An innovative hybrid role to support children, young people and their carers/ families. Combining the functions of social prescribing, care navigation and care coordination, based at PCN level and integrated with the team, this workforce would be managed by an experienced third sector navigation / family support specialist. They will work to the NHS Care Navigation competency framework (Enhanced Level) to:


Coordinate care and support

  • Produce a list of children in the PCN who have been referred for ND / mental health reasons, or who already hold an established diagnosis, or who have safeguarding concerns;

  • Act as the information base for health, education, social, community paediatrics, Kent Children and Young People's Mental Health Service (NEFLT) and the new Neurodevelopmental Disorders pathway;

  • Gather and collate information from multiple sources, building an active report / profile of the child proactively drawing from health, education and social services information sources, ensuring high quality referrals and minimising delays; and

  • Incorporate signposting suggestions / onward referrals for various interventions coming from multiple providers following being seen at the ICP level Children's MDT, or by specialist clinics following this. Use Kent Care Record when available, initially to use GP records.


Provide navigation and information

  • Research, identify and map appropriate provision which can support children and young people’s health and wellbeing (statutory, health, schools, voluntary sector) developing a whole new community resource at PCN level (using Connect Well directory);

  • Develop a range of online and social media support materials (including short videos) not only for young people themselves but also providing mentoring support for responsible adults, whether family or carers;

  • Identify and include mainstream activities which are proactively inclusive, such as ‘Autism Friendly Businesses’ and national and online support;

  • Maintain liaison with key contacts, building rapport with schools, including appointed lead SENCOs/ school nurses/ health visitors, building personal relationships where possible; and

  • Support practice safeguarding leads to engage at appropriate levels with schools, networks, groups and other teams involved in children's health and wellbeing


Offer Social prescribing (working closely with mental health professionals)

  • Offer appropriate children and families (ie those with lower level need) the opportunity to develop a personalised care and support plan, to address the non-clinical, social and wellbeing issues affecting health;

  • Using recognised tools such as the Headstart Resilience Conversation[2], help children, young people and their families identify ‘What matters to me’ and develop a goal focused holistic plan;

  • Promote and refer/ signpost to community-based solutions, peer support and mainstream activities, helping families build resilience and coping mechanisms; and

  • Ensure children, young people and their families know what to do and who to contact if problems escalate or in crisis.


The service will not be time-limited, recognising the long-term needs of families, though it is action-focused and seeks to provide guidance, enablement and motivation for children/ young people and their families to support themselves. The service will be open to children aged 0-17, with support to transition to adult services.

We are currently offering this service in the below PCNs:


Thornhills, West Malling, Wateringbury, Snodland, Phoenix


Tonbridge Medical, Warders, Hildenborough, Hadlow, Woodlands

The Weald

Orchard End, Marden, Yalding, Howell, Lamberhurst, North Ridge, Old Parsonage, Old School, Staplehurst, The Crane, Wish Valley

The Ridge

Headcorn, Len Valley, Orchard surgery, Sutton Valence

Folkestone (Total Health Excellence West)

Guildhall Street, Manor Road, Sandgate Road