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Social Prescribing Link Worker

MILTON KEYNES CITIZENS ADVICE BUREAU
Milton Keynes
Full-time
Listed today
Citizens Advice Milton Keynes

Job Description

Job Title
Reporting to
Location

Social Prescribing Link Worker
Head of Operations, Citizens Advice Milton Keynes
Combination of:
   •  Crown PCN Surgeries on rotation
   •  Citizens Advice Milton Keynes – Clarendon Drive

Hours
Working Days

Full time, 36 hours per week
Monday - Friday

Purpose of Role

Citizens Advice Milton Keynes (CAMK) is providing a Social Prescribing Link Worker
(SPLW) service to the Crown Primary Care Network, Crown PCN This is a network of
3 GP Surgeries in Milton Keynes, comprised of:

•  Whaddon Medical Centre   West Bletchley
•  Water Eaton Medical Centre  Lakes Estate
•  Redhouse Surgery

Central Bletchley

This  is  an  embedded  role  with  between  85-90  %  of  the  SPLW’s  time  being  spent
working in surgeries with NHS and Primary Care staff.

Social  prescribing  empowers  people  to  take  control  of  their  health  and  wellbeing
through  referral  to  non-medical  SPLWs  who  give  time,  focus  on  what  matters  to
patients, and take a holistic approach, connecting people to community groups and
statutory services for practical and emotional support.

SPLWs provide personalised support to individuals, their families, and carers to take
control  of  their  wellbeing,  live  independently  and  improve  their  health  outcomes;
strengthen personal resilience and reduce health inequalities by addressing the wider
determinants  of  health  such  as  debt,  poor  housing,  physical  inactivity,  and  low
understanding of their health condition.

SPLWs  take  a  holistic  approach,  based  on  the  person’s  priorities  and  the  wider
determinants of health, and help co-produce a Personal Action Plan to improve patient
health  and  wellbeing,  introducing  or  reconnecting  people  to  community  groups  and
statutory services.

SPLWs will encourage the patient to carry out the goals set in the plan, and work within
a  Multi-Disciplinary  Team  as  part  of  the  PCN  to  ensure  the  patients  get  any  extra
support they require to achieve their goals.

The role will require managing and prioritising your own caseload, in accordance with
the needs, priorities and any urgent support required by individuals.

Main Duties and Responsibilities

•  Take referrals from a wide range of agencies, including GPs, multi-disciplinary
teams,  hospital  discharge  teams,  allied  health  professionals,  fire  service,
police, job centres, social care services, housing associations, and voluntary,
community and social enterprise (VCSE) organisations (list is not exhaustive).

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Citizens Advice Milton Keynes

•  Provide personalised support to individuals, their families, and carers to take
control  of  their  wellbeing,  live  independently  and  improve  their  health
outcomes. Develop trusting relationships by giving people time and focus on
‘what matters to me’. Take a holistic approach, based on the person’s priorities
and the wider determinants of health.

•  Co-produce a Personalised Action Plan (PAP) for each patient, to improve
health and wellbeing, introducing or reconnecting  them to community groups
and statutory services.

•  Managing  and  prioritisation  of  a  personal  caseload,  in  accordance  with  the
needs,  priorities  and  any  urgent  support  required  by  individuals  on  the
caseload.  It  is  vital  that  you  have  a  strong  awareness  and  understanding of
when  it  is  appropriate  or  necessary  to  refer  people  back  to  other  health
professionals/agencies, when what the person needs is beyond the scope of
the  link  worker  role  –  e.g.,  when  there  is  a  mental  health  need  requiring  a
qualified practitioner.

•  Build relationships with key staff in the primary care setting, attending relevant
meetings,  becoming  part  of  the  wider  network  team,  giving  information  and
feedback on social prescribing issues.

•  Develop  supportive  relationships  with  local  VCSE  organisations,  community
groups  and  statutory  services,  to  make  timely,  appropriate,  and  supported
referrals for the person being introduced.

•  Be  proactive  in  developing  strong  links  with  all  local  agencies  to  encourage
referrals;  working  in  partnership  working  to  reduce  pressure  on  statutory
services, improve health outcomes and enable a holistic approach to care.

•  Seek  regular  feedback  about  the  quality  of  service  and  impact  of  social
prescribing  on  referral  agencies  and  collate  and  present  all  responses  via
regular impact reporting.

•  Work  sensitively  with  people,  their  families,  and  carers  to  capture  key
information, enabling tracking of the impact of social prescribing on their health
and wellbeing; ensure that all recording, monitoring, and reporting is completed
to a high standard to the expected timescales.

•  Encourage people, their families, and carers to provide feedback and to share

their stories about the impact of social prescribing on their lives.

•  Work closely with GP practices within the PCN to ensure that social prescribing
referral codes are inputted to patient record systems and that the person’s use
of  the  NHS  can  be  tracked,  adhering  to  data  protection  legislation  and  data
sharing agreements with the Integrated Care Service (ICS)

•  Adhere  to  organisational  policies  and  procedures,  including  confidentiality,
safeguarding, lone working, information governance, and health and safety.

•  Work with your Line Manager and PCN Management to access regular ‘clinical
supervision’,  to  enable  you  to  deal  effectively  with  the  difficult  issues  that
people present.

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•  Undertake any tasks consistent with the level of the post and the scope of the

role, ensuring that work is delivered in a timely and effective manner.

•  Duties may vary from time to time, without changing the general character of

the post or the level of responsibility

Professional development

•  Attend relevant organisational and role specific training as required

•  Attend internal and external meetings in agreement with your line manager.

•  Prepare for and attend supervision sessions/staff meetings/management

team meetings as appropriate.

Other duties and responsibilities

•  Provide written and statistical progress reports to the Director, Head of

Operations and Trustees as required.

•  Prepare, present, and provide written and statistical progress reports to the
management and partners of each surgery within the PCN as required.

•  Support agreed local and national Citizens Advice research and campaigns.

•  Maintain close liaison with relevant external agencies.

•  Carry out any other tasks that may be within the scope of the post to ensure

the effective delivery and development of the service.

•  Demonstrate commitment to the aims and policies of the Citizens Advice

service.

•  Abide by Health and Safety guidelines and share responsibility for own safety

and that of colleagues.

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