About this role
Job summary
Lewisham is transforming neighbourhood care through the establishment of Integrated Neighbourhood Teams (INTs), designed to deliver coordinated, community-based care and support. The teams are made up of NHS services, primary care, social care, and the voluntary sector to provide more integrated and effective support for residents.
The four INTs align with Lewishams neighbourhoods and are closely integrated with six Primary Care Networks (PCNs). This approach builds on existing health and care service boundaries and proven models of successful collaboration in adult social care, children and young peoples services, district nursing, and mental health services.
Main duties of the job
The Health and Wellbeing Nutritional Coach will play a central role in supporting the implementation and delivery of Integrated Neighbourhood Teams by delivering the Lifestyle Medicine Service within Sevenfields and Ravensbourne PCN. This person will focus on improving outcomes for residents by providing holistic and personalised coaching and care which also helps to reduce local health inequalities.
Role holder must be an accredited nutritionist and hold an accredited coaching qualification.
Lifestyle medicine focuses on the prevention, treatment, and potential reversal of chronic disease through six key pillars: nutrition, physical activity, sleep, stress management, avoidance of risky substances, and social connection. This role involves providing one-to-one and group health and wellbeing coaching, with a particular focus on nutrition and lifestyle medicine, to support patients in making sustainable lifestyle changes. This service was co-designed with the local community to empower individuals with the knowledge and tools needed to proactively manage their health conditions. The service aims to enhance patient activation, improve health outcomes, and enhance quality of life through an evidence-based approach.
About us
Sevenfields PCN and Ravensbourne PCN are located in the southern part of the borough, comprising six GP practices and delivering healthcare services to a population of approximately 71,000 patients. Together, the PCNs form Neighbourhood 3.
Job description Job responsibilities
Duties & Responsibilities
Population Health and Caseload Management
Manage and prioritise a caseload in accordance with the needs, priorities, and required support of individuals.Be responsible for managing patient referrals and waiting lists.Adapt service delivery to meet the diverse needs of the local population, ensuring inclusivity and accessibility.Work flexibly to meet the evolving needs of the service and patient population.Holistic Patient Assessments
Deliver one-to-one and group health and nutritional coaching sessions, incorporating all six pillars of lifestyle medicine.Provide personalised nutritional coaching to patients based on their unique goals and health challenges.Support patients in setting achievable health goals, improving self-management skills, and overcoming lifestyle-related health challenges.Use coaching techniques and structured frameworks to guide patients in problem-solving and behaviour change.Service Linkage and Signposting
Raise awareness of the Lifestyle Medicine Service, particularly among communities facing barriers to access.Work collaboratively within multidisciplinary and multi-agency teams to promote health coaching and serve as an ambassador for personalised care and supported self-management.Build and maintain strong relationships with GP practices, multidisciplinary teams, and community services to facilitate appropriate referrals and care continuity.
Integrated Working and Coordination
Act as the Lead Health and Wellbeing Coach for the Lifestyle Medicine Service, supporting the wider team where appropriate.Champion lifestyle medicine principles within the PCN and support integration across services.Participate in team, practice, and PCN meetings and contribute to the ongoing development of the service.Provide leadership on nutrition-focused interventions and guidance within the team.
IT and Communication
Collect and analyse patient feedback and service impact data to inform improvements and measure the effectiveness of coaching interventions.Actively contribute to data collection and reporting to evaluate service effectiveness.Engage in regular supervision and continuous professional development to enhance communication, coaching skills, and service delivery.
Community Engagement and Partnership
Engage with local communities to raise awareness of the service and promote inclusivity.Ensure the service is accessible and tailored to meet the specific needs of marginalised or underserved populations.Collaborate with community organisations to enhance patient support options and co-design service improvements.
Working Relationships and Contacts
Lifestyle Medicine Community of Practice LeadIntegrated Neighbourhood Core TeamGeneral Practitioners (GPs)Social Prescribing Link WorkersCare CoordinatorsCommunity Link WorkersOther health professionals within the PCN Network Contract Directed Enhanced Service (DES)
The post holder is expected to work core hours but should also be flexible around service needs, which may include some evenings and weekends.
Person Specification
Qualifications Essential
Minimum of five GCSEs/O Levels or equivalent. Demonstrable commitment to ongoing professional development. PCI-accredited coaching qualification. Accredited nutritionist qualification.
Desirable
Willingness to undertake further training. Evidence of continued learning and development. Foundation Course or IBLM Diploma in Lifestyle Medicine.
Experience Essential
Experience working in a team environment. Experience in health and wellbeing coaching. Experience working as a nutritionist.
Desirable
Experience delivering lifestyle medicine approaches with patients. Experiencing of working with patients living with pre-diabetes and or diabetes. Experience in healthcare, social care, or community development settings. Experience working in multidisciplinary teams. Previous experience in the NHS or a similar healthcare setting. Familiarity with clinical systems such as EMIS. Experience with working with those with Learning Disabilities and SMI.
Skills and Abilities Essential
Excellent communication skills including written, verbal and use of IT. Motivational Interviewing and coaching skills. Ability to analyse and interpret information about health and well being. Ability to undertake needs assessment activity with communities. Ability to communicate with a wide range of people about health and well-being. Ability to apply evidence-base knowledge into practice. Ability to develop and maintain effective collaborative working. Ability to work in partnership with individuals and communities to improve health. Ability to plan, implement and review projects and work streams. Ability to organise work under pressure and use your own initiative.
Desirable
Can speak multiple languages.
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 Sevenfields PCN
Address Goldsmiths Community Centre
Castillon Road
London
SE6 1QD
Employer's website https://www.sevenfieldspcn.nhs.uk/ (Opens in a new tab)