Social Prescribing Link Worker/Care CoordinatorNHS
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Social prescribing empowers people to take control of their health and wellbeing through referral to link workers who take a holistic approach, connecting people to community groups and statutory services for practical and emotional support. In this role the link worker will support people with long-term conditions, and people with complex needs to access existing groups and support, ensuring that they get the right support to manage their health and well-being needs
Care Coordinators work closely with GPs and practice teams to ensure appropriate support is made available to patients and their carers. This is achieved by bringing together all the information about a person's identified care and support needs and exploring options to meet these within a single personalised care and support plan, based on what matters to the person.
Main duties of the job
Take referrals from and make referrals to a wide range of agencies within the primary care networks.
Co-produce personalised support plans with individuals, their families and carers to take control of their wellbeing, live independently and improve their health outcomes.
Be proactive in developing strong links with all local agencies to encourage referrals. Help people identify the wider issues that impact on their health and wellbeing, such as debt, poor housing, being unemployed, social isolation and caring responsibilities.
Job description
Social Prescribing Link Worker Responsibilities
Take referrals from the GP practice multi-disciplinary teams, hospital discharge teams, allied health professionals, social care services, housing associations, and voluntary, community and social enterprise organisations etc.
Manage a caseload of patients, meeting people on a one-to-one basis, making home visits where appropriate
Work with individuals to co-produce a simple personalised support plan
Maintain accurate records in line with practice policies
Develop and maintain up to date knowledge of local community assets and services.
Be proactive in developing strong links with all local agencies to encourage referrals, recognising what they need to be confident in the service to make appropriate referrals.
- Ensure that local community groups and VCSE organisations being referred to have basic procedures in place for ensuring that vulnerable individuals are safe
- 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.
Care Coordinator Responsibilites
Interrogate and run regular searches of patient records to facilitate the planning of patient care
Carry out patient recall administration tasks for patients with long term conditions, care home patients, housebound patients as well as the auditing of non-responders.
Assist in the preparation and delivery of immunisation campaigns such as annual flu clinics including searches, invitations, liaising with care homes and data entry.
Maintain a clean, tidy, effective working area at all times.
Support all staff with general tasks as requested (appropriate to role)
Participate in formal appraisal on an annual basis including interim reviews to ensure objectives are achieved and relevant training undertaken.
Duties may vary from time to time, without changing the general character of the post or the level of responsibility.
Confidentiality is key to this job role. The surgery works within established protocols ensuring compliance with all mandatory regulations including (but not exhaustive); General Data Protection Regulations (GDPR), Data Protection Act, Caldicott Principles.
About us
Birtley Medical Group are looking for an Social Prescribing Link Worker/Care Coordinator to join our team 30 hours per week. The successful applicant will be a highly motivated individual with good communication and interpersonal skills.