Job summary
To provide
health coaching specifically for patients with MASLD, working as part of a
multidisciplinary team including healthcare assistants, advanced nurse
practitioners, GPs and dieticians. Working with the clinical team to provide
education and support on behaviour change techniques, focusing on supporting
patients to make sustainable lifestyle changes that will positively impact
their liver health. The successful candidates should be : kind, reflective
and self-aware, enjoying working with MASLD patients.
*good
communication and negotiation skills and able to provide a high quality,
non-judgmental service.
*proactive with a flexible attitude, good
team players and committed to developing themselves in this skilled role. They will have access to ongoing supervision, skills
development, and support in MASLD management so they are able to continue
developing and gain experience.
to develop collaborative relationships and work in partnership with health,
social care, and community and voluntary sector providers and multidisciplinary
teams to holistically support patients wider health and well-being, public
health, and contributing to the reduction of health inequalities; provide
education and specialist expertise to PCN staff, supporting them to improve
their skills and understanding of personalised care, behavioural approaches and
ensuring consistency in the follow up of peoples goals with MDT input.
Main duties of the job
Develop collaborative
relationships and work in partnership with health, social care, and community
and voluntary sector providers and multi-disciplinary teams to holistically
support MASLD patients wider health and well-being, public health, and
contributing to the reduction of health inequalities, with a specific focus on
lifestyle changes that reduce metabolic burden and improve liver health.
Work with the GPs and
other primary care professionals within the PCN to identify and manage a
caseload of patients, and where required and as appropriate, refer people back
to other health professionals within the PCN, in accordance with the needs,
priorities and any urgent support required by individuals
To integrate into the
MASLD service and to work closely with the GPs and project managers to ensure
full visibility of the service.
To work with
communities and INTs in providing and empowering behavioural change that can be
long lasting in the community in which we work.
To provide
personalised support to individuals, their families, and carers to support them
to be active participants in their own healthcare; empowering them to manage
their own health and wellbeing and live independently.
To recognise the
importance of safeguarding procedures within the project, and ensuring that any
concerns, disclosures, or allegations of abuse are immediately and correctly
reported.
About us
Primary care networks
(PCNs) form a key building block of the NHS long-term plan. Bringing general
practices together to work at scale has been a policy priority for some years
for a range of reasons, including improving the ability of practices to recruit
and retain staff; to manage financial and estates pressures; to provide a wider
range of services to patients and to more easily integrate with the wider
health and care system. While GP practices have been finding different ways of
working together over many years for example in super-partnerships,
federations, clusters and networks the NHS long-term plan and the new
five-year framework for the GP contract, published in January 2019, put a more
formal structure around this way of working, but without creating new statutory
bodies. Since 1 July 2019, all except a handful of GP practices in England have
come together in around 1,300 geographical networks covering populations of
approximately 3050,000 patients. This size is consistent with the size of
primary care homes, which exist in many places in the country, but much smaller
than most GP federations. Around 50 networks, usually in very rural areas, will
cover a population of less than 30,000, but most are bigger than 50,000. If you
would like the opportunity to make a difference in our community, come and join
our Sutton PCN Health Engagement Team as a Health & Wellbeing Coach.
Job description
Job responsibilities
The main focus areas of the coaches will be to:
1) Develop collaborative relationships and work in partnership with health, social care,
and community and voluntary sector providers and multi-disciplinary teams to holistically
support patients wider health and well-being, public health, and contributing to the
reduction of health inequalities;
2) Provide education and specialist expertise to PCN staff, supporting them to improve
their skills and understanding of personalised care, behavioural approaches and ensuring
consistency in the follow up of peoples goals with MDT input.
3) Work with the GPs and other primary care professionals within the PCN to identify
and manage a caseload of patients, and where required and as appropriate, refer people
back to other health professionals within the PCN, in accordance with the needs,
priorities and any urgent support required by individuals
4) To be the first point of contact at GP practices where coaching services will be
delivered, and to receive and manage referrals. Using existing IT and MDT channels to
screen patients, with an aim to identify those that would benefit most from health
coaching
5) To provide personalised support to individuals, their families, and carers to support
them to be active participants in their own healthcare; empowering them to manage
their own health and wellbeing and live independently through:
- coaching and motivating patients through multiple sessions to identify their
needs, set goals, and supporting patients to achieve their personalised health
and care plan objectives
-providing interventions such as self-management education and peer support
-supporting patients to establish and attain goals that are important to the patient
-supporting personal choice and positive risk taking while ensuring that patients
understand the accountability of their own actions and decisions, thus
encouraging the proactive prevention of further illnesses
-working in partnership with the social prescribing service to connect patients to
community-based activities which support them to take increased control of their
health and wellbeing; increasing patient motivation to self-manage and adopt
healthy behaviours
6) To work with patients to help them understand their level of knowledge, skills and
confidence when engaging with their health and well-being and subsequently supporting
them in shared decision-making conversations.
7) utilise health coaching skills to support people with lower levels of activation to
develop the knowledge, skills, and confidence to manage page their health and
wellbeing, whilst increasing their ability to access and utilise community support offers;
and
8) To work as part of a Multi-Disciplinary Team, participating in progress meetings,
ensuring that the MDT is kept fully up-to-date with progress reports
9) To ensure that all complaints and compliments received are recorded in line with
organisational policy.
10) To recognise the importance of safeguarding procedures within the project, and
ensuring that any concerns, disclosures or allegations of abuse are immediately and
correctly reported.
