About this role
Job summary
This is an exciting opportunity to join our dynamic team within North Sedgemoor PCN (practices include: Axbridge, Cheddar, Brent and Symphony North, consisting of Berrow, Burnham and Highbridge). The post holder will be part of the Primary Care Network (PCN) team and will also be part of our wider social prescribing team.
Main duties of the job
Health and Well-being Coaches support people to take pro-active steps to improve the way they manage their physical and mental health conditions, based on what matters to them. They support people to develop their knowledge, skills, confidence in managing their health and care, to improve their health outcomes and quality of life and support them making changes in health related behaviours.
Health coaches do this by coaching and motivating people through multiple sessions to identify their needs and to set goals for themselves, and through providing access to interventions such as self-management education and peer support.
Health and Well-being Coaches manage and prioritise a caseload, according to the needs, priorities and support required by individuals in the caseload. They identify when a persons needs are beyond the scope of the health and well-being coach role and refer them back to other health professionals or organisations. Health and Well-being Coaches may work with people by phone, by video conference, or face-to-face.
Health and Well-being Coaches are a key part of the Primary Care Network (PCN) multidisciplinary team. They often work alongside Social Prescribing Link Workers and Care Coordinators to provide an all encompassing approach to personalised care and promote and embed the personalised care approach across Primary Care Network(s).
Please note that the Health and Wellbeing Coach role is a non-clinical role.
About us
North Sedgemoor PCN brings together GP practices caring for around 50,000 people across Burnham on Sea, Brent, Highbridge, Cheddar and Axbridge. We are clinically led, collaborative and community focused. Our team includes GPs, Occupational Therapists, Pharmacists, Care Coordinators, Health Coaches, Paramedics, Digital & Transformation Leads and Service Leads.
We are a learning organisation. You will have a named supervisor. We value curiosity, high standards and kindness. Ideas are welcomed and improvement is part of daily work.
This is an exciting time to join us. We are scaling services and modernising how we deliver urgent and planned care in practices, in peoples homes and in care homes. You will be supported by clear pathways, friendly colleagues and a welcome team who help new colleagues settle in.
You will receive an NHS pension if eligible, generous annual leave and access to well-being resources.
Job description Job responsibilities
Key responsibilities
Provide one-to-one and group health coaching support for people with one or more long-term conditions, based on what is important to them, with the aim of: improving peoples knowledge, skills, confidence in managing their condition/s, empowering people to manage their own health and improve their health outcomes.and support them in making changes in their health related behaviour.Manage and prioritise a caseload, in accordance with the needs, priorities and support required by individuals in the caseload. It is vital that you have a strong awareness and understanding of when it is appropriate or necessary to refer people back to other health professionals/agencies, when what the person needs is beyond the scope of the health and wellbeing coach role e.g. when there is a mental health need requiring the patient to be referred to an appropriately qualified practitioner.Work as part of a multidisciplinary multi-agency team to promote health coaching and to be ambassadors for Personalised Care and Supported Self-Management, modelling the coaching approach in their work.Ensure that GPs, practice nurses, practice pharmacists and other members of the primary care team understand the Health and Well-being Coach role, how to refer to them, and which patients may particularly benefit from health coaching.Support local health, social care and voluntary sector professionals to make appropriate referrals to the service. Promote and raise awareness of the health coaching service particularly to groups and communities that experience barriers to access.Attend and contribute to team, practice, and PCN meetings and events as required by the service.Work flexibly, adapting to the needs of the service and client group while maintaining the integrity of the role.Contribute to and take part in health coaching train-the-trainer workshops in order to spread health coaching skills to support a mindset shift among staff in how they have conversations, integrating a health coaching approach into how they work with people and each other, and to strengthen a shift towards enabling a compassionate and coaching culture in their organisation.Collect service user experience and impact of health coaching as part of the delivery of personalised care. Participate and collect information that measures the impact of health coaching as an intervention that supports embedding personalised care into local health systems e.g. collect data entry relating to the health coaching activity in GP, Local Authority, and hospital clinical systems or other systems, as required.
Key Tasks
Provide personalised support
Meet people on a one-to-one or group consultation basis, by phone, video conference, or face-to-face.Give people time to tell their stories and focus on what matters to the person.Build trust and respect with the person, providing non-judgemental and non-discriminatory support, respecting diversity and lifestyle choices.Work from a strength-based approach focusing on a persons assets.Use a structured framework/model approach to coach individuals across a series of sessions to: identify whats important to them; set personal goals and appropriate steps; build skills and confidence to achieve goals; and use problem-solving to work through challenges.Work with the principles of self-management to actively support:
Shared decision making with healthcare professionals.
Effective engagement with personalised health and care plans.
proactive engagement with self-management education and peer support;
Proactive engagement with self-management education and peer support.
Proactive engagement with social prescribing, connecting people to community-based activities which support their health and wellbeing.
Proactive engagement with individually sourced activities and support.
Access to a care-coordinator and/or a personal health budget, where needed.
