PCN Social Prescribing Link Worker

Key Responsibilities: Personalised Patient Support Receive and manage referrals from GP practices, health and care professionals, community organisations, other agencies and individuals through self-referral. Manage and prioritise an appropriate caseload with support and supervision from the PCN. Meet individuals on a one-to-one basis, including home or community visits where appropriate, to understand what matters to them and identify their health and wellbeing priorities. Build supportive, non-judgemental relationships using a person-centred and strengths-based approach. Identify wider factors affecting health and wellbeing, including loneliness, housing, finances, employment and caring responsibilities. Work with individuals, families and carers to develop personalised care and support plans. Connect and, where appropriate, introduce individuals to suitable community groups, activities, voluntary organisations and statutory services. Provide follow-up support to encourage engagement,
independence and improved health and wellbeing. Recognise concerns outside the scope of the role and make appropriate onward referrals or seek advice. Identify, report and escalate safeguarding concerns in accordance with PCN policies. Community & Partnership Working Develop and maintain effective relationships with voluntary, community and social enterprise (VCSE) organisations, statutory services and other local agencies. Maintain up-to-date knowledge of community services and support available to patients. Promote social prescribing across the PCN and wider community and encourage appropriate referrals. Attend relevant multidisciplinary team (MDT) meetings and work collaboratively with clinical and non-clinical colleagues. Provide information, advice and guidance to PCN staff and partner organisations about social prescribing and available community support. Work with community partners to identify gaps in provision, unmet needs and opportunities to strengthen local community resources.
Support inclusive and sustainable community activities, volunteering, peer support and other initiatives that build community resilience. Monitoring, Data & Service Development Maintain accurate and timely records of referrals, interventions and outcomes within appropriate clinical systems. Ensure social prescribing activity is coded appropriately in accordance with relevant requirements. Gather feedback and outcome information from individuals, families, carers and referral organisations to evaluate the impact of the service. Handle personal information appropriately and comply with data protection, confidentiality, consent and information governance requirements. Contribute to service evaluation, improvement and planning, including work to address accessibility, equality, diversity, inclusion and health inequalities. Professional Responsibilities Participate in regular supervision and continuing professional development in line with relevant social prescribing competency frameworks.
Complete required mandatory training and maintain appropriate professional boundaries and scope of practice. Work collaboratively as part of the PCN multidisciplinary team. Comply with organisational policies and procedures, including safeguarding, confidentiality, lone working, equality and diversity, information governance and health and safety. Undertake other duties appropriate to the level and scope of the role as required.