Social Prescriber

Develop and maintain an in-depth knowledge of local community, statutory and voluntary sector services Work with practice teams to identify patients at risk of loss of independence or hospital admission due to inadequate social support Support GPs in reviewing, updating, and implementing personalised care plans for elderly, frail, or long-term condition patients Provide time-limited, supported signposting to appropriate services (free or paid where relevant) Ensure patients receive the right level of support at the right time through effective coordination with service providers Promote joined-up care by acting as a key point of contact between patients, carers, GPs, Integrated Locality Teams (ILT), social services, and other agencies Encourage effective help-seeking behaviours and help reduce avoidable hospital admissions and A&E attendances Respond to communications from out-of-hours and inpatient services regarding changes in patient status Maintain up-to-date records of hospital inpatients and support discharge coordination with ILT Record referrals, interventions, and outcomes to support service monitoring and evaluation Contribute to service development, risk assessments, and impact evaluations Work collaboratively with commissioners, ILTs, and partner organisations to develop the Social Prescribing role