Health & Wellbeing Practitioner

Lead a Service That Helps People Flourish

Are you a registered health professional who is passionate about personalised care, reducing health inequalities, and helping people live healthier, more fulfilling lives?

Do you believe that improving health is about more than treating illness and that people thrive when they are supported to build on their strengths, connect with their communities, and focus on what matters most to them?

If so, we'd love to hear from you.

WE: Flourish is an innovative, non-emergency health and wellbeing service supporting adults whose health is affected by social, emotional, practical, lifestyle and wider non-medical factors. The service provides personalised, holistic support through a coordinated, strengths-based approach designed to help people improve their wellbeing and achieve meaningful outcomes.

We are looking for an experienced and compassionate Health and Wellbeing Practitioner to provide clinical and operational leadership within the WE: Flourish team. This is an exciting opportunity for an experienced registered clinician who enjoys working across organisational boundaries, leading teams, improving services and supporting people with complex health and wellbeing needs.

Job description

Erewash Health Partnership is a single GP partnership providing core primary care services and support services across its constituent practices. EHP is also the prime provider for services delivered on behalf of Erewash Primary Care Network.

WE Flourish is a PCN-wide, non-emergency health and wellbeing service for adults aged 18 and over whose health and wellbeing are affected by appropriate social, emotional, practical, lifestyle or wider non-medical factors.

Job Summary

The WE: Flourish Health and Wellbeing Practitioner will act as Clinical and Service Manager, providing day-to-day clinical and operational leadership for the EHP/PCN-employed WE: Flourish team. The post holder will oversee the Single Point of Access (SPOA), support triage and tier allocation, assure Quality Conversations, coordinate complex case support and the weekly multidisciplinary meeting (MDM), and oversee outcome monitoring and discharge processes across the pathway.

The role will help ensure that WE: Flourish operates as a safe, coordinated and person-centred service for adults registered with an Erewash PCN practice. Clinical supervision and clinical decision-making are required; therefore, the post holder must hold an appropriate registered clinical qualification.

General Duties

At all times, the post holder will behave professionally, promote high-quality person-centred support, provide safe leadership and foster continual improvement across WE: Flourish, EHP and EPCN.

This job description is not intended to be exhaustive. The post holder will carry out other duties that may reasonably be required within the main purpose and level of the role, in response to changing service needs.

Key Job Responsibilities

Provide day-to-day clinical and operational leadership for the PCN-employed WE: Flourish team, in line with professional competence and registration requirements.

Oversee referral flow, tier allocation, workload and waiting-list management, ensuring referrals are reviewed through the SPOA and triaged within the service standard of three working days; provide allocation support where risk, complexity or uncertainty is identified.

Ensure people receive support according to need and intervention intensity: Tier 1 navigation and supported signposting; Tier 2 coaching, Social Prescribing or other supported intervention; and Tier 3 Quality Conversation, complex support, case holding and MDM discussion where required.

Provide line management, clinical supervision where appropriately qualified, professional support and day-to-day guidance to PCN-employed WE: Flourish roles.

Work closely with Erewash Voluntary Action (EVA) so that its commissioned Social Prescribing capacity is integrated into the WE: Flourish pathway, while recognising that EVA retains employment and line-management responsibility for Social Prescribing staff.

Support quality assurance of Quality Conversations, personalised support planning, case navigation and follow-up.

Support the weekly MDM, including preparation, case discussion, agreement of ownership and actions, documentation, patient communication and follow-up, while maintaining each practitioners and organisations professional responsibilities.

Maintain clear escalation routes for acute mental health crisis, safeguarding concerns, clinical concerns, requests for further senior clinical advice and operational concerns, in line with the agreed pathway.

Support performance monitoring, outcome reporting, patient feedback and evaluation.

Ensure consistent use of approved SystmOne referral, triage, Quality Conversation, MDM outcome, caseload and discharge documentation, with accurate coding and a clear audit trail.

Identify training needs and support staff development across personalised care, risk management, safeguarding, strengths-based conversations and health inequalities.

Support service development, pathway refinement and reporting into PCN governance arrangements.

Promote WE: Flourish across practices and partner organisations.

Monitor service risks and support mitigations, including demand, capacity, pathway delays and inconsistent patient experience.

Ensure the team works within agreed role boundaries and escalation routes, particularly in relation to clinical risk, mental health concerns and safeguarding.

Caseload, Pathway and Performance Oversight

Ensure case-holding arrangements follow the service specification: open cases reviewed at least every two weeks, normally held for no longer than three months, and transferred, discharged or escalated appropriately.

Oversee implementation of appointment confirmation, non-attendance, reassessment, transfer between tiers, discharge and re-referral processes, including risk review before discharge where safeguarding, vulnerability or significant concerns are known.

Support delivery across PCN/practice and agreed community locations by telephone or face to face within the service operating model.

Monitor referral volume, triage and Quality Conversation waiting times, tier distribution, caseload, case-holding duration, outcomes, re-referral, patient feedback, equity of access and demand against workforce capacity.

Communication and Relationships

Build effective working relationships across primary care, mental health, adult social care, public health, Social Prescribing, voluntary, community and social enterprise organisations and community partners.

Communicate complex or sensitive information clearly, compassionately and appropriately to people, carers, staff, clinicians, managers and partner organisations.

