Job summary
The Wellbeing Hub Co-ordinator plays an important role within the wellbeing service to help collate referrals, make initial contact, and ensure participants are triaged to the correct service. They will work closely with GPs and primary care professionals to identify and manage a caseload

The Wellbeing hub consists of;

Social Prescribers who empower people to manage their health and wellbeing via referral to non-medical link workers who focus on what matters to me, connecting people to community groups and statutory services.

Health and Wellbeing Coaches who support people to take pro-active steps to improve the way they manage their physical and mental health conditions, based on what matters to them.

The Pain Cafe, which is a seven-week course designed to empower people living with persistent pain to better understand and manage their condition. Through a combination of education, practical strategies, peer support and goal setting, participants can build confidence, improve their wellbeing and develop techniques to help them live well despite ongoing pain. The course focuses on self-management, helping individuals take control of their symptoms and improve their quality of life.

Main duties of the job
The Wellbeing Hub Coordinator is focused on coordinating referrals, supporting patients to access the right wellbeing services, managing communication between professionals and patients, promoting personalised care, supporting the delivery of the Pain Cafe and helping to deliver the Wellbeing Hub service across the PCN.

About us
First Coastal PCN covers a population of approximately 84,000 patients this is made up of seven practices, Marsico Medical Practice (Mablethorpe), Hawthorn Medical Practice (Skegness), Beacon Medical Practice (Skegness), Merton Lodge (Alford), Spilsby Surgery, Stickney Surgery and Old Leake Medical Practice. These practices work together to deliver care to the local population.

Job responsibilities

• Help collate referrals, make initial contact, and triage participants to the correct service, complete triage calls for all services within Wellbeing Hub.
• Work closely with GPs and primary care professionals to identify and manage a caseload.
• Demonstrate flexibility/adaptability in a dynamic, evolving service.
• Develop trusting relationships with participants; take a holistic, person-centred approach.
• Support development of Personalised Care and Support Plans, liaising with practice teams, patients/carers, and the Neighbourhood Team.
• Proactively outreach to participants on a regular, agreed basis.
• Use knowledge of local services for signposting/referrals.
• Support PCN targets for numbers seen by a Social Prescribing Link Worker and Health and Wellbeing Coaches
• Scope and map local services (welfare, employment, healthy lifestyle, social, support); maintain databases of services/activities.
• Engage other services to raise awareness of The Wellbeing Hub.
• Manage effective use of resources/services for consistent quality and quantity of care.
• Adopt multi-disciplinary, multi-agency approach.
• Know when to refer to other health professionals/agencies.
• Accurately maintain participant records.
• Manage waiting lists (if applicable).
• Understand barriers to accessing community support and use insight to shape support.
• Promote the service within the PCN (to users and clinicians); build positive working relationships.
• Reflect on and evaluate the service for continual improvement.
• Communicate effectively with colleagues, patients, and carers.
• Coordinate/navigate care for people and carers across health and care services, working closely with link workers, health and wellbeing coaches, and other primary care roles.
• High level of written/verbal communication skills.
• Highly motivated, proactive, strong organisational/time management skills, "can do" attitude.
• Support with smooth running, organisation, and facilitation of The Pain Cafe.
• Hold regular triage meetings with the Mental Health social prescribing team
• Ability to travel across the local area when required.

Please note: As this is a new and evolving role, this is not an exhaustive list of duties and responsibilities, and the post holder may be required to undertake other duties that fall within the grade of the job, in discussion with their line manager.

The content of this job description will be reviewed regularly in the light of changing service requirements and any such changes will be discussed with the post holder.

Key Working Relationships

• Local Neighbourhood Team
• GP Practices within the PCN
• Practice Leaders (Partners and Practice Managers)
• PCN Clinical and non-clinical teams
• PCN Clinical Directors and Business Manager
• Clinical Commissioning Group (CCG) and NHSE
• Community Health Teams (physical and mental health)
• Local Authority

CONFIDENTIALITY
In the course of seeking treatment, patients entrust us with or allow us to gather sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately.

In the performance of the duties outlined in this job description, the post-holder may have access to confidential information relating to patients and their carers, practice staff and other healthcare workers. They may also have access to information relating to the PCN as a business organisation. All such information from any source is to be regarded as strictly confidential.

Information relating to patients, carers, colleagues, other healthcare workers or the business of the PCN may only be divulged to authorised persons in accordance with the employing practice policies and procedures relating to confidentiality and the protection of personal and sensitive data.

EQUALITY AND DIVERSITY
The post-holder will support the equality, diversity and rights of patients, carers and colleagues, to include:

Acting in a way that recognises the importance of peoples rights, interpreting them in a way that is consistent with PCN and the member practices procedures and policies, and current legislation

Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues

Behaving in a manner which is welcoming to and of the individual, is nonjudgemental and respects their circumstances, feelings, priorities and rights

PERSONAL AND PROFESSIONAL DEVELOPMENT
The post-holder will participate in any training programme implemented by the PCN as part of this employment, with such training to include:

Participation in an annual individual performance review, including taking responsibility for maintaining a record of their own personal and/or professional development

Participation in the PCN mandatory training programme

Taking responsibility for own development, learning and performance, demonstrating skills and activities to others who are undertaking similar work.

Willing to develop advance skills to Masters Level

QUALITY
The post-holder will strive to maintain quality within the PCN and will:

Alert other team members to issues of quality and risk

Assess own performance and take accountability for their own actions, either directly or under supervision

Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the teams performance

Work effectively with individuals in other agencies to meet patients needs

Effectively manage own time, workload and resources

COMMUNICATION
The post-holder should recognise the importance of effective communication within the team and will strive to:

Communicate effectively with patients and carers

Recognise peoples needs for alternative methods of communication and respond accordingly

Communicate effectively with other team members

Person Specification
Experience
Essential

• At least 2 years' experience of working in health, social care or other support roles in direct contact with people, families or carers (in a paid or voluntary capacity).
• Experience of working within multi-professional team environments.
• Experience of working with elderly or vulnerable people, complying with best practice and relevant legislation.
• Ability to collect and record information and data, for record-keeping, monitoring and evaluation.

Desirable

• Experience or training in person-centred care planning

Qualifications
Essential

• Good standard of general education.
• Grade C GCSE English and Maths or equivalent qualifications.
• Excellent computer skills including email, word and excel
• Full UK driving licence and use of car insured for work purposes

Special Skills/Aptitudes
Essential

• Strong organisational skills including planning, prioritising, time management, report writing and record keeping
• Ability to recognise gaps in services and to identify and act on safety concerns
• Ability to recognise and work within limits of competence and seek advice when needed
• Evidence of good verbal and written communication skills
• Ability to build and maintain long-term-working relationships with colleagues
• A professional and compassionate attitude to patient care, providing support while maintaining professional boundaries
• Ability to work effectively under pressure, delivering against agreed objectives
• Ability to remain diplomatic when dealing with sensitive matters or having challenging discussions with patients or carers
• Ability to work safely unaided in home settings
• Willingness to take a pro-active and flexible approach to the role as it develops over time

Desirable

• Experience of using the SystmOne computer system
• Up-to-date knowledge of the services and organisations available to support patients and carers

Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.