Job responsibilities
The
post holder is a Health and Well-Being Coach who acts within their
professional boundaries to support people with lower levels of patient
activation to develop the knowledge, skills, and confidence to manage their
health and wellbeing.
The
role will be to increase patient ability to access and utilise community
support whilst providing access to self-management education, peer support
and social prescribing.
Health
and wellbeing coaches take an approach that considers the whole person
in
addressing
existing issues and encourages proactive prevention of new illnesses.
The
approach will be to appreciate patients circumstances in a non-judgemental
manner. This will result in the need for positive communication and negotiation
skills that will support the patients personal choices.
The
role will be an integral part of the general practice team working in each
practice and across the PCN.
You will be employed by and mainly based at the
Westbank Practice in Starcross & Exminster but you will also work with
the five practices of the Outer Exeter PCN Westbank Practice, Ide Lane
Surgery, Topsham Surgery, Pinhoe Practice, and Cranbrook surgery.
You will report to the Clinical Director of the
PCN or their nominees who will be responsible for supporting your ongoing
professional development.
You will be responsible for delivering group and
one on one sessions on healthy eating, physical activity and health and
wellbeing to meet with personalised care plans; engaging with patients to
support them in taking an active role in their health; providing advice and
support for both patients and colleagues. In addition, you will also support
the multi-disciplinary team, in line with the strategic objectives of the
PCN. The role will be supported by the Clinical Director of the PCN and their
nominated deputies. .
The
post holder will be employed by the lead practice (Westbank Practice) on
behalf of the network and will be subject to the employment terms and
conditions as specified by the lead practice.
Their primary contact for all HR concerns will be the lead practices
practice manager. The role will be the
same across the networks practices and will be defined by this role
description as agreed by the PCN Executive Board. Day to day clinical supervision will be
provided by the GP pharmacy leads in each of the practices.
Be willing after the initial period
of 6 months to extend your coaching services to any practice in the PCN and
be willing to travel to these practices to deliver health coaching &
wellbeing services.
Primary responsibilities
The
following are the core responsibilities of the PCN health and well-being
coach. There may be, on occasion, a requirement to carry out other tasks. This
will be dependent upon factors such as workload and staffing levels:
1.
To work as part of a multi-disciplinary team in a
patient facing role to assess and treat patients using expert knowledge
2.
To be responsible for the assessment of new patients
with subsequent production and completion of individual care plans
3.
To coach and motivate patients through multiple sessions
(usually up to 6 sessions) to identify their needs set goals, and support
them to implement their personalised health and care plan.
4.
To provide personalised support to individuals, their
families and carers to ensure that they are active participants in their own
healthcare and to empower them to take more control in manging their own
health and well-being, to live independently and to improve their health
outcomes through:
a.
Providing interventions such as self-management,
education and peer support
b.
Supporting people to establish and attain goals set by
the person based on what is important to them, building on goals that are
important to the individual
c.
Working with the social prescribing service to connect
them to community-based activities which support their health and well-being
5.
To be aware of limitations and, as required, be
responsible for the referral of patients who require the intervention of
other healthcare professionals
6.
To work with patients and to understand their level of
knowledge, skills and confidence when engaging with their health and well-being
7.
To provide support to local community groups and work
with other health, social care and voluntary sector providers to support
patients health and well-being holistically.
8.
To identify risk factors and categorise patients into
appropriate risk banding
9.
To facilitate groups of patients with group
consultations to assist patients to work with others to support their own
goals
10.
To be responsible for the day-to-day planning of
personal workloads
11. To follow departmental
policies procedures and guidelines
12.
To liaise with the practices and, where practicable, to
standardise processes across the PCN
13.
To receive referrals and directed patients from triage
services and other clinicians (these will usually be patients with low
Patient Activation Measurement Scores)
14.
To conduct coaching clinics which may be virtual or in
person with an allocated patient list.
15.
To conduct health and wellbeing classes online or in
person available to all patients of the PCN according to your area of
expertise.
16.
To improve the quality and effectiveness of prescribing
through clinical audit and education to improve performance against NICE
standards and clinical and prescribing guidance
17.
To develop yourself and the role through participation
in clinical supervision, training and service redesign activities. This
includes attendance of approved training courses in Health Coaching by the
PCN and clinical supervision.
18.
To contribute to a patient safety culture through
reporting and investigation of incidents and undertaking proactive measures
to improve patient safety
19.
To actively signpost patients to the correct healthcare
professional
20.
To maintain accurate clinical records of all patient
consultations and related work
21.
To promote health coaching and social prescribing
amongst the PCN and networked practices and to support colleagues to improve
their skills and understanding of personalised care
22.
To use the clinical system to record clinical data at
baseline and at defined follow-up intervals to record outcome data for
presentation to the clinical team and PCN.
23.
To review the latest guidance ensuring the practice
conforms to NICE, CQC etc.
24.
To support in the delivery of enhanced services and
other service requirements on behalf of the PCN
25.
To participate in the management of patient complaints
when requested to do so and participate in the identification of any
necessary learning brought about through clinical incidents and near-miss
events
26.
To undertake all mandatory training and induction
programmes
27.
To contribute to and embrace the spectrum of clinical
governance
28.
To attend a formal appraisal with their manager at
least every 12 months. Once a performance/training objective has been set,
progress will be reviewed on a regular basis so that new objectives can be
agreed
29.
To contribute to public health campaigns (e.g. flu
clinics) through advice or direct care
30.
To maintain a clean, tidy, effective working area at
all times
Secondary responsibilities
In
addition to the primary responsibilities, the health and well-being coach may
be requested to:
a.
Support delivery of QOF, incentive schemes, QIPP and
other quality or cost effectiveness initiatives
b.
Undertake any tasks consistent with the level of the
post and the scope of the role ensuring that work is delivered in a timely
and effective manner.
c.
Duties may vary from time to time without changing the
general character of the post or the level of responsibility.