Promote person-centred, strengths-based and compassionate practice, focused on what matters to the person.

Recognise and respond to the effect of wider determinants of health, including housing, debt, isolation, bereavement, unemployment, caring responsibilities and low confidence.

Support equitable access by adapting communication and engagement approaches for people and communities who experience barriers to care.

Manage competing priorities, staff workflow and service risks, escalating concerns to the appropriate senior colleague or service.

Physical Skills

Standard keyboard and digital skills are required.

Use of EHP and PCN IT systems, including SystmOne.

Regular use of computer and telephone systems, alongside face-to-face work in practice and community settings.

Key Internal Relationships

EHP Senior Management and Pathway Design Lead

PCN-employed WE: Flourish delivery team

Erewash PCN Clinical Directors and practice teams

EHP operational, data and performance colleagues

Named safeguarding and senior clinical escalation leads

Key External Relationships

Erewash Voluntary Action and commissioned Social Prescribing staff

Community health and mental health services

Adult Social Care and Public Health

Voluntary, community and social enterprise organisations

Other health and care partners involved in coordinated support

General Responsibilities for All Staff

Professional Accountability

Maintain professional registration and practise within professional competence, organisational policies, agreed pathways and supervision arrangements. Recognise limits of competence and seek advice or escalate concerns appropriately.

Confidentiality

Maintain the confidentiality of patient-identifiable, staff and organisational information. Information may only be shared with authorised people and in accordance with organisational policies, data protection requirements and local record-keeping standards.

Health and Safety

Promote and maintain personal and workplace health, safety and security. Follow relevant policies and procedures, manage risks appropriately, report hazards and incidents, and apply infection prevention and control requirements within the scope of the role.

Safeguarding

Demonstrate due regard for safeguarding and promoting the welfare of children and adults. Ensure concerns are recognised, documented and escalated promptly through agreed pathways.

Equality, Diversity and Inclusion

Support the equality, diversity and rights of people, carers and colleagues. Respect privacy, dignity, needs and beliefs; use welcoming, inclusive and non-judgemental approaches; and support equitable access for underserved communities.

Quality and Governance

Support safe, consistent and high-quality service delivery. Monitor quality and risk, contribute to governance and reporting, reflect on practice, and lead or contribute to continuous improvement.

Information Governance and Record Keeping

Ensure accurate, timely, clear and confidential records and a reliable audit trail. Use electronic systems securely and follow organisational information governance, data protection and record-keeping requirements.

Learning and Development

Participate in appraisal, mandatory training and continuing professional development. Identify team learning needs, support staff development and maintain evidence of professional competence.

Flexibility

Work flexibly across EHP and EPCN services and locations where reasonably required. Responsibilities may be adjusted to meet service needs while remaining consistent with the purpose and level of the post.

EHP Organisational Values and Behaviours

The post holder is expected to support EHPs mission to work collaboratively to deliver high-quality, accessible healthcare that is sustainable, safe, effective and personalised. They will demonstrate responsibility, care, openness, integrity, shared leadership, innovation, proactivity, equality and support for colleagues and patients.

A high service-delivery work ethic

Flexibility across the organisation

A positive, can-do attitude

A person-focused and customer-minded approach

Team working and support for colleagues

Reliability and resilience

Person specification

Knowledge & Skills

Essential

• Strong understanding of personalised care, Social Prescribing, holistic support and wider determinants of health
• Excellent communication, relationship-building and problem-solving skills
• Ability to manage staff, workflow, competing priorities and service risks
• Strong IT, reporting and record-keeping skills, including accurate use of electronic care records
• Ability to maintain safe clinical, safeguarding, mental health and operational escalation arrangements
• Ability to analyse service information and use it to support quality, performance and capacity management

Desirable

• Knowledge of health coaching, care coordination or case navigation

Personal Qualities

Essential

• Person-centred, strengths-based, compassionate and inclusive leadership approach
• Calm, credible and decisive when managing complexity, risk and competing demands
• Collaborative, proactive, flexible and solutions-focused
• Commitment to reducing health inequalities and improving access for underserved communities
• Compassionate leadership and creating an inclusive and equitable work environment
• Collaboration and partnership working
• Innovation and continuous improvement
• Being aware of trauma informed care

Other Requirements

Essential

• Maintains confidentiality at all times
• Enhanced Disclosure and Barring Service check, where required for the post
• Ability to travel across the locality on a regular basis
• Willingness to work flexibly within service requirements

Qualifications

Essential

• Appropriate registered clinical qualification, such as Registered Nurse or Occupational Therapist, where clinical supervision or clinical decision-making is required. And/or equivalent experience in health, care, mental health, personalised care or community-based support, with evidence of operating at senior practitioner level.
• Current professional registration and evidence of continuing professional development experience.

Experience

Essential

• Operational service coordination or team leadership in health, care, VCSE, community or primary care settings
• Working across multi-agency pathways
• Providing supervision, professional support and staff development

Desirable

• Previous experience in a Primary Care Network, NHS, voluntary sector or neighbourhood setting
• Service mobilisation or pathway redesign
• Outcome reporting, evaluation or quality improvement
• Supporting staff through change, pathway development or multi-agency working

About the employer

This is a unique opportunity to be part of an ambitious and innovative model that brings together healthcare, personalised care and community support to help people flourish.

You'll join an organisation that values: