Core Responsibilities To perform specific day to day tasks associated with care navigation including: To meet with (or telephone) the patient/carer in a mutually convenient location including but not restricted to the patients/carers home, hospital, or GP surgery. To support patients in completing a wellbeing plan to ensure appropriate referrals are made, identifying clear needs and goals. Co-ordinate the delivery of the wellbeing plan and ensure that the agreed interventions are actioned through onward signposting to the appropriate service. Examples of services and support patients/carers could be signposted to include, lunch clubs, social groups, befriending services, GP, volunteering schemes, social care, and urgent community responses, including other healthcare professionals within the primary care networks. Explain and help the patient and their carer understand the processes and systems within the NHS and statutory sector. For example, how to refer to the occupational therapy team or adult services for a care needs assessment. Keep up to date with NHS and community services through pro-active networking to ensure individuals are aware. Devise a strategy with the patient and their carer to enable patients to lead more independent lives, reducing their need to engage health and social services. Act as the coordinator between different agencies involved with the patients/carers to ensure joined up and seamless care. Enable the patient and their carer to liaise with professionals from secondary and primary care and the wider integrated care team. Keep up to date well documented notes on the patients medical record ensuring all components reflected on the patient referral are covered. Maintain the patient at the centre of their care and decision making. Attend practice ward, ICT, Primary Care Network (PCN), and other relevant meetings such as hospital discharge meetings as required. Complete all mandatory training and attend any other training opportunities as required. Participate in staff appraisal and lone worker practices on an annual basis. This is a non-clinical role.