Address 1. To undertake holistic assessments and co-design Health and Well-being Plans with service users, focusing on what matters to me principles, identifying support needs to ensure maximum engagement in improving health and well-being. This will include some home visits when required. 2.
As part of the PCN multi-disciplinary team, build relationships with staff in GP practices within the local PCN, attending relevant MDT meetings, giving information and feedback on social prescribing. Train and develop GPs and health teams knowledge on how to identify patients suitable for social prescribing service on a quarterly basis 3. To provide service users with continuity and a co-ordinated experience of care, remaining point of contact throughout the individuals social prescription. 4.
Be proactive in encouraging self-referrals and connecting with all local communities, removing barriers particularly for those communities who may be under-represented in this service. Be a friendly source of information about health, wellbeing and prevention approaches. 5. Help people identify the wider issues that impact on their health and wellbeing, such as debt, poor housing, being unemployed, loneliness and caring responsibilities.
Work with the person, their families and carers and consider how they can all be supported through social prescribing. 6. Work with individuals to co-produce a simple personalised support plan to address the persons health and wellbeing needs based on the persons priorities, interests, values and motivations including what they can expect from the groups, activities and services they are being connected to and what the person can do for themselves to improve their health and wellbeing. 7.
Where appropriate, physically introduce people to community groups, activities and statutory services, following up when necessary to provide additional support to assist them being able to engage. 8. To ensure you have an understanding (appropriate to your role) of, and comply with Family Actions procedures for promoting and safeguarding the welfare of children and vulnerable adults. Seek advice and support from supervisor and/or identified individuals to discuss patient-related concerns and risk (eg.
abuse, domestic violence, escalated mental health). 9. Forge strong links and collaborative relationships with local VCSE organisations, community and neighbourhood level groups, utilising their networks and building on what is already available to create a menu of community groups and assets. To ensure information on sources of voluntary and community support are up to date at all times to enable effective and accurate signposting and linking of service users with services.
10. To establish and maintain effective liaison with stakeholders including health, voluntary, social and education resources, attending relevant meetings as necessary. 11. Encourage service users who have been connected to community support through social prescribing to volunteer and give their time freely to others, building their skills and confidence and strengthening community resilience.
12. Encourage service users, their families and carers to provide feedback and to share their stories about the impact of social prescribing on their lives. 13. Work with your line manager to undertake continual personal and professional development, taking an active part in regular supervision (as well as clinical supervision).
14. Seek regular feedback about the quality of service and impact of social prescribing on referral agencies.
