Long Term Conditions and Health/Wellbeing Coach

Bramhall and Cheadle Hulme Primary Care Network

The closing date is 05 December 2024

Job summary

Identifying opportunities and developing and delivering project recommendations for services and actions needed for active lifestyles that contribute to health outcomes, community safety and independent living in the Primary Care Network.

Working alongside the Primary Care Network team to enhance individual patient case management follow up and ongoing support.

Main duties of the job

We are seeking a dedicated Long-Term Condition (LTC) and Health/Wellbeing Coach to support the health and wellbeing needs of our Primary Care Network (PCN) population. This role involves managing and prioritising a caseload, utilising strong communication skills, and a non-judgmental, holistic approach.

The coach will work closely with patients, their families, and carers, empowering them to actively manage their health and set personalised health goals.

Responsibilities include using IT and multi-disciplinary channels to identify patients in need, providing personalised coaching, supporting self-management, and patient autonomy.

Additionally, the coach will work with patients to explore personal health budgets, establish community connections, and promote healthy behaviours, while collaborating with social prescribing services and community partners to enhance patient support.

The ideal candidate will actively contribute to PCN objectives by educating staff on personalised care, engaging in multidisciplinary meetings, and supporting decision-making tools within the network.

They will also be responsible for data collection to track patient outcomes and demonstrate improvements, ultimately working toward reducing health inequalities within the community.

This is a unique opportunity to make a significant impact on patient health through proactive, patient-centred care.

About us

Bramhall and Cheadle Primary Care Network (PCN) is a thriving network of GP practices located in the Stockport area, committed to delivering high-quality, patient care. We aim to provide innovative and coordinated care, enhancing services for patients while promoting preventative healthcare and managing long-term conditions.

Our network is built on strong collaboration between member practices, local health services, and community partners. By working closely together, we aim to streamline patient care and improve access to essential services.

Date posted

07 November 2024

Pay scheme

Other

Salary

£29,975 a year

Contract

Permanent

Working pattern

Full-time

Reference number

A4536-24-0008

Job locations

Bramhall Health Centre

66 Bramhall Lane South

Bramhall

Stockport

Cheshire

SK7 2DY


Job description

Job responsibilities

Manage and prioritise a caseload, in accordance with the health and wellbeing needs of the PCN population through taking an approach that is non-judgemental, based on strong communication and negotiation skills, while considering the whole person when addressing existing issues. Where required and as appropriate, the LTC and Health/Wellbeing Coach will refer people back to other health professionals within the PCN

Utilise existing IT and MDT channels to screen patients, with an aim to identify those that would benefit most from health coaching

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;

Work with patients with lower activation scores to understand their level of knowledge, skills and confidence (their Activation level), when engaging with their health and well- being and subsequently supporting them in shared decision-making conversations

Utilise health coaching skills to support people with lower levels of activation to develop the knowledge, skills, and confidence to manage their health and wellbeing, whilst increasing their ability to access and utilise community support offers

Explore and support patient access to a personal health budget, where appropriate, for their care and support.

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 wellbeing, 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

Raise awareness within the PCN of shared-decision making and decision support tools.

Promote the service within the PCN, both for users and clinicians, building positive working relationships

Playing an active role in MDT meetings if required (regular practice meetings to discuss high risk and / or complex patients) by gathering information and being prepared to update the team on patient progress towards goals etc. (as per their care plan)

Actively collect and maintain data that will demonstrate patient improvement in key areas.

Ensure delivery of best practice in clinical practice, caseload management, education, research, and audit, to achieve corporate PCN and local population objectives.

Contribute to PCN meetings and Projects

Job description

Job responsibilities

Manage and prioritise a caseload, in accordance with the health and wellbeing needs of the PCN population through taking an approach that is non-judgemental, based on strong communication and negotiation skills, while considering the whole person when addressing existing issues. Where required and as appropriate, the LTC and Health/Wellbeing Coach will refer people back to other health professionals within the PCN

Utilise existing IT and MDT channels to screen patients, with an aim to identify those that would benefit most from health coaching

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;

Work with patients with lower activation scores to understand their level of knowledge, skills and confidence (their Activation level), when engaging with their health and well- being and subsequently supporting them in shared decision-making conversations

Utilise health coaching skills to support people with lower levels of activation to develop the knowledge, skills, and confidence to manage their health and wellbeing, whilst increasing their ability to access and utilise community support offers

Explore and support patient access to a personal health budget, where appropriate, for their care and support.

