Key Responsibilities Service Delivery: Act as a first point of contact for individuals across all ages referred to the service. Co-produce personalised care and support plans with individuals, families, and carers. Assist individuals in accessing services or activities relevant to their needs. Identify and address wider determinants of health such as housing, employment, and financial challenges. Focus on holistic, person-centred support and empower individuals to take control of their wellbeing. Collaboration and Networking: Develop and maintain strong working relationships with GP practices, PCN teams, and multi-agency professionals. Actively engage with VCSE organisations, statutory agencies, and local groups to build referral pathways. Promote social prescribing as a key component of holistic care within and beyond the PCN. Build and maintain a directory of local resources and ensure safety compliance of external services. Case Management: Manage and prioritise caseloads based on patient and community needs. Track and evaluate outcomes using clinical and community systems (e.g., SNOMED codes). Provide feedback to referring agencies and contribute to service planning and evaluation. Children and Young People-Specific Duties: Develop tailored support models for young people, addressing health, education, housing, and social concerns. Partner with families and carers to meet the needs of young clients holistically. Raise awareness of the service within schools, youth services, and other young people-focused organisations. Safeguarding and Professional Development: Adhere to safeguarding procedures, ensuring a strong awareness of risks and the ability to refer individuals appropriately. Participate in clinical supervision, reflective practice, and ongoing training. Contribute to continuous improvement and service innovation.