Social Prescriber

NHS

Job Description

Job summary

The GP Care Group in partnership with Tower Hamlets Local authority are delighted to announce new exciting opportunities having been awarded one of the 5 national Start for Life Health Visiting Workforce Pilot sites. Our pilot programme covers 4 key domains in a childs life journey from conception to 1001 days, with a focus on positive attachment, deliver immunisations, trusted relationships, mental health support, as well targeted communication development, and having dedicated social prescribing for this age range.

As a key member of the Health Visiting Workforce the Social Prescriber will work in partnership with the health visiting team and our partnership agencies.

This commissioned service pilot is fixed term until December 2025 as a pilot programme. It presents a unique opportunity for individuals to develop their skills, whether through a secondment option from their current role or by stepping into a brand-new position. You'll be part of a dedicated team focused on making a tangible difference in the lives of parents and babies in Tower Hamlets.

This is a fixed term role ending in December 2025.

We reserve the right to close this vacancy early if we receive sufficient applications for the role.

Main duties of the job

  • Work with patients on a one-to-one basis to identify holistic support needs and offer information and signposting to relevant local services.
  • To undertake holistic assessments and co-design care plans with patients, focusing on what matters to me principles, identifying support needs to ensure maximum engagement in improving health and well-being.
  • Work with individuals to co-produce a 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.
  • To provide patients with continuity and a co-ordinated experience of care, remaining a point of contact throughout the individuals social prescription. This will include regular follow ups to ensure outcomes are being achieved and patients are supported with their action plans.
  • Work with referral agencies to increase appropriate referrals into the service with a particular focus to include patients with mild to moderate mental health-anxiety, depression or low mood and people who have long term conditions, frequent attenders and people who have wider or non- clinical support needs linked to wider determinants of health.

About us

Tower Hamlets GP Care Group (The Care Group) was incorporated as a community interest company limited by shares in September 2014. Every general practice in Tower Hamlets owns one share of £1. The Care Group was formed to manage borough level contracts on behalf of the practices, deliver primary care led services and support general practices, and to be the provider voice of primary care in the wider health and social care system.

Read up more about Tower Hamlets GP Care Group, click here: https://www.gpcaregroup.org/

The Care Group is also a member of Tower Hamlets Together, a place-based integrated partnership, which includes Bart's Health, East London NHS Foundation Trust, the London Borough of Tower Hamlets and the Council for Voluntary Services.

Click here to know more about Tower Hamlets Together partnership- https://www.towerhamletstogether.com/

The key priorities for the Care Group are:

Innovation and support for primary care

Being a great place to work

Integrating primary and community care

Providing of high-quality cost-effective care to local people

Influencing improvements in health outcomes

Job responsibilities

  • Work with referral agencies to increase appropriate referrals into the service with a particularly focus to include patients with mild to moderate mental health-anxiety, depression or low mood and people who have long term conditions, frequent attenders and people who have wider or non- clinical support needs linked to wider determinants of health.
  • 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.
  • 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.
  • Provide regular feedback to referral agencies on the patients journey and outcomes.
  • Continue to develop and maintain a relational network of local services: voluntary, statutory and faith. This can include regularly visiting them to facilitate appropriate referrals and details of service provision.
  • To maintain information on local, regional and national services that local people can be referred to and to store this information on the internal shared resource so that the information is available service wide.
  • Tap into existing local information sources and portals including the Information and Advice portal being developed by the Council and others within Tower Hamlets Together etc.
  • Facilitate networking between primary and secondary care, community health services, 0-19 services and other statutory and voluntary provision to raise awareness of local offers and enable mutually beneficial working without duplication. This will include hosting and promoting regular breakfast networking meetings.
  • Encourage patients 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.
  • Active promotion of volunteering amongst patients as one of the routes to health and wellbeing.
  • Where required you will support patients who need accompanying to services. This will include you accompanying patients to services where required.
  • Participate in clinical multi-disciplinary team meetings to offer social prescribing solutions for complex patients.
  • Attendance at relevant meetings within referring services to provide feedback on progress and to promote the Social Prescribing service.
  • Seek regular feedback about the quality of service and impact of social prescribing on referral agencies.
  • Take part in stalls/stands and exhibitions promoting Social Prescribing in the borough and wider.
  • Provide quarterly monitoring information and case studies as required by the Head of Service Start 4
  • Maintaining comprehensive data and evaluation systems, including outcome tools (ONS4)
  • Working with the Head of Service Start 4 Life, Social Prescribing Manager and Social Prescribing Co-ordinator to ensure that social prescribing codes are inputted into clinical systems as per NHSE guidance.
  • Support the Head of Service Start 4 Life, Social Prescribing Manager in collaborating with other community connector services in the Borough such as Care Navigators and Community Navigators in Idea Stores etc.
  • To regularly take part in team meetings and supervision (including clinical supervision).
  • Actively participate in service development initiatives.
  • To complete statutory and mandatory training and other training identified by the service and actively participate in personal and professional development.
  • To work flexibly as may be required by the needs of the service and carry out any other reasonable duties as required

Person Specification

Experience

Essential

  • Experience of community outreach with less engaged populations.

Skills and Abilities

Essential

  • Experience of a personalised approach to care planning, case management, coaching and motivational interviewing

Skills and Abilities

Essential

  • Experience of establishing/developing and maintaining good working relationships with referring health and social care professionals and services signposted and referred to.

Experience

Essential

  • Experience working with Somali and Bengali heritage or substantial experience of working with these communities.

Experience

Essential

  • Experience of working with children and young people and their families

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Employer details

Employer name

Tower Hamlets GP Care Group

Address

Island Health

145 East Ferry Road

London

E14 3BQ

Employer's website

https://www.gpcaregroup.org/section/387/Home (Opens in a new tab)

Good luck with your application