11) To embed equality, diversity and inclusion best practice into all aspects of work.
12) To work to the requirements of the organisations quality standards, and other
service-specific quality accreditations as required, abiding by organisational ethos and
principles
13) To attend and participate in regular supervision, appraisals, training and other
internal meetings.
14) At all times provide a caring service and to treat everyone in a courteous and
respectful manner.
15) Flexible to work out-of-hours as required according to service needs and demands.
16) Undertake additional duties as requested by the PCN executive board appropriate to
the stated job purpose and skills.
The above list of main tasks in this job description
should, therefore, not be regarded as exclusive or exhaustive.
Job description
Job responsibilities
The main focus areas of the coaches will be to:
1) Develop collaborative relationships and work in partnership with health, social care,
and community and voluntary sector providers and multi-disciplinary teams to holistically
support patients wider health and well-being, public health, and contributing to the
reduction of health inequalities;
2) Provide education and specialist expertise to PCN staff, supporting them to improve
their skills and understanding of personalised care, behavioural approaches and ensuring
consistency in the follow up of peoples goals with MDT input.
3) Work with the GPs and other primary care professionals within the PCN to identify
and manage a caseload of patients, and where required and as appropriate, refer people
back to other health professionals within the PCN, in accordance with the needs,
priorities and any urgent support required by individuals
4) To be the first point of contact at GP practices where coaching services will be
delivered, and to receive and manage referrals. Using existing IT and MDT channels to
screen patients, with an aim to identify those that would benefit most from health
coaching
5) To provide personalised support to individuals, their families, and carers to support
them to be active participants in their own healthcare; empowering them to manage
their own health and wellbeing and live independently through:
- coaching and motivating patients through multiple sessions to identify their
needs, set goals, and supporting patients to achieve their personalised health
and care plan objectives
-providing interventions such as self-management education and peer support
-supporting patients to establish and attain goals that are important to the patient
-supporting personal choice and positive risk taking while ensuring that patients
understand the accountability of their own actions and decisions, thus
encouraging the proactive prevention of further illnesses
-working in partnership with the social prescribing service to connect patients to
community-based activities which support them to take increased control of their
health and wellbeing; increasing patient motivation to self-manage and adopt
healthy behaviours
6) To work with patients to help them understand their level of knowledge, skills and
confidence when engaging with their health and well-being and subsequently supporting
them in shared decision-making conversations.
7) utilise health coaching skills to support people with lower levels of activation to
develop the knowledge, skills, and confidence to manage page their health and
wellbeing, whilst increasing their ability to access and utilise community support offers;
and
8) To work as part of a Multi-Disciplinary Team, participating in progress meetings,
ensuring that the MDT is kept fully up-to-date with progress reports
9) To ensure that all complaints and compliments received are recorded in line with
organisational policy.
10) To recognise the importance of safeguarding procedures within the project, and
ensuring that any concerns, disclosures or allegations of abuse are immediately and
correctly reported.
11) To embed equality, diversity and inclusion best practice into all aspects of work.
12) To work to the requirements of the organisations quality standards, and other
service-specific quality accreditations as required, abiding by organisational ethos and
principles
13) To attend and participate in regular supervision, appraisals, training and other
internal meetings.
14) At all times provide a caring service and to treat everyone in a courteous and
respectful manner.
15) Flexible to work out-of-hours as required according to service needs and demands.
16) Undertake additional duties as requested by the PCN executive board appropriate to
the stated job purpose and skills.
The above list of main tasks in this job description
should, therefore, not be regarded as exclusive or exhaustive.
Person Specification
Qualifications
Essential
- Enrolled in, undertaking or qualified from appropriate health coaching training
- covering topics outlined in the NHS England and NHS Improvement
- Implementation and Quality Summary Guide, with the training delivered by a
- training organisation listed by the Personalised Care Institute
- Knowledge of person-centred approaches
- Understanding of approaches to working with people with mental health needs
- Knowledge of Equal Opportunities, Diversity & Inclusion policies and practice
- Knowledge of Safeguarding Vulnerable Adults policies and procedures
Desirable
Experience
Essential
- Experience working in health, community or voluntary sector
- Experience of working with vulnerable adults including people with mental health
- problems
- Experience of working with people facing a range of barriers and social issues
- Experience of working with individuals (1-2-1) and groups of people in different
- settings to help them achieve their goals
- Ability to engage a wide range of different people and to inspire them to make
- their own decision and take their own actions
- Experience of working in multi-disciplinary teams
Desirable
Person Specification
Qualifications
Essential
- Enrolled in, undertaking or qualified from appropriate health coaching training
- covering topics outlined in the NHS England and NHS Improvement
- Implementation and Quality Summary Guide, with the training delivered by a
- training organisation listed by the Personalised Care Institute
- Knowledge of person-centred approaches
- Understanding of approaches to working with people with mental health needs
- Knowledge of Equal Opportunities, Diversity & Inclusion policies and practice
- Knowledge of Safeguarding Vulnerable Adults policies and procedures
Desirable
Experience
Essential
- Experience working in health, community or voluntary sector
- Experience of working with vulnerable adults including people with mental health
- problems
- Experience of working with people facing a range of barriers and social issues
- Experience of working with individuals (1-2-1) and groups of people in different
- settings to help them achieve their goals
- Ability to engage a wide range of different people and to inspire them to make
- their own decision and take their own actions
- Experience of working in multi-disciplinary teams
Desirable
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.
