37.5 hours per week.

This is an exciting opportunity to worth within a new model of care across Plymouth, through the newly established Health Inclusion Pathway-Plymouth Team

In line with current best practice this service has been developed using the Pathway approach, providing end to end support for individuals who are experiencing homelessness and health and social complexities, including substance use issues, mental health issues and a history of poor engagement with services.

The Health Inclusion Pathway-Plymouth team is a multidisciplinary team, with doctors, occupational therapists, physical and mental health nurses, plus support staff.

The aim of the Inclusion Health service is:

To create a comprehensive service, for adults with complex needs related to homelessness, health, contact with the criminal justice system and substance misuse issues.

The Service aims are:

Admission Avoidance: preventing inappropriate admissions, through sustained proactive work in the community with services, including homeless hostels and drop-ins.

Inpatient Support: supporting those people from our cohort to remain in hospital, until completion of treatment.

Safe Discharge from Hospital: aiming for discharge from hospital, not just when treatment is completed, but when a person can safely return to the community.

All LW staff are expected to be able and willing to work across a 7 day service.

Main duties of the job

Job Summary

To provide a professional social work service to adults, their families and carers in line within the requirements of the Care Act 2014 and the focus of the promoting wellbeing and identifying significant impact.

The post holder is a key player in influencing system change within the organisation including taking a lead on teaching/promoting inclusion health within the organisation.

Promote independence and to ensure they establish the appropriate level of support to prevent admission into hospital and maintain people in the community.

Contribute expert skills and knowledge to the service and be a role model for the team, striving to deliver inclusive provision.

Conduct health and care needs analysis of the caseload within the service, identifying unmet need, developing service provision and effective discharge plans.

The role will involve working within a Multi-disciplinary Integrated Health care team which will enable close working partnerships with healthcare and professionals leading to positive outcomes for people supported in the community.

To work alongside the Operational Lead on the delivery of specific service targets as identified through audit, by the commissioners, and the Pathway team.

This role may not be eligible for sponsorship under the Skilled Worker route.

Please note that LWSW may close the job advertisement earlier than the specified deadline if a high number of applications are submitted.

About us

Livewell Southwest is an independent, award-winning social enterprise delivering integrated health and social care services across Plymouth, South Hams, and West Devon, with specialist services in parts of Devon and Cornwall. Our teams work in community hospitals, GP practices, sports centres, and health hubs.

As an organisation with a strong social conscience we are guided by our values, kindness, respect, inclusivity, ambition, responsibility, and collaboration. We focus on transforming services to ensure sustainability, while empowering staff and those we serve.

We involve the people we care for, along with their families and carers, in shaping the care they receive, striving to deliver the right care at the right time and place. Centering our work on individual needs helps people lead healthy, independent lives.

We prioritise employees' development, offering protected CPD time, training pathways, leadership programs, and funding for qualifications like the Care Certificate and Nurse Training Scholarships. Our induction and preceptorship programs ensure a smooth transition into our organisation.

Livewell Southwest values diversity and encourages applications from all sections of the community, including those with armed forces experience, lived experience of mental health, neuro-diverse conditions and learning disabilities. If you need assistance or reasonable adjustments during the application process, contact the Recruiting Manager listed in the job advert.

Job description

Job responsibilities

Job Summary:

To provide a professional social work service to adults, their families and carers in line within the requirements of the Care Act 2014 and the focus of the promoting wellbeing and identifying significant impact.

The post holder is a key player in influencing system change within the organisation including taking a lead on teaching/promoting inclusion health within the organisation.

The role holder will assist individuals, carers and families by completing strength-based assessments which support the identification of individual, personal network, community strengths and universal services. Applying robust and evidence-based eligibility decision making and promoting best value.

Promote independence and to ensure they establish the appropriate level of support to prevent admission into hospital and maintain people in the community.

Contribute expert skills and knowledge to the service and be a role model for the team, striving to deliver inclusive provision.

Conduct health and care needs analysis of the caseload within the service, identifying unmet need, developing service provision and effective discharge plans.

The role will involve working within a Multi-disciplinary Integrated Health care team which will enable close working partnerships with healthcare and professionals leading to positive outcomes for people supported in the community.

Develop and independently undertake effective comprehensive holistic health, housing and social care assessments for patient including independent assessments of risk.

Due to the nature of those accessing the service, the role holder is expected to work face to face, both on clinical sites and in the community, as required.

To undertake safeguarding enquiries in line with legislation, statutory guidance and good practice approaches with a focus on making safeguarding personal to ensure that the adult is at the centre of the process.

To identify, respond to, manage and evaluate risk as appropriate considering and applying the Mental Capacity Act 2005 as appropriate.