Referrals
Promote health coaching, its role in supported self-management as a part of personalised care, in addressing health inequalities and the wider determinants of health.As part of the PCN multidisciplinary team, build relationships with staff in GP practices within the local PCN, attending relevant multidisciplinary meetings, giving information and feedback on health coaching.Be proactive in developing strong links with all local organisations to encourage referrals, recognising what they need to be confident in the service to make appropriate referrals.Work in partnership with local agencies to raise awareness of health coaching and how improving peoples knowledge, confidence, skills can enable them to improve their ability to manage their long-term conditions and reduce reliance on clinical services.Provide referral organisations with regular updates about health coaching, including information on how to encourage appropriate referrals.Seek regular feedback about the quality of service and impact of health coaching on referral agencies.Be proactive in encouraging equality and inclusion and case-finding, through self-referrals and connecting with all diverse local communities, particularly those communities that statutory bodies may find hard to reach.
General Tasks
Gathering and Reporting Information
Work sensitively with people, their families and carers to gather key information, enabling tracking of the impact of health coaching on their health and well-being.Encourage people, their families and carers to provide feedback and to share their stories about the impact of health coaching on their lives.Support referral organisations to provide appropriate information about the person they are referring. Provide appropriate feedback to referral agencies about the people they referred.Work closely within the multidisciplinary team and with GP practices within the PCN to ensure that the relevant SNOMED codes to record activity are inputted into clinical systems (as outlined in the Network Contract DES), adhering to data protection legislation and data sharing agreements.
Supervision/ Professional development
Have access to relevant GPs to discuss patient related concerns, and be supported to follow appropriate safeguarding procedures.Have access to individual and group coaching supervision from a suitably qualified or experienced health coaching supervisor.Know and adhere to organisational policies and procedures, including confidentiality, safeguarding, vulnerable adults, lone working, information governance, equality, diversity and inclusion training and health and safety.
Miscellaneous
Establish strong working relationships with GPs and practice teams and work collaboratively with other Health and Well-being Coaches, Care Coordinators and Social Prescribing Link Workers, supporting each other, respecting each others views and meeting regularly as a team.Act as a champion for health coaching as a part of the PCNs personalised care offer for patients and organisations.Demonstrate a flexible attitude and be prepared to carry out other duties as may be reasonably required from time to time within the general character of the post or the level of responsibility of the role, ensuring that work is delivered in a timely and effective manner.Identify opportunities and gaps in the service - and review risks and issues that could impact on service delivery - and provide feedback to continually improve the service and contribute to business planning.Contribute to the development of policies and plans relating to equality, diversity and health inequalities.Work in accordance with the practices and PCNs policies and procedures.Contribute to the wider aims and objectives of the PCN to improve and support Primary Care.
Person Specification
Experience Essential
Demonstrable skills in supporting behaviour change. IT literate, including ability to use all Microsoft platforms (Outlook, Word, Excel, Teams, Powerpoint etc). Able to demonstrate a clear understanding of working with confidential information and an understanding of service user confidentiality. Able to work as part of a team. Excellent organisational and administration skills Working in a multi-disciplinary setting where influence and negotiation is required. Knowledge/familiarity with medical terminology. Working in a busy and demanding environment whilst delivering in a timely manner. Understanding of current issues facing the NHS.
Desirable
A minimum of two years Primary Care experience. Experience of EMIS Web and other clinical systems such as AccuRX. Experience of using coaching approaches/frameworks and models or other helping strategies e.g. Motivational Interviewing. An understanding of the psychophysiology model of health and the social determinants of health. Experience of successful partnership working across statutory, voluntary and community sector.
Qualifications Essential
Be willing to attend training with a non-clinical Supported self management health coaching skills programme (minimum 4 days) by a Personalised Care Institute (PCI) accredited trainer or organisation prior to taking referrals.
Desirable
Coaching/counselling qualification/experience or other relevant qualification/experience involving reflective listening skills relevant training and experience in non-clinical Supported Self-Management (SSM) Health Coaching through a PCI-accredited organisation.
Personal qualities and attributes Essential
Kind, reflective and self-aware. Demonstrates their belief that people have untapped resources within them that can only be unleashed by providing a non-judgemental and empowering service. Starts with what is working well and takes an asset-based approach (able to work from strengths) in all their interactions with people, colleagues and the communities we serve. Excellent communicator and influencer (able to build rapport with people easily). Operates with integrity and openness. Values diversity and difference. Understanding of and commitment to equality of opportunity and good working relationships. Commitment to continuous learning and development. Commitment to and focused on quality, promotes high standards in all they do.
Skills and knowledge Essential
A good understanding of the evidence base and development of self-management in the UK Understanding of the importance and process of helping people with long-term conditions to develop their knowledge, skills and confidence in managing their health and the range of models and tools available. Understanding how to apply health coaching in group settings. Able to work within a psychophysiology model, using a range of tools and techniques to enable and support people, such as agenda setting, goal setting,problem solving. Demonstrable skills in supporting behaviour change. Excellent group and one-to-one facilitation skills including conflict resolution. Skilled in active and reflective listening, building trust and rapport quickly. Good people management skills. Ability to work with minimal supervision and act decisively and ask for help when needed. Excellent communication and presentation skills. Proficient in Microsoft Office and web-based services. Ability to travel across multiple sites.
Desirable
Proficient speaker of another language to aid communication with people in the community for whom English is a second language.
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.
Employer details Employer name North Sedgemoor PCN
Address Axbridge & Wedmore Medical Practice
The Surgery, Houlgate Way,
Axbridge,
Somerset
BS26 2BJ
United Kingdom