Job Description

Assess patients health and wellbeing needs to ensure they can be met by services and other opportunities available within the community. Provide personalised support to individuals, their families and carers to take control of their health and wellbeing based on the persons priorities and wider determinants of health. Collaborate with patients to produce a simple-to-follow personalised care plan to address patients health and wellbeing needs by introducing or re-connecting patients with access to community groups or statutory services. This can be based on their priorities, interests, values and motivations, including what they can expect from participation with groups, activities and services they will connect with through social prescribing referrals.



Evaluate how the care and support plan(s) meet the individuals health and wellbeing needs, and take a holistic approach based on the persons priorities and the wider determinants of health. Help patients identify wider issues that impact on their health and wellbeing, such as debt, poor housing, unemployment, loneliness and caring responsibilities. Promote the role of social prescribers in-house and the wider community. Need to manage and prioritise their own caseload in accordance with the health and wellbeing needs of their local population needs, referring patients to other health professionals within the PCN as necessary.



Develop effective working relationships with local voluntary, community and social enterprise organisations (VCSE) and community groups make and receive timely, appropriate and supported referrals. See attached for more information.