All team members are expected to work collaboratively and supportively with each other across Primary, Secondary Care and Community care boundaries to improve outcomes for people who are homeless.

Management Responsibilities:

To work alongside the Operational Lead on the delivery of specific service targets as identified through audit, by the commissioners, and the Pathway team.

Line manage staff within the service as necessary (including staff from other organisations if required).

Undertake clinical audits as required as action outcomes as necessary.

Proactively identify adverse trends, and lead service improvements and developments as required

Support the service lead on the monitoring and reporting of the performance of the service as required including collection of service user feedback for the.

To represent the service in a variety of contexts.

To support and manage partnership staff within the team as necessary.

To attend multi-agency meetings as required and lead as necessary.

Person Specification

Qualifications

Essential

• Social Work Degree.
• Evidence of Continuous Professional Development by producing documentation to meet the Standards of Proficiency for Social Worker registration
• Registration with Social Work England as a social worker
• Experience and knowledge in line with national standards and guidance
• Ongoing training and evidence of continuous professional development
• Relevant policies and procedures of the Department and Livewell South West
• Relevant legislation e.g. The Care Act 2014, Health and Social care act 2012 and the Mental capacity Act 2005, Data Protection, Equal Opportunities, Freedom of Information Act, Disability Discrimination Act, The Human Rights Act 1998 Knowledge of the National Framework for NHS Continuing Healthcare and NHS-funded Nursing Care (Oct 2018).

Desirable

• Working knowledge/understanding of Cognitive Behavioural Therapy, Solution Focus Therapy
• Management/coaching qualification.
• Working Knowledge and understanding of Motivational Interviewing techniques
• Working knowledge and understanding of Trauma Informed working techniques.
• Supervisor and or assessor training in line with the University of Plymouth or willingness to complete this training.
• Post Graduate Specialist Knowledge and/or experience in Community and/or hospital settings.

Experience

Essential

• Two or more years post graduation work.
• Working knowledge of national policies and the relevant legislation, including Care Act 2014, Mental Health Acts, Mental Capacity Act, equalities and diversity and theories underpinning the provision of services to the relevant client group.
• Good general knowledge base of the health issues surrounding people with complex needs. Including mental health conditions that effect homeless people, including dual diagnosis presentations i.e., drug and alcohol /substance misuse.
• Knowledge of support available to improve the general health needs of those with complex needs, and motivated to promote and expand this further.
• Knowledge of the needs of homeless and /or refugee and asylum seekers and working to No Recourse to Public Funds guidance.
• Knowledge and understanding of homelessness strategies international, national and local e.g., Homelessness code of guidance for Local Authorities 2018.

Desirable

• Management experience within a team.

Knowledge

Essential

• Demonstrate evidence based practice:
• CMHF record keeping
• NSF & MHA and NICE guidelines
• Demonstrate a commitment to professional development and be an able educator
• Working knowledge of national policies and the relevant legislation, including Care Act 2014, Mental Health Acts, Mental Capacity Act, equalities and diversity and theories underpinning the provision of services to the relevant client group.
• Good general knowledge base of the health issues surrounding people with complex needs. Including mental health conditions that effect homeless people, including dual diagnosis presentations i.e., drug and alcohol or substance misuse.
• Knowledge of support available to improve the general health needs of those with complex needs, and motivated to promote and expand this further.
• Knowledge of the needs of homeless and /or refugee and asylum seekers and working to No Recourse to Public Funds guidance.
• Knowledge and understanding of homelessness strategies international, national and local e.g., Homelessness code of guidance for Local Authorities 2018.
• Evidence of life-long learning - academically and Professionally

Desirable

• Able to draw upon a range of skills to support and deliver change within a multi-disciplinary team.
• Awareness of substance misuse services and impact on service users and carers.

Skills

Essential

• Skilled and experienced clinician, particularly in assessment management of risk and crisis intervention
• Good communication skills (verbal and written skills)
• Empathic outlook on health and social care delivery which respects clients dignity and human rights
• Interpersonal skills
• Supervisory skills
• Leadership skills
• Negotiation skills
• Risk assessment and management skills
• Calm and adaptable
• Ability to work flexibly
• Ability to work autonomously and part of MDT
• Recognise and manage stress in self and others
• Ability to commute around the locality.
• Creative, enthusiastic and self motivated
• Ability to manage change
• Willingness to participate in service development
• Ability to work flexibly and dynamically to support the Manager in developing a healthy team culture, and driving forward team improvements and change at all times.

Desirable

• Specialist clinical skills i.e.
• Psycho-social interventions
• Staff appraisal skills

Employer details

Employer name

Livewell Southwest

Address

200 Mount Gould Road

Mount Gould

Plymouth

Devon

PL4 7PY

Any attachments will be accessible after you click to apply.

B9832-2024-SOPCC-229