service that puts people at the heart of everything it does, we'd love to hear from you.

Join WE: Flourish and help people across Erewash live healthier, happier and more connected lives.

Erewash Health Partnership is committed to equality, diversity and inclusion and welcomes applications from all sections of the community.

Knowledge & Skills

Desirable: - Knowledge of health coaching, care coordination or case navigation

Personal Qualities

Other Requirements

Qualifications

Experience