Link Worker, Long Term Conditions Service

at  Ways to Wellness

Main Duties Work as part of a multi-disciplinary team to develop person-centred, community based personalised care and support plans for clients. Help people identify wider issues that impact on their health wellbeing such as loneliness, self-care, low income, housing and caring responsibilities, and link them to appropriate services and support. Promote social prescribing, its role in self-management, and the wider determinants of health. Work unsupervised in a manner that promotes excellent care and experience, while recognising professional and organisational requirements and boundaries.
Be professional with people, colleagues, volunteers and professionals at all times. Have an understanding of the evidence base around self-management support and person-centered care. Adopt our quality improvement methodology and seek to continuously improve our systems for the value of our clients. Provide personalised support Act as an advocate for the patient, guiding them through the complex journey with a multi-faceted approach that results in appropriate use of scheduled and unscheduled care services.
Deliver support face to face, over the phone or online at a location agreed with the patient including home visits where appropriate. Be familiar and up-to date with the wider offer from local or national health, social care and voluntary sector organisations, as relevant to people. Where appropriate, physically introduce people to community groups, activities and statutory services, ensuring they are comfortable. Follow up to ensure they are happy, able to engage, included and receiving good support.
Seek advice and support from clinical staff to discuss patient-related concerns (e.g. safeguarding, medical or medication-related queries, complex mental health issues), referring the patient back to a suitable health professional if required. Support community groups and the wider team Develop robust and active relationships with care teams in primary care and connect well with other partners. Encourage patients, their families and carers, who have been connected to community support through social prescribing, to volunteer and give their time freely to others, providing peer support, building their skills and confidence, and strengthening community resilience.
Where appropriate, ensure strong links with other Link Workers in the area. Demonstrate effective, professional and respectful communication within the team and organisation. Data capture and clinical governance Ensure accurate reporting and data collection, where appropriate. Encourage individuals, families and carers to provide feedback and to share their stories about the impact of social prescribing on their lives.
Ensure regular review of risks and issues that could impact on individual care and wider service delivery. Provide appropriate feedback to clinicians about the people they referred, where required. Follow agreed and set processes to record data and demonstrate clear outcomes and impact in line with funding requirements. Adhere to GDPR and Data Protection requirements at all times.
Professional development Work with your line manager to undertake continual personal and professional development, taking an active part in reviewing and developing the roles and responsibilities. Undertake relevant training as required within an agreed time scale. Engage in developing professional relationships with the wider team. This list is not intended as an exhaustive list of duties and responsibilities.
The post holder may be asked to carry out other duties which are appropriate to the skills of the post holder and grade of the post as the priorities of the service change

Please refer the Job description for details