To work closely with practice and PCN healthcare roles, to identify and work with a cohort of people to support their personalised care requirements, using any available decision support tools, templates and software. To collate a patients identified care and support needs and review the options to meet these needs and bring them into a single personalised care and support plan (PCSP) in line with best practice. To help people to manage their needs by answering their queries and supporting them in making appointments. To support people to access appropriate benefits where eligible as well as taking up employment and training. To assist patients to be better prepared to have conversations on shared decision making and to improve awareness of shared decision making and related support tools. To provide patients with high quality, easy to understand information to assist them in making choices about their care. To support patients in understanding their level of knowledge, skills and confidence when participating in their health and well-being. To liaise with the Care-Coordinators in other practices within the PCN and share best practice. To assist patients to access self-management education courses, peer support or interventions that support them in their health and well-being. Where appropriate, to assist patients to access personal health budgets. To provide coordination and navigation of patients, and where appropriate their carers, across health and social care services, where appropriate working hand in hand with social prescribing link workers. To support in the delivery of enhanced services and other service requirements on behalf of the PCN/practice. To attend and participate in the delivery of multi-disciplinary teams (MDT) within PCNs. To undertake all mandatory training and induction programmes. To contribute to and embrace the spectrum of clinical governance. To contribute to public health campaigns (e.g. flu clinics) through advice or direct care. There may be, on occasion, a requirement to carry out other tasks. This will be dependent upon factors such as workload and staffing levels and the availability of a social prescribing link worker within the PCN: