Overview Harlow South PCN are inviting applications from suitable candidates for the following placement - currently until March 31st 2026. PROJECT: Social Prescribing Health inequalities Project While You are Waiting Project Right Care Right Place Project EMPLOYED BY: Harlow South PCN REPORTS TO: PCN Manager/Clinical Director HOURS: 37.5 hours per week (Full time) DURATION: Fixed term contract to March 2026 LOCATION: Harlow South PCN, Lister Medical Centre, Harlow Job Summary: Support the ongoing implementation of the Social Prescribing Health inequalities Projects, focussing on While You are Waiting and Right Care Right Place projects, working in partnership with Hertfordshire and West Essex ICB, West Essex Place Team. The Social Prescribing Project Leads, will engage and develop a personalised care approach to patients meeting the project criteria. Cohort 1.
While You are Waiting Project: To enable them to optimise their health whilst waiting for treatment in secondary care. Cohort 2. Right Care Right Place Project: To work with this cohort to explore why they may be choosing A&E as their primary source of help for non emergency care, and to optimise their health so that the right care is sought at the right place. Develop trusting relationships by giving people time and focusing on what matters to them Evaluate the individual impact of a persons wellness progress.
Record referrals within SystmOne and complete case management notes for the projects using conversational questionnaire/s, as pathway and evaluation methods Support the delivery of the comprehensive model of personalised care Draw on and increase the strengths and capacities of local communities, enabling local Voluntary Community and Social Enterprise organisations and community groups to receive referrals and utilise their networks to build on what is already available to create a menu of community groups and assets Support pro-active personalised care, for example the promotion of health checks and screening. Critically analyse referral trends on a regular basis, along with referrer and patient behaviours, generating development plans to guide future referral activity. Produce reports to evaluate effectiveness of the project that demonstrate whether the interventions have reduced avoidable patient demand in A&E or hospital admissions, and present forecasts and outcomes to a wide range of stakeholders. Provide high quality project, service, initiative and administrative support including information and analysis.
Main Duties: Provide high quality project support including high quality data analysis. Effectively manage a caseload of clients and be able to prioritise workload. Manage caseload in partnership with GP Practices within the PCN and support the collaborative approach to delivering healthcare in Primary care. May be required to support and train staff as appropriate.
Analyse data produced by Princess Alexandra Hospital to screen patients viability to be included in the project against project criteria. Be a friendly, trusted source- of information about health, wellbeing and prevention approaches, enabling the patient to focus on what matters to them. Engage eligible patients by building trust and rapport through the use of a conversational questionnaire and follow a patient pathway which may include referral to a range of community support services. Work with the person, their families and carers to provide personalised support to take control of their health and wellbeing to improve their outcomes.
Consider how patients and where appropriate their carers/families can be supported through social prescribing, using local agencies to maximise the package of support. Introduce or reconnect people to community groups and services, both over the phone and in person, and working with a range of community partners Help people identify the wider issues that impact on their health and wellbeing such as debt, good housing, being unemployed, loneliness, caring responsibilities etc. and help maintain or regain their independence through living skills, adaptations, enablement approaches and safeguards. Using person centred strengths-based approach, co-produce with the patient their personalised care and support plan to address the patients health and wellbeing needs by introducing or reconnecting people to community groups and statutory services both over the telephone.
Take a holistic approach, based on the persons priorities, and the wider determinants of health. Follow up calls to ensure continued support to the patient and where appropriate their families. Attend multi-disciplinary meetings and Integrated neighbourhood team meetings giving information and feedback. Build relationships and work in partnership with all local agencies to raise awareness of social prescribing and how partnership working can reduce pressure on statutory services, improve health outcomes and enable a holistic approach to care.
Be proactive in undertaking community development to encourage self-referrals where appropriate and connecting with all local communities, particularly those communities that statutory agencies may find hard to reach. Assess, monitor, manage risk and safeguarding issues (supervised by GP) and work collaboratively with local agencies/primary care to maximise the potential of health outcomes for patients, tasking internally at GP practice using agreed methods where the needs of the clients are beyond the scope of the social prescriber. Work proactively to develop relationships with external providers to facilitate joint case management of clients accessing multiple services Be an active member of the PCN, driving continuous improvement in the Social Prescribing programme at Harlow South, working collaboratively within the PCN workforce. Support the Primary Care Network to ensure the requirements of all policies related to clinical and non-clinical governance are fully met.
Disclosure and Barring Service Check Please note 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 to check for any previous criminal convictions.