High Intensity Use Key Worker

High Intensity Use Key Worker Leading the way inLincolnshire!

We need to have different conversations with people, we needto be more person-centred, why dont we know what is really going on forpeople?

Are these questions you hear?

Is it important to you that people are given the best opportunities and access to right advice and support to enable them to live their best lives?

Are you determined, tenacious and naturally work in a collaborative, person centred way to improve outcomes for people?

Are you frustrated that we know what we need to do to support people in a different way but havent been able to find the right role to do this?

Well keep reading!

Main duties of the job

The post holder will act as high intensity uselead working with people with high intensity use of healthcare, through directcontact with the client group, seek to create a connection and discover andaddress any underlying reasons (social or emotional) that may be contributingto elevated health care contacts. Thiswill deliver measurable improved outcomes for the benefit of clients, staff,and the community.

About us

Trent Care Network along with their wider Neighbourhood colleagues have an amazing and first for Lincolnshire opportunity to recruit to two full-time key worker positions.

Trent Care Network is a group of five practices that know they have a number of people in their community that need something different. For reasons we don't always understand people find themselves accessing urgent and emergency care and we dont have the right people with the right attitudes and skills to change this.

These are non-clinical roles, and we want you to come and work with us because you are you!

Be part of the change we need to see, and help Trent Care Network lead the way.

Feel free to contact us if you have any questions

Job responsibilities

Key Tasks andResponsibilities

1. To provide holistic one to one social prescribing personcentred support for people aged 18 and over who have high dependency onemergency services and who are frequent visitors/ callers of A&E, theUrgent Care Centre and East Midlands Ambulance Service.

Carry out the role of a facilitator, broker, signposter, community connector and navigator, acting as an enabler between thevoluntary and community sector, patients, GPs and health clinicians, and socialcare.

Provide support to patients, generally in their ownhomes, up to 3-4 months to help direct and connect them to alternative sourcesof non-medical support services and activities.

Offer a personalised approach to sensitivelyuncover the real reasons for them calling 999 or presenting frequently atA&E/UCC.

During client visits undertake an assessment to gatherbaseline data and to identify the support needs and actions. Generating personalised care and support orwellbeing plans, which may include risk management.

Ensure support actions agreed with the patient arecarried out by the service. Support areas could include making referrals into arange of services provided by the voluntary, statutory or private sector, helpwith non-means tested benefit form filling e.g. Personal Independent Payments,Attendance Allowance, housing forms etc, distributing food bank vouchers,identifying suitable volunteering opportunities, connecting people into peer topeer led activities, initially taking patients to services if their confidenceis low etc.

Once support has been provided carry out a final assessment

2. To meet and collaborate with A&E clinical staffregularly, to discuss, identify and agree appropriate referrals from thepatient cohort list (patients presenting more than 12 times per year) and otherpatients presenting less than 12 times per year at A&E.

Meet with a range of health clinicians to discussand agree appropriate referrals from the patient cohort list.

Build and maintain positive relationships with arange of health professionals.

Work closely with health clinicians to facilitate optimaljoint working on safe and effective care for patients with complex needs.

Raise awareness of voluntary and community sectoractivities and services on offer to showcase the diverse range of servicesavailable to health and social care practitioners.

Raise awareness of the social prescribing servicewith health practitioners.

With health professionals and a range of providersidentify service needs, broker solutions and when required enable individualsto be supported to kick start/lead on new activities through Lincolnshire CVS.

3. To work and collaborate with the voluntary and communitysector to help identify appropriate referral destinations and to exploreopportunities to meet gaps in services and activities.

Keep abreast of a wide range of support services onoffer in the voluntary and community sector through undertaking research,making connections with organisations and groups and by using a range of localonline directories and Community Connectors.

Build and maintain positive relationships with awide range of voluntary and community sector providers.

When gaps is services and activities are identifieddiscuss and raise these with the team and if required liaise with voluntaryorganisations and Community Connector to help identify solutions.

4. To ensure effective record keeping and storage of patientdata to demonstrate outputs and outcomes which is compliant with GDPR.

Ensure all patient records and actions are enteredonto our record keeping systems.

Ensure GDPR requirements are adhered to in relationto data management.

When required, support in gathering any datarequired for working out cost savings to the wider health and social caresector as a result of the service interventions.

5. To actively contribute as a member of a well-establishedsocial prescribing and Neighbourhood team who support the most vulnerable insociety.

Actively contribute to team meetings, away days,planning activities and reflective practice activities.

Share progress, learning and challenges within theexisting Integrated Plus social prescribing team.

Share ideas about how the service could develop andevolve.

Adhere to all Lincolnshire CVS, Integrated Pluspolicies and procedures e.g. lone working, patient consent, informationgovernance, and local governance policy and procedure etc.

Person Specification Qualifications

• No formal qualifications are required but must have high emotional intelligence and resilience, be win-win negotiators and be brave enough to change the culture around high-intensity use of services. Needs to shine and connect well in interviews to demonstrate these skills.

Experience

• It would be desirable for the applicant to have experience in working in person-centred roles, social prescribing and skills linked with some of our most vulnerable groups, housing, drug and alcohol etc or care and support coordination.

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.

Full-time,Flexible working,Home or remote working,Compressed hours