Job Description

Main Roles & Responsibilities:

To provide support to people with low level mental health and well-being needs (e.g. debt, poor housing, social isolation) and long term conditions who need support to manage their health and wellbeing. To strengthen psychosocial, life and coping skills of individuals to develop resilience. To help patients access increased social support as a buffer against adverse life events.



To increase access to resources and services which promote mental wellbeing. To receive referrals for the project from local health and social services professionals, as well as self-referrals. To provide support to patients who will benefit from proactive health management and self- care including being the single point of contact for the person or carer to simplify access and coordination of services To use a strength based approach to identify key issues that impact on the person's wellbeing and supporting patients to understand and manage their own conditions and maintain an independent lifestyle. To support the development of a personalised plan, liaising with the practice team, patient/carer and other neighbourhood teams.



To play an active role in practice/neighbourhood team meetings by gathering information and being prepared to update the team on patient progress towards goals etc. To support patients access community facilities, groups and community activities/resources at a locality level and understand neighbourhood facilities. To work with Practice Champions to support the delivery of community based public health initiatives such as physical activity, healthy eating and social connectedness. To participate in relevant service audits and to follow up referrals and instructions as proposed by primary care staff.



Responsible for capturing and collating data that demonstrates a positive impact on the people's outcomes. To attend supervision, case management and steering group meetings as required. To maintain professional and personal development. This post requires flexible working and scheduled working patterns to ensure service provision.



This list of duties is not intended to be exhaustive, but indicates the main areas of work and may be subject to change after consultation with the post-holder to meet the changing needs of the service.