Key Responsibilities: Social prescribing is a way of linking people to sources of support within the community. It provides health and social care professionals with non-medical / non-service focused options that can operate alongside existing treatments or care packages to improve health and wellbeing. Our aim is to support local people to live well and stay well, promote healthy life-styles and provide opportunities for socialization, skill sharing, health education and emotional support. You will provide a central point of contact for patients in Primary Care, linking them with sources of support within local communities by developing robust processes and pathways for social prescribing as described as a key objective in the NHS 10 year plan. As a Health and Wellbeing Coach you will work as a key part of the practice multi-disciplinary team. You will consider the whole person in addressing existing issues and encouraging the proactive prevention of new illnesses, promoting lifestyle medicine approaches. Health coaching revolves around using your coaching skills to support people with lower levels of patient activation to develop the knowledge, skills, and confidence to manage their health and wellbeing, whilst increasing their ability to access and utilise community support offers. This is an innovative role designed to work in an outcome focused way to improve peoples quality of life, health and wellbeing by recognizing that this can be affected by a range of social, economic and environmental factors. Supporting patients and their Carers to achieve their personal aspirations participate in their local and wider communities, enhance effective personal support networks, enabling individuals to maintain healthy lifestyles; and lead independent and fulfilled lives Receiving and actioning referrals from a wide range of agencies: GP practice, pharmacies, multi-disciplinary teams, hospital discharge teams, allied health professionals, fire service, police, social care services, housing associations, and voluntary organizations. (List not exhaustive). Working as a member of a Social Prescribing Team, supporting the team with information sharing, learning and outcomes and maintaining accurate records and utilising outcome measures as required by the Social Prescribing Service. Signposting adults who have been identified as those who could benefit from the Social Prescribing Service including those who are frail and socially isolated to services within the community including social, recreational and nonmedical support within the community which may help them to improve their health and wellbeing. You will be required to meet with patients for one-to-one appointments, by phone or by webcam to discuss local sources of support that may benefit them. Working with adults with mild to moderate mental health, learning difficulties, learning disabilities, anxiety and depression. Providing personalized support to individuals, their families and carers to enable them to take control of their wellbeing, live independently and improve their health outcomes. Develop trusting relationships by giving people time and focus on what matters to them. Taking a holistic approach, based on the persons priorities and the wider determinants of health. Assess the patients abilities and preferences, thinking laterally and then advising and supporting them in a variety of areas/activities. Advocating for the patient if needed. Being sensitive to barriers to adopting a healthier lifestyle such as affordability, accessibility and life circumstances. Encouraging choices and actions that is acceptable and achievable to patients while being aware of cultural and social considerations. Support patients to recognize and change their current lifestyle and to identify how their way of life might affect their health and well-being. Working alongside and collaborating with existing local partners: Primary Care Mental Health Team, St Lukes Listening Service, Physiotherapy etc. Educating non-clinical and clinical staff within the Practice on what other services is available within the community and how and when patients can access them. To support the monitoring of service access and increased load on community services that are used by the Social Prescribing Service, to support the recording of unmet needs, and the development of ideas in trying to find ways of increasing service provision as much as is reasonable, within the local community. Participate in regular supervision and an annual appraisal process, review yearly progress and develop clear plans to achieve results within priorities set by others. It is vital that the Social Prescriber has a strong awareness and understanding of when it is appropriate or necessary to refer people back to other health professionals or agencies. To be responsible for your own continuing self-development, undertaking training as appropriate. To undertake other duties appropriate to the grading of the post as required. Must be able to work flexible hours. Organisation: Provide education and specialist expertise to fellow PCN staff, ensuring they are made aware of health coaching and social prescribing services and support colleagues to improve their skills and understanding of personalised care, behavioural approaches, and ensuring consistency in the follow up of peoples goals where an MDT is involved. Raise awareness within the PCN of shared decision making and decision support tools and supporting people in shared decision-making conversations. Engage with and support the new and evolving agendas and service requirements across the PCN, including our work with Care Homes. As part of the PCN multi-disciplinary team, build relationships with staff in GP practices within the local PCN, attending relevant MDT meetings, giving information and feedback on health coaching. Alongside other members of the PCN multi-disciplinary team, work collaboratively with all local diverse partners to contribute towards supporting the local VCSE organisations and community groups to become sustainable and that community assets are nurtured, through sharing intelligence regarding any gaps or problems identified in local provision with commissioners and local authorities. Work sensitively with people, their families and carers to capture key information, enabling tracking of the impact of health coaching on their health and wellbeing, including the measures required within the PCN Contract (e.g. PAM measures) Encourage people, their families and carers to provide feedback and to share their stories about the impact of social prescribing and health coaching on their lives. Work closely within the MDT and with GP practices within the PCN to ensure that the relevant codes are captured and inputted into clinical systems, (as outlined in the Network Contract DES), adhering to data protection legislation and data sharing agreements. Contribute to the development of policies and plans relating to equality, diversity and health inequalities. Key Working Relationships: Teamwork is essential in multi-disciplinary environments. Effective communication is essential and all staff must ensure they communicate in a manner which enables the sharing of information in an appropriate manner. All staff will understand the significance of collaborative working. In order to fulfil your role and for the collective benefit of patients, you will be expected to develop positive working relationships with a wide range of colleagues and stakeholders as follows: PCN Social Prescribing Lead Clinical supervisor Operations Managers GP practice teams Peer health and wellbeing coaches working in other PCNs and practices PCN employed staff such as clinical pharmacists, first contact physios, etc. Patients and their representatives GP federation operational and clinical delivery teams CCG colleagues Local health and wellbeing events and services Local professional networks to benefit from peer support and enhance collaborative working relationships. You will be required to undertake a DBS check. Health and Safety: Ensure all members of staff comply with the Groups health and safety policy Carry out risk assessments to comply with current Health and Safety legislation Ensure any health and safety concerns are reported to the Operations Manager To be aware of and adhere to applicable practice rules, regulations, legislation and procedures, national legislation (Health and Safety, COSHH, Data Protection). Equality and Diversity: The post-holder will support the equality, diversity and rights of patients, carers and colleagues Act in a way that recognises the importance of peoples rights, interpreting them in a way that is consistent with group processes and policies and current legislation Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues Behaving in a manner that is welcoming, non-judgemental and respects the individuals circumstances, feelings, priorities and rights The details contained in this job description are not exhaustive and may change as the post develops. Governance: Identify and record risks and issues, developing contingency plans with service and contract leads Ensure the PCN is compliant with health and safety policies and procedures to reflect current best practice Ensure that the PCN board and Clinical director adhere to the governance structure as set out in the network agreement Confidentiality: To maintain confidentiality of information acquired in the course of undertaking duties for the practice.