Social Prescriber (Frailty) - Havering Liberty PCN

post holder will support older people living with frailty to live longer,

healthier lives. They will work closely with Liberty PCNs five GP practices,

the wider PCN team, the local authority, including social care and housing, and

Voluntary Community and Social Enterprise

organisations to ensure individuals receive appropriate, coordinated

support.

Frailty Social Prescriber will assist patients whose care is coordinated by the

PCN Aligned Community Team (PACT). PACT serves as a single point of contact for

individuals and carers, coordinating the provision of comprehensive, integrated

care in collaboration with other services and professionals, such as specialist

community teams, social prescribers, voluntary sector organisations, and

primary care. The responsibility of the Frailty Social Prescriber is to develop

an understanding of services that can support patients and carers from a

holistic perspective.

The post holder will work with individuals from various cultural

and social backgrounds. The ability to perform effectively in a diverse and

occasionally demanding environment is required.

We do not provide visa sponsorship

post holder will support older people living with frailty to live longer,

healthier lives. They will work closely with Liberty PCNs five GP practices,

the wider PCN team, the local authority, including social care and housing, and

Voluntary Community and Social Enterprise

organisations to ensure individuals receive appropriate, coordinated

support.

Frailty Social Prescriber will assist patients whose care is coordinated by the

PCN Aligned Community Team (PACT). PACT serves as a single point of contact for

individuals and carers, coordinating the provision of comprehensive, integrated

care in collaboration with other services and professionals, such as specialist

community teams, social prescribers, voluntary sector organisations, and

primary care. The responsibility of the Frailty Social Prescriber is to develop

an understanding of services that can support patients and carers from a

holistic perspective.

The post holder will work with individuals from various cultural

and social backgrounds. The ability to perform effectively in a diverse and

occasionally demanding environment is required.

Training and support

The successful candidate will have excellent

interpersonal and communication skills, strong organisational abilities,

patience and empathy. They should have substantial

experience as a social prescriber, having worked in health, social care, or the

voluntary, community and social enterprise sector, with at least two years of

direct engagement with individuals, families, or carers.

The post holder will be supported in their training and professional

development by peer social prescribers, line manager and clinical

supervisor. The post holder will be

encouraged to attend any training courses that are relevant to the role.

Build a robust knowledge of health, social and third sector

provision available within Havering and surrounding areas.

Promote social prescribing, its role in self-management, and the

wider determinants of health.

Build relationships with key staff in GP practices within Liberty

PCN. Attend relevant meetings and

integrate as part of the wider network team, providing information and feedback

on social prescribing matters.

Work proactively to develop strong links with all local agencies

to encourage referrals, to recognise services requirements and enable

confident approach to making referrals.

Work in partnership with all local agencies to raise awareness of

social prescribing and demonstrate how partnership working can reduce pressure

on statutory services, improve health outcomes and enable a holistic approach

to care.

Provide referring agencies with regular updates relating to social

prescribing and include training for their staff to promote effective access to

information and encourage appropriate referrals.

Work proactively in encouraging self-referrals and connecting with

all local communities, particularly those communities that statutory agencies

may find hard to reach.

Build relationships with patients, their families and carers. Meet people on a one-to-one basis,

undertaking home visits where appropriate within organisations policies and

procedures or consulting via the telephone giving people time to tell their

stories and focus on what matters to me?

Build trust with the person, providing non-judgmental support,

respecting diversity and lifestyle choices.

Anticipate barriers to communication.

Be a friendly source of information about wellbeing and prevention

approaches.

Help people identify the wider issues that impact on their health

and wellbeing, such as debt, poor housing, being unemployed, loneliness and

caring.

Communicate effectively with patients, families and carers

recognising the need for alternative communication methods of communication to

overcome different levels of understanding, cultural background and preferred

ways of communicating.

Help people maintain or regain independence through living skills,

adaptations, enablement approaches and simple safeguards.

Work with individuals to co-produce a simple personalised support

plan; based on the persons priorities, interests, values and motivations,

including what they can expect from the groups, activities and services they

are being connected to and what the person can do for themselves to improve

their health and wellbeing.

Where appropriate, physically introduce people to community

groups, activities and statutory services, ensuring they are comfortable.

Provide follow-up to ensure that they are happy, engaged, included and

receiving good support.

Where

required and as appropriate, refer patients back to other health professionals

within the PCN.

Produce accurate records of patient contact, consistent with

legislation, policies and procedures.

Work closely with GP practices within the PCN to ensure that

social prescribing referral codes are input into 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 apply legal issues that support the identification

of vulnerable and abused children and adults and be aware of statutory

child/vulnerable patients health procedures and local guidance.

Work as part of the team to seek feedback, continually improve the

service and contribute to business planning.

Undertake any tasks consistent with the level of the post and the

scope of the role, ensuring that work is delivered in a timely and effective

manner.

Duties may vary from

time to time, without changing the general character of the post or the level

of responsibility.

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.

Collaborative working relationships

Works within the primary care

team, contributing to leadership of service evaluation and research to promote

quality improvement activity.

Collaborates with

multi-disciplinary PCN team

We are a collaborative neighbourhood

healthcare network of five General Practices serving the population with an

extended multi-disciplinary team seeking to provide accessible,

patient-centred, and high-quality primary care services that promote the health

and well-being of our community and our workforce.

The PCN supports numerous innovative

projects, looking to improve the health and well-being of our community, e.g. Social

Prescriber projects supporting High Intensity Users, bereaved family/friends of

recently deceased patients and identifying carers to complete welfare checks.

Leadership Team of Havering Liberty PCN is headed by the Clinical Director. This

team includes the Strategy and Transformation Manager and the PCN Operations

Manager and Digital Facilitator working in collaboration with Leads for each

practice within the PCN. The PCN receives support from Havering Health Ltd, its

GP Federation, which employs the PCN workforce. The GP Federation plays a

crucial role in providing innovative, high-quality, and responsible healthcare

services to the residents of Havering.

Knowledge and Skill

Desirable: - Advanced level IT skills

Experience

Desirable: - Working in an NHS environment; - Experience of using EMIS

Other

Essential: - Able to travel efficiently throughout the area of Havering Liberty PCN; - Commitment to continuing professional development

Desirable: - Standard driving skills and access to own vehicle for work purposes

Qualifications

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

Demonstration of PCN Values