Social Prescriber

You will work closely with GPs and practice teams to manage a caseload of identified patients, ensuring appropriate support is in place and that patients evolving needs are identified and addressed.,

• Accept referrals from GPs and multidisciplinary team members
• Meet patients in community or home settings to review proactive care plans
• Communicate care plans clearly to GPs and other professionals and update clinical records
• Support access to community care and carers assessments where appropriate
• Identify unpaid carers and link them to relevant support services
• Provide basic benefits guidance and signpost to specialist advice where needed
• Support patients with personal budgets, including advising on key choices
• Keep GPs and practice teams informed of available community resources.
• Support care delivery that promotes independence and prevents unnecessary admissions
• Participate actively in MDT meetings
• Identify when urgent action or escalation of care is required and raise concerns promptly
• Maintain accurate, up-to-date records using GP clinical systems and other relevant IT systems
• Contribute to reports, meetings, and presentations related to service development
• Identify gaps in services and feedback improvement opportunities
• Work collaboratively with other Social Prescribers and Link Workers
• Participate in training, education, and professional development activities
• Build strong working relationships with GPs and practice staff
• Work in accordance with practice policies and procedures
• Contribute to the wider aims of the Primary Care
• Maintain a flexible approach and undertake other reasonable duties as required
  
  The role involves meeting patients and carers in a variety of settings, including GP practices, patients homes, and community venues. You will assess needs, support care planning, and help individuals access appropriate health, social care, and voluntary sector services. A strong understanding of local services is essential in order to effectively connect patients with the support available and help them overcome any barriers they may face.
  
  Hedena Health is a GP partnership providing high-quality primary care services to patients across Oxfordshire. We are committed to delivering accessible, patient-centred healthcare through our team of GPs, nurses, healthcare professionals, and support staff. Our focus is on promoting health and wellbeing, delivering excellent patient care, and continuously improving the services we provide to our local communities.
• A supportive and welcoming team environment.
• Opportunities to develop your skills and gain experience across a wide range of clinical and administrative functions.
• The opportunity to make a real difference to patients' health and wellbeing.
• A varied role where no two days are the same.