PCN Social Prescriber

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.

The PCN Social

prescriber will review all referrals and allocate appropriate referrals

Hold own case

load of complex cases

Introduce or

coordinate an appropriate group support session

Make referrals

directly to external providers e.g., DWP, VSC, Help Hub Manage dedicated

Caseload of complex cases

Develop trusting

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

Support

individuals to identify the wider issues that impact their health and

Wellbeing, such as debt, poor housing, unemployment, isolation, and caring

Co-produce a

simple personalised care and support plan to improve health and wellbeing.

Where appropriate

introduce individuals to appropriate community groups, activities, and

statutory services, ensuring they feel comfortable, valued, and respected.

Hold 1-1

appointment with individuals at the most appropriate location to meet

individual needs, making home visits where appropriate within PCN policies and

procedures.

Work with

individuals their families and carers to maintain or regain independence

through living skills, adaptations, enablement, and simple safeguards.

Have an awareness

and understanding of when it is appropriate or necessary to refer individuals

back to other health professionals/agencies, when there are additional needs

such as mental health that requires a trained practitioner.

Where people are

eligible for a personal health budget, support them to explore this option as a

way of providing funding to enhance personalised support, to be independent and

gain skills for meaningful employment, where appropriate.

Seek advice and

support from the GP supervisor to discuss patient related concerns (e.g.,

abuse, domestic violence, and support with mental health) referring to the GP

or other suitable health professional. Support population health management

Projects

Work as part of

the PCN project team to pilot new ways of working in response to population

health data, delivering any aspect relating to social prescribing, and advising

on community and voluntary sector services that should be included in the

solution

Be proactive in

developing strong links with the PCN practice teams to encourage referrals and

raise awareness on what other services are available within the community and

how patients can access them

Expanding the

referral criteria to include wider agencies such as pharmacies, hospital

discharge teams, allied health professionals, fire service, job centres, social

care services, housing associations, VCSE organisations, the list is not

exhaustive.

Work in

partnership with all local agencies to educate and raise awareness of social

prescribing and how partnership working can reduce pressure on statutory

services.

Provide referral

agencies with regular updates about social prescribing, including training

their staff and how to access information, and seek their feedback

Be proactive in

encouraging equality and inclusion, through self-referrals and connecting with

all diverse local communities particularly those that statutory agencies may

find hard to reach.

Work with

commissioners and local partners to identify unmet diverse needs within the

community and gaps in community provision.

Encourage

individuals their families and carers to provide peer support and do things

together such as setting up new community groups or volunteering. Oversee the

data capture, reporting and evaluation for the service

By working

sensitively with individuals, their families, and carers, use a suitable

evaluation tool to capture key information to demonstrate the impact of social

prescribing on their health and wellbeing.

Encourage

individuals, their families, and carers to provide feedback and to share their

personal stories about the impact of social prescribing on their lives.

Work closely

within the multi-disciplinary team to ensure relevant data is captured

efficiently throughout the process and relevant reports are completed and

reviewed

Work as part of

the healthcare team to seek feedback and continually improve the service and

contribute to business planning Professional Development

Work with Clinical

Director and line manager to undertake continual personal and professional

development, taking an active part in reviewing and developing the roles and

Adhere to

organisational policies and procedures, including confidentiality,

safeguarding, lone working, information governance, equality, diversity and

inclusion training and health and safety.

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

Cygnet

PCN covers a large geographical area within the East Riding of Yorkshire. Our

network covers over 52,000 patients and is made up of the five following GP

Practices

Bartholomew Medical Group

Snaith & Rawcliffe Medical Group

Montague Medical Practice

Howden Medical Centre

Gilberdyke Health Centre

Our

network comprises of a range of roles from Clinical Director to Care

Co-ordinator.

PCN's build on existing primary care services and enable greater

provision of proactive, personalised, coordinated and more integrated health

and social care for people close to home. Our PCN are proactively providing

care and services for the people and communities we serve.

New

roles are being introduced to the network as we are expanding into different

areas of Healthcare.

The

network provides a single point of access for the nursing, residential and

learning disability homes in the area.

All

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

Experience

Other

Skills & Knowledge

Personal Qualities & Attirbutes