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 wellbeing, 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

Raise awareness within the PCN of shared-decision making and decision support tools.

Promote the service within the PCN, both for users and clinicians, building positive working relationships

Playing an active role in MDT meetings if required (regular practice meetings to discuss high risk and / or complex patients) by gathering information and being prepared to update the team on patient progress towards goals etc. (as per their care plan)

Actively collect and maintain data that will demonstrate patient improvement in key areas.

Ensure delivery of best practice in clinical practice, caseload management, education, research, and audit, to achieve corporate PCN and local population objectives.

Contribute to PCN meetings and Projects

Person Specification

Experience

Essential

  • Relevant experience of working in an environment dealing with health improvement and healthy lifestyles
  • Understanding of the key issues facing health sector partners
  • Experience of working across agency boundaries and in local partnerships
  • Experience of contract monitoring
  • Ability to communicate effectively in a variety of styles and with a variety of audiences
  • Excellent written and verbal presentation and influencing skills
  • Excellent organisational skills
  • Excellent analysis and extrapolation skills with the ability to analyse, assemble, interpret, monitor and act on information
  • Ability to communicate effectively with people at all levels
  • Good interpersonal skills and ability to team work
  • Excellent computer information technology skills
  • Current knowledge of good practise, legislation and standards for health
  • Devise and implement action plans
  • Driven by customer excellence
  • Commitment to equal opportunities
  • Flexible attitude to working hours including occasional weekend working
  • Ability to work individually and as part of a team

Desirable

  • Managing and delivering projects
  • Experience in financial management and control
  • Knowledge of funding sources and track record of attracting external funds.
  • Performance focused
  • Knowledge of issues affecting peoples quality of life.
  • Experience in writing committee reports
  • Strategic planning

Qualifications

Desirable

  • Educated to degree level in a Public Health related subject.
  • Relevant professional qualification
  • Equal Opportunities training.
Person Specification

Experience

Essential

  • Relevant experience of working in an environment dealing with health improvement and healthy lifestyles
  • Understanding of the key issues facing health sector partners
  • Experience of working across agency boundaries and in local partnerships
  • Experience of contract monitoring
  • Ability to communicate effectively in a variety of styles and with a variety of audiences
  • Excellent written and verbal presentation and influencing skills
  • Excellent organisational skills
  • Excellent analysis and extrapolation skills with the ability to analyse, assemble, interpret, monitor and act on information
  • Ability to communicate effectively with people at all levels
  • Good interpersonal skills and ability to team work
  • Excellent computer information technology skills
  • Current knowledge of good practise, legislation and standards for health
  • Devise and implement action plans
  • Driven by customer excellence
  • Commitment to equal opportunities
  • Flexible attitude to working hours including occasional weekend working
  • Ability to work individually and as part of a team

Desirable

  • Managing and delivering projects
  • Experience in financial management and control
  • Knowledge of funding sources and track record of attracting external funds.
  • Performance focused
  • Knowledge of issues affecting peoples quality of life.
  • Experience in writing committee reports
  • Strategic planning

Qualifications

Desirable

  • Educated to degree level in a Public Health related subject.
  • Relevant professional qualification
  • Equal Opportunities training.

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

Bramhall and Cheadle Hulme Primary Care Network

Address

Bramhall Health Centre

66 Bramhall Lane South

Bramhall

Stockport

Cheshire

SK7 2DY


Employer's website

https://www.cheadlehulmeandbridgehouse.nhs.uk (Opens in a new tab)

Employer details

Employer name

Bramhall and Cheadle Hulme Primary Care Network

Address

Bramhall Health Centre

66 Bramhall Lane South

Bramhall

Stockport

Cheshire

SK7 2DY


Employer's website

https://www.cheadlehulmeandbridgehouse.nhs.uk (Opens in a new tab)

For questions about the job, contact:

Lauren Sharpe

lauren.sharpe5@nhs.net

Date posted

07 November 2024

Pay scheme

Other

Salary

£29,975 a year

Contract

Permanent

Working pattern

Full-time

Reference number

A4536-24-0008

Job locations

Bramhall Health Centre

66 Bramhall Lane South

Bramhall

Stockport

Cheshire

SK7 2DY


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