PCN Wellbeing Co-ordinator/ Social Prescriber

Role Purpose Work as part of an Integrated team within a Primary Care Network (PCN) to deliver a coordinated and high-quality Social Prescribing Link Worker service, with a clear focus on signposting individuals to appropriate community, voluntary, and statutory services. Provide light-touch, short-term support (approx. 6 sessions) to enable individuals to access relevant services, rather than offering long-term case management. Empower people to take control of their health and wellbeing by focusing on what matters to me and supporting them to connect with appropriate resources. Ensure individuals are supported to transition quickly to appropriate healthcare professionals or community services where ongoing or specialist support is required. Core Responsibilities Manage a caseload of clients from initial contact through to timely onward referral or signposting, ensuring support remains time-limited and outcome-focused. Triage referrals coming in to the team and direct to the most appropriate team. Provide brief interventions (up to approx. 6 sessions) to encourage engagement with identified services and promote independence. Maintain a strong awareness of local community provision and statutory services to enable effective and appropriate signposting. Work collaboratively within the PCN and with local partners to ensure individuals are directed to the most appropriate support at the earliest opportunity. Recognise when needs are beyond the scope of the role and escalate or refer to clinical or specialist professionals promptly. Contribute to the ongoing development of the service, including maintaining up-to-date knowledge of community resources and social prescribing best practice. Key Tasks Develop supportive, time-limited relationships with residents, focusing on their strengths and what matters to them, and enabling them to access appropriate services independently. Triage referrals coming through to the practice and signpost to the appropriate service or book into the practice wellbeing team for further input. Undertake client needs assessments (in practice and community settings) to identify appropriate signposting and referral pathways, using wellbeing measures where appropriate. Manage a short-term caseload, ensuring regular review and timely progression to onward referral or discharge. Provide light-touch support to help individuals engage with community groups, voluntary organisations, and statutory services, avoiding long-term dependency on the role. Signpost or refer clients to appropriate services as early as possible, ensuring they are connected to sustainable sources of support. Identify when a persons needs exceed the scope of the role and escalate to GPs, mental health professionals, or other relevant practitioners without delay. Maintain up-to-date knowledge of local services and identify any pressures or gaps in provision, sharing intelligence with the wider PCN team. Engage in relevant training, supervision, and learning opportunities to maintain effective practice. Contribute to monitoring and reporting requirements, including demonstrating the impact of short-term social prescribing interventions. Participate in local networks to maintain awareness of community resources and referral pathways. Key Principles of the Role Short-term intervention (up to approx. 6 sessions), not long-term casework Triage, Signposting and navigation, not service delivery Light-touch support to enable independence Timely escalation to clinical or specialist services when needed