Community Link Worker Pre Hab Project

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Fixed Term
Closing date: 14/05/2024


Home based but the role requires travel within the specified area, including home visits and supporting local hospitals.
Commissioned by Hertfordshire County Council, the Hospital & Community Navigation Service is comprised of ten voluntary organisations who provide hospital discharge and social prescribing services to Hertfordshire residents.
Main purpose of the role:
· To advise patients waiting for surgery to work on health issues to increase successful surgery. This will also include post op to recover quicker and better, getting to their baseline (or above) in a timely manner.
· Focusing on hip and knee operations to start, working with patients at higher risk of surgery for example – heart failure, respiratory conditions, diabetes etc.
· Understand the holistic needs and refer and link into any additional support or social prescribing as required.
· Work with the pre-op team at assessment centres to aid in uptake of referrals, being able to support clients at the point of access.
· Working directly with clients to help navigate through various organisations to make worthwhile changes.
· Supporting the Better At Home Team to complete outgoing calls and maintaining an accurate, up to date database of referrals and outcomes.
· Networking with local services who directly support clients with ongoing health needs, such as exercise classes for specific conditions etc. Promoting the project to relevant partners and organisations.
· Support the partnership and the voluntary and community sector and other local partners to deliver of an effective and integrated service which helps people access the support they need in their own communities.
1. Hold a caseload of clients and provide support and information to those clients, so they can build sustainable relationships with groups and activities which will help build resilience and independence.
2. Record and report activities undertaken and highlight any changes in a service user’s condition or circumstance and ensure that appropriate actions are taken to support the person.
3. Liaise with social care, health, housing and other professionals to ensure that the needs of the individual are consistently met.
4. To create short, medium and longer-term goals with clients, through on-going personalised care and support planning, to provide appropriate support and achieve positive outcomes.
5. Collect equipment like walkers and commodes from local hospitals and deliver them to clients.
6. To occasionally provide transport to service user’s home by car on discharge from hospital wards, A&E departments & community hospitals.
7. Carry out essential shopping or collecting prescriptions.
8. Carry out urgent welfare checks and visits as required.
9. Assess the service users living environment through carrying out a risk assessment and providing information/advice whilst respecting their individual dignity, choice and rights.
10. Accurately record, collate and produce qualitative and quantitative data required to demonstrate outcomes.
11. To undertake training as required and be prepared to travel throughout appropriate areas to attend any relevant meetings.
12. Undertake any other relevant duties that may be required by the management teams or wider service leads.
13. Willingness to work flexibly around the needs of the service (Weekend working may be required)
Person Specification
  • Demonstrates a passion for delivering agreed outcomes.
  • Works well under pressure.
  • Self-motivated and able to carry out tasks with minimal supervision.
  • Strong team player and able to work effectively as part of a locality, area and Countywide team.
  • Flexible, innovative and adaptable and has a ‘can do’ approach and attitude.
  • Good understanding of the voluntary and statutory sector and ideally the specific locality area.
  • Skilled at using user feedback to demonstrate outcomes and improve services.
  • Demonstrates personal accountability.
  • Works confidently with service users, partners and stakeholders to find effective solutions.
  • Effective administrative skills and an excellent standard of IT skills including MS Office, the internet and appropriate software.
  • Essential to have experience or the ability to confidently learn new systems or databases i.e. Clear 2 system, Charity Log, Salesforce, Joy etc.
· Recent experience of working directly in a community development context, adult health and social care, learning support or public health/health improvement (including unpaid work) is desired.
Service Delivery
  • Deliver great outcomes for individuals and the service.
  • Ensure that clients develop sustainable relationships with organisations and services
  • Link clients to existing resources in the community to help them to live well and avoid crisis
  • Focus on tackling health inequalities through the identification of the most vulnerable communities.
· Accurately record, collate and produce qualitative and quantitative data required to demonstrate outcomes.
  • Comply with Health & Safety policies including, but not limited to, those on lone working, manual handling and infection control.
  • Ensure service users’ health and wellbeing is preserved and safeguarding policies and procedures are followed at all times.
· Work with colleagues to ensure that health and safety legislation and risk assessments are understood and implemented.
· Work in partnership with local acute hospitals, GP surgeries/PCNs, Integrated Care Teams and local Voluntary Organisations to ensure that the project is effectively used and understood.
· Identify gaps in services and relay to management.
· Adhere to policies and procedures regarding data protection and confidentiality.
HCNS Values
The Hospital & Community Navigation service has teams based locally that will understand their local populations, and support people over the age of 18 who are returning home from hospital or are in need of additional support due to ill health. Helping to find, navigate and access community-based support.
The below values have been written and picked by staff within HCNS, to express how we operate and behave as a service –
Active Listening – To recognise other people’s perspective and feelings, promoting respect and understanding.
Empowering – Valuing abilities, goals, and strengths. Having the right tools and information to achieve results, to enable confidence and independence.
Community Focused – Focused on how we can support and strengthen our communities. Being the local ‘eyes and ears’ to connect and open up new initiatives.
Dynamic – Moving forward as one team, adapting, learning, and embracing change. Being able to try new things and grow as a service.
Inclusive – Being open to all, celebrating and valuing people’s uniqueness. Taking diverse feedback to create change and promote a safe space for people to share views.
Additional Information
Full Driving Licence and Access to a Vehicle for work purposes is required for this role.
Disclosure and Barring Service Check: An enhanced DBS disclosure will be required for this post.
Confidentiality: Attention is drawn to the confidential aspects of this job and personable responsibility and liability under the Data Protection Act 1998.
Health & Safety: The post holder is required to take reasonable care of their own health and safety and that of other people who may be affected by their acts or omissions at work and to ensure that statutory regulations, service policies, codes of practice and safety rules are adhered to.
Equality and Diversity Policy Statement: We believe that equality for all is a basic human right and actively oppose all forms of unlawful and unfair discrimination. We celebrate the diversity of society and are striving to promote and reflect that diversity within this service.
Staff may not unreasonably refuse a request to undertake any task which is appropriate to their level for which they have the necessary skills and / or experience. Any resulting change to their objectives and priorities will be discussed and confirmed with their line manager.
Appointment to this position is subject to satisfactory references.