Bexley Health Neighbourhood Care CIC

Health and Well being Coach

Information:

This job is now closed

Job summary

Working as part of a Bexley Heaths Primary Care Network (PCN) multi-disciplinary team (MDT), the job holder will have a key role in delivery the PCN vision to create a new wider Community Service, shaping and enhancing the health and wellbeing coaching role for delivering outstanding primary care within the network. This role plays a pivotal part in engaging community groups to improve the quality of care and access to community facilities across the PCN, empowering individuals to actively manage their health and wellbeing.

Health and Wellbeing Coaches play a key role within the PCN, the role is vital in strengthening community and personal resilience, reducing health inequalities by supporting patients to understand the different aspects of life that affect health and wellbeing.

Main duties of the job

Assess patient needs, helping them to gain and use knowledge, skills and confidence to be active in their own care, enabling them to reach their self-identified health and wellbeing goals.

Deliver universal and proactive support to patients with long-term physical and mental health conditions.

Work autonomously to provide personalised support to patients of all ages and their carers to ensure theyre active participants in managing their own health and wellbeing, to live independently and improve their own health outcomes, through:

o Providing interventions, such as self-management education and peer support,

o Supporting patients to establish and reach goals set by the individual, based on their own health and wellbeing priorities,

o Working with the social prescribing service to connect the patient to community-based activities that support the patients health and wellbeing.

Support the delivery of systematic self-care support plans for those with COPD, diabetes, asthma and multiple long-term conditions.

Meet patients on a one-to-one basis and making home visits where appropriate as well as bygroup consultations , by phone, video conference, or face-to-face.

Coach and motive patients through multiple sessions to identify their needs, set goals, encourage self-management education, peer support, and support them in implementing personalised health and care plans and attaining their goals that are important to them

About us

Bexley Health Neighbourhood Care (BHNC) is a GP Federation supporting the 21 Bexley Practices / 4 PCNs who are working collaboratively to enhance the health and wellbeing of Bexley residents, covering over 246,000 patients.

The goals of BHNC are to work strategically with all Bexley PCNs, to help secure the best services for patients whilst working together, to support the member practices in the challenges of a changing NHS.

BHNC aims to improve the morale of PCNs / general practice in Bexley, by sharing expertise, services and supporting its workforce. BHNC will make a positive impact on medical services in Bexley, by working closely with the ICB, local NHS trusts, local providers and patient groups, to improve the delivery of healthcare to the local population

Details

Date posted

18 July 2023

Pay scheme

Other

Salary

Depending on experience £27,300-£32,250 dependent on experience £14-£16.54 per hour

Contract

Permanent

Working pattern

Full-time, Flexible working

Reference number

B0027-23-0020

Job locations

Doctors Surgery

24 Westwood Lane

Welling

Kent

DA16 2HE


Job description

Job responsibilities

Key Tasks

1. Provide personalised support

1. Meet people on a one-to-one or group consultation basis, by phone, video conference, or face-to-face.

2. Give people time to tell their stories and focus on what matters to the person;

3. Build trust and respect with the person, providing non-judgemental and non- discriminatory support, respecting diversity and lifestyle choices;

4. Work from a strength-based approach focusing on a persons assets;

5. 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;

6. 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 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;

2. Referrals

1. 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;

2. 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;

3. 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;

4. 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;

5. Provide referral organisations with regular updates about health coaching, including information on how to encourage appropriate referrals;

6. Seek regular feedback about the quality of service and impact of health coaching on referral agencies;

7. 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.

Clinical and Patient Client Care

Assess patient needs, helping them to gain and use knowledge, skills and confidence to be active in their own care, enabling them to reach their self-identified health and wellbeing goals.

Deliver universal and proactive support to patients with long-term physical and mental health conditions.

Work autonomously to provide personalised support to patients of all ages and their carers to ensure theyre active participants in managing their own health and wellbeing, to live independently and improve their own health outcomes, through:

o Providing interventions, such as self-management education and peer support,

o Supporting patients to establish and reach goals set by the individual, based on their own health and wellbeing priorities,

o Working with the social prescribing service to connect the patient to community-based activities that support the patients health and wellbeing.

