Social Prescriber / Health and Well Being CoachNHS
Job summary
We are looking for an enthusiastic team member that is passionate about supporting our PCN team by delivering a patient focused service which promotes proactive care and effective working relationships.
The PCN Social Prescriber / Health and Well Being Coach plays a central role in supporting frail and vulnerable patients to remain safe, well and independent at home. The role will be supporting both proactive and reactive patients, identified through both referral and risk stratification and will include basic observations and a supportive approach to person centre self-management.
The post holder should work within their scope of practice, under agreed protocols, with escalation to registered clinicians as required.
The role will act as a bridge between GP Practices, MDT and other INT services.
Main duties of the job
The post holder will work across all PCN practices and as part of the wider Intergrated Neighbourhood team to ensure efficient and effective patient contacts and assit in the reduction of A&E admissions.
Job description
Develop trusting relationships by giving people time and focus on what matters to them
Take a holistic approach, and support in increasing patients confidence and understanding in their own health
Reduce crisis situations unplanned admissions and carer breakdowns
Promote and support a proactive approach in patient care, working with INT coordinators to identify patients from risk stratification tool and highlighted frequent attenders at A&E
Support patients that are not managing their long term conditions, signposting to relevant services and highlighting concerns to GP practice
Support patients highlighted in need of reactive support, working with the rest of INT team to ensure that needs are supported accordingly
Liaise with PCN services, GP practices, community teams and voluntary services to support patients
Support discussion and provide feedback to MDT meetings
Where appropriate highlight ReSPECT form process with patients
Bridging the gap between GPs and realities patients face at home encompassing what really matters to them
Promote the image of the organisation and services by ensuring that all information and communication is up to date and suitably presented
Take responsibility for ensuring that internal and external communication systems are fit for purpose
Respond to telephone, email and written queries on behalf of the service area including call handling where appropriate
Demonstrate flexibility and adaptability to meet changing priorities within a dynamic operational environment
Be proactive and contribute ideas for improvement in the way the service is delivered
Support in providing telephone cover during annual leave, sickness or peak demand periods, including answering incoming calls, booking appointments, taking messages and signposting patients appropriately
Ensure that all complaints, compliments, concerns, comments and suggestions are escalated appropriately
Able to work on own initiative, prioritising work within defined policies and procedures to set timescales
Manage specific projects as requested by the PCN Operational manager and provide updates on progress
Develop use of community hubs for drop in sessions to support patient needs
About us
Folkestone, Hythe and Rural Primary Care Network is an innovative, friendly and forward thinking group. We are located in the historical South Kent Coast of the Garden of England (Kent). General Practice is changing at pace and we see this as a positive and opportunistic challenge.
Our PCN includes 7 practices with a combined list size of approx 52,000 patients.
We are proud and enthusiastic to be an inventive front runner in the development of Integrated Neighbourhood Team working.