Do you share the Lincolnshire Health and Care Home First principles? Do you have experience of working within integrated health, care and community services and are looking for a new and exciting challenge? If so, we are looking for a Team Lead for Personalised Care delivery across our two Primary Care Networks. You will be responsible for providing the leadership for our Social Prescribing Link Workers and Health and Wellbeing Coaches teams. You will coach and support the team to meet their set objectives and KPIs as well as providing effective support and the best possible care for patients. You will be experienced with Social Prescribing and hold your own small case load. You will engage with the leadership of other providers (health, social care and third sector) supporting the Partnerships to deliver collaborative solutions that improve patient outcomes and sustainability of PCN / GP services. You will work with the clinical team and senior management team to identify new solutions for improving patient health and wellbeing. This is a great development opportunity for an experienced and exceptional leader to influence the design of integrated, personalised services. The post will complement existing roles within our Care Coordination Model who champion local high-quality integrated care. The post holder will work alongside colleagues within our well-established care coordination model and established integrated Neighbourhood Team.
Main duties of the job
The Personalised Care roles (Social Prescribing Link Workers, Health & Wellbeing Coaches and Care Coordinators) play an important part in providing extra time, capacity, and expertise to support patients to be actively involved in managing their health and to make choices that are right for them. Working to the What Matters To Me model, personalised care delivered is focused on the strengths and needs of the individual. The successful candidate will be responsible for the day-to-day supervision and support of Social Prescribing Link Workers and Health & Wellbeing Coaches within the PCN; evolving and developing business as usual processes and working with the Neighbourhood Team Lead to develop new initiatives to optimise the care options available for the PCN patients and communities.
About us
K2 Healthcare is a forward-thinking Federation of 16 GP practices, working to support a population of 135,000 better together.
We provide transformational change to deliver a better patient experience. Working with our member practices we provide a supportive working environment which can offer you: Excellent work / Life balance, Flexible working, Supportive environment, NHS Discount & Support Schemes, Employee Assistance Program, NHS Pension.
Job responsibilities
The successful candidate will be responsible for the day-to-day supervision and support of Social Prescribing Link Workers and Health & Wellbeing Coaches within the PCN; evolving and developing business as usual processes and working with the Neighbourhood Team Lead to develop new initiatives to optimise the care options available for the PCN patients and communities.
Duties & Areas of Responsibility
1. Supervision and daily line management of Social Prescribing Link Workers and Health & Wellbeing Coaches; being a first point of contact or escalation for the team.
2. Develop appropriate induction plans for new members of the team; identify training requirements of existing team members.
3. Undertake regular supervision meetings with team members, undertaking case reviews and discussions around best practice.
4. Encourage development of team through overseeing regular peer support sessions.
5. Through feedback, support practices with developing processes to utilise personalised care team members roles to reduce capacity demands.
6. Working with practice sites to establish and maintain appropriate referral processes.
7. Monitor Social Prescribing Link Workers and Health & Wellbeing Coaches outputs using appropriate health and wellbeing scoring matrices.
8. To manage and support patients through the personalised care model in the role of either a Social Prescribing Link Worker, or Health and Wellbeing Coach.
Communications and Key Working Relationships
Create and maintain constructive relationships with a range of stakeholders, internally and externally including health, voluntary, social, financial and education sectors.
Work collectively with local partners and agencies; maintain database and oversight of available services to ensure a sustainable offering for patients.
Attend local and national personalised care meetings to provide feedback on local roles and have an understanding of national initiatives.
Liaise, communicate effectively, and collaborate with member practices within the PCNs to ensure smooth running of Personalised Care Teams and their outputs.
Knowledge and Skills
1. Strong understanding of the Personalised Care roles, Social Prescribing Link Workers, Health and Wellbeing Coaches.
2. Knowledgeable in Safeguarding interventions and awareness of the Mental Health Capacity Act.
3. Excellent understanding and knowledge of person-centred approaches in health and social care in general practice.
4. Good understanding of handling patient information and the importance of maintaining confidentiality.
5. Experience in providing supervision.
6. Strong administrative skills and competencies to fulfil tasks requirements such as reporting and interpreting data for quality and service improvements.
7. IT literate with confidence in using GP systems and Microsoft office packages such as Word, Excel and Outlook. (SOCIAL RX Desirable)
Other
1. Be willing to undertake frequent travel to various locations across South West Lincolnshire to carry out duties of the post as required.
2. To safeguard the health, well-being, and safety of the patients we work with, some of whom may be classed as vulnerable people or adults at risk. In the event of a risk to a Patient becoming apparent or if concerns arise about a vulnerable person's welfare, to immediately report these concerns in line with the appropriate policy and procedure.
Person Specification
Personnel and Organisational Skills
* Ability to lead, engage and coordinate teams.
* Excellent interpersonal skills, ability to influence change.
* Excellent communicator with the ability to communicate effectively at all levels, inclusive of patients, carers, outside agencies, GPs and the wider group.
* Good ability to use IT functions such as Microsoft Office Packages.
* Passionate about supporting vulnerable communities in accessing suitable healthcare options.
* Ability to work independently and manage your own workload.
* Ability to review, understand and advise on appropriate policies and procedures for an effective Personalised Care service.
Experience
* Experience of working with a personalised care role in the NHS.
* Experience of working with healthcare professionals and/or previous experience in the NHS or Social Care.
* Experience and knowledge of providing support to vulnerable people through lifestyle interventions.
* Experience of providing supervision.
* Designing and implementation of training programmes to support team growth and development for patient care.
* Good understanding of and engagement with the development of voluntary sector, community and well-being services.
* Experience of working within a Personalised Care role in primary care.
* Awareness and knowledge of quality improvement activities.
* Awareness and experience of software to support Personalised Care.
* Experience of using a navigation platform such as SOCIAL RX.
* Experience in using SystmOne and its reporting functionalities.
Qualifications
* NVQ Level 3, Advanced Level or Equivalent experience in health and social care.
* Demonstrates commitment to continuous professional development.
* Training in motivational coaching and interviewing or equivalent experience.
* Leadership, or supervision qualification or equivalent experience.
* Training in caseload management.
Other Requirements
* Ability to travel across the network on a regular basis, independently.
* Enhanced DBS check.
* Willingness to work flexible hours when required to meet work demands.
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
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