Support the delivery of systematic self-care support plans for those with COPD, diabetes, asthma and multiple long-term conditions.

Meet patients on a one-to-one basis and making home visits where appropriate.

Proactively outreaching to patients on a regular and agreed basis.

When required, deliver intensive and integrated approaches to empower patients with more complex needs, including those with multi-morbidity, to experience co-ordinated care and support that supports them to live well, reduces the risk of becoming frail, and minimises the burden of treatment.

Support 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.

Coach and motive patients through multiple sessions to identify their needs, set goals, encourage self-management education, peer support, and support them in implementing personalised health and care plans and attaining their goals that are important to them.

Managing and prioritising own caseload of patients and deliver services where you are proud to put the patient first, in accordance with understanding when to refer patients back to other health professionals/agencies.

Alongside other members of the PCN multi-disciplinary team, work collaboratively with all local diverse partners in Bexley to contribute towards supporting the local voluntary organisations and community groups.

On every occasion, produces accurate, and complete records of patient visits and referrals, consistent with legislation, policies, standards, and procedures.

Financial & Resources

Develop a knowledge base of, and supportive relationships with statutory and voluntary, community and social enterprise (VCSE) services available in Bexley (and wider communities) for all ages, and forge strong links with these organisations, community and neighbourhood level groups, utilising their networks and building on whats already available.

Provide support to local community groups and work with other health and social care VCSEs to support the patient care.

Foster and maintain strong links with all services across the PCN and neighbouring networks.

To have full knowledge of the budget, ensuring best value for money, and identifying efficiencies as appropriate, ensuring senior managers are aware of the cost implications of any areas of non-compliance.

To manage resources required for key duties under this Job Description, ensuring value for money at all times and maintain budget management responsibility allocated to the job holder in line with the scheme of delegation, develop, where required, cost-benefit analysis for spending and initiatives.

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

Research & Development

Contributes toward the development and embedding of the BHNC and PCN visions, aims and business objectives.

Work with your line manager to undertake continual personal and professional development, taking an active part in reviewing and developing the roles and responsibilities.

Adhere to organisational policies and procedures, including confidentiality, safeguarding, lone working, information governance, and health and safety.

Explore the potential for collaborative working and take opportunities to initiate and sustain key working relationships with stakeholders as needed for the collective benefit of patients.

Work with your line manager to access regular supervision, including individual and group supervision, to enable you to deal effectively with the difficult issues that patients and your role overall may present.

Policy & Service Development

Support the delivery of community based public health initiatives such as physical activity, healthy eating and social connectedness.

To participate in the formulation of local guidelines and procedures.

Work with the wider Community Primary Care team to monitor and report any challenges with wider compliance in health and wellbeing coaching.

Proactively provide feedback to you manager when patient care and service provision is impacted by changes to the PCNs policies, either negative or positive, to support the continual development of the PCN.

Feedback to your manager (or appropriate policy/service Lead) if you see a need or area of development within policies or service provision while carrying out your role.

When required, support the evaluation of service provision.

General Tasks

2. Gathering and Reporting Information

1. Work sensitively with people, their families and carers to gather key information, enabling tracking of the impact of health coaching on their health and wellbeing;

2. Encourage people, their families and carers to provide feedback and to share their stories about the impact of health coaching on their lives;

3. Support referral organisations to provide appropriate information about the person they are referring. Provide appropriate feedback to referral agencies about the people they referred;

4. 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.

Professional & Organisational Standards

Maintain confidentiality at all times.

Represent the organisation positively and professionally.

Work within policies regarding family violence, vulnerable children and adults, substance abuse and addictive behaviour, and makes referrals as appropriate for safeguarding.

Adheres to and proactively promotes Infection Control standards and complies with Health & Safety, Corporate, Clinical and Information Governance.

Set up and manage systems to ensure continuity of services to patients.

Takes responsibility for own development, learning and performance with support from own manager, including participating in clinical supervision and acting as a positive role model for others.

