Key Responsibilities
1. Take referrals from the PCNs Core Network Practices and a wide range of agencies, including pharmacies, health and care multi-disciplinary teams (MDTs), emergency services, legal and welfare advice services, VCSE organisations, and through self-referrals (list not exhaustive).
2. Provide personalised support to individuals, their families, and carers to access community-based activities and support that can help them take control of their health and wellbeing through co-producing a simple personalised care and support plan and introducing people to appropriate activities, groups, and services.
3. Work with appropriate supervision as part of the PCN to manage and prioritise your own caseload, in accordance with needs, priorities, and support required by individuals.
4. Refer people back to other health professionals/agencies, as appropriate or necessary.
5. Build ongoing relationships with local infrastructure organisations, community activities, and support services to increase knowledge of the community support offer and work collaboratively to develop effective partnership working to support the community offer to be sustainable, identifying gaps in provision, nurturing community assets, and sharing intelligence on gaps or problems with commissioners and local authorities.
6. Increase the strength and capacity of the community, enabling local VCSE organisations and community groups to both receive social prescribing referrals and to make referrals to social prescribing link workers.
7. Promote social prescribing as an approach across the PCN and wider agencies, including its role in supported self-management, addressing health inequalities and the wider determinants of health, reducing pressure on statutory services, improving access to healthcare, and improving health outcomes.
8. Meet people on a one-to-one basis, making home visits and visits to community organisations where appropriate and within organisations policies and procedures.
9. Help people identify the wider issues that impact their health and wellbeing, such as debt, poor housing, being unemployed, loneliness, and caring responsibilities.
10. Provide follow-up support to ensure they are happy, able to engage, feel included, and that they are receiving good support.
11. Seek advice and support from the GP supervisor and/or identified individual(s) to discuss safeguarding concerns and follow PCN safeguarding policies around reporting and/or escalating concerns.
12. Support development of community groups and assets that promote diversity and inclusion.
13. Work with a supervisor and/or line manager to undertake continual personal and professional development in line with the social prescribing Workforce Development Framework Competency Framework.
14. Work as part of the MDT to seek feedback, continually improve the service, and contribute to service planning.
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