Job description

Job responsibilities

Key Tasks

1. Provide personalised support

1. Meet people on a one-to-one or group consultation basis, by phone, video conference, or face-to-face.

2. Give people time to tell their stories and focus on what matters to the person;

3. Build trust and respect with the person, providing non-judgemental and non- discriminatory support, respecting diversity and lifestyle choices;

4. Work from a strength-based approach focusing on a persons assets;

5. 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;

6. 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 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;

2. Referrals

1. 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;

2. 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;

3. 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;

4. 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;

5. Provide referral organisations with regular updates about health coaching, including information on how to encourage appropriate referrals;

6. Seek regular feedback about the quality of service and impact of health coaching on referral agencies;

7. 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.

Clinical and Patient Client Care

Assess patient needs, helping them to gain and use knowledge, skills and confidence to be active in their own care, enabling them to reach their self-identified health and wellbeing goals.

Deliver universal and proactive support to patients with long-term physical and mental health conditions.

Work autonomously to provide personalised support to patients of all ages and their carers to ensure theyre active participants in managing their own health and wellbeing, to live independently and improve their own health outcomes, through:

o Providing interventions, such as self-management education and peer support,

o Supporting patients to establish and reach goals set by the individual, based on their own health and wellbeing priorities,

o Working with the social prescribing service to connect the patient to community-based activities that support the patients health and wellbeing.

Support the delivery of systematic self-care support plans for those with COPD, diabetes, asthma and multiple long-term conditions.

Meet patients on a one-to-one basis and making home visits where appropriate.

Proactively outreaching to patients on a regular and agreed basis.

When required, deliver intensive and integrated approaches to empower patients with more complex needs, including those with multi-morbidity, to experience co-ordinated care and support that supports them to live well, reduces the risk of becoming frail, and minimises the burden of treatment.

Support 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.

Coach and motive patients through multiple sessions to identify their needs, set goals, encourage self-management education, peer support, and support them in implementing personalised health and care plans and attaining their goals that are important to them.

Managing and prioritising own caseload of patients and deliver services where you are proud to put the patient first, in accordance with understanding when to refer patients back to other health professionals/agencies.

Alongside other members of the PCN multi-disciplinary team, work collaboratively with all local diverse partners in Bexley to contribute towards supporting the local voluntary organisations and community groups.

On every occasion, produces accurate, and complete records of patient visits and referrals, consistent with legislation, policies, standards, and procedures.

Financial & Resources

Develop a knowledge base of, and supportive relationships with statutory and voluntary, community and social enterprise (VCSE) services available in Bexley (and wider communities) for all ages, and forge strong links with these organisations, community and neighbourhood level groups, utilising their networks and building on whats already available.

Provide support to local community groups and work with other health and social care VCSEs to support the patient care.

Foster and maintain strong links with all services across the PCN and neighbouring networks.

To have full knowledge of the budget, ensuring best value for money, and identifying efficiencies as appropriate, ensuring senior managers are aware of the cost implications of any areas of non-compliance.

To manage resources required for key duties under this Job Description, ensuring value for money at all times and maintain budget management responsibility allocated to the job holder in line with the scheme of delegation, develop, where required, cost-benefit analysis for spending and initiatives.

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

Research & Development

Contributes toward the development and embedding of the BHNC and PCN visions, aims and business objectives.

Work with your line manager to undertake continual personal and professional development, taking an active part in reviewing and developing the roles and responsibilities.

Adhere to organisational policies and procedures, including confidentiality, safeguarding, lone working, information governance, and health and safety.

Explore the potential for collaborative working and take opportunities to initiate and sustain key working relationships with stakeholders as needed for the collective benefit of patients.

Work with your line manager to access regular supervision, including individual and group supervision, to enable you to deal effectively with the difficult issues that patients and your role overall may present.

Policy & Service Development

Support the delivery of community based public health initiatives such as physical activity, healthy eating and social connectedness.

To participate in the formulation of local guidelines and procedures.

Work with the wider Community Primary Care team to monitor and report any challenges with wider compliance in health and wellbeing coaching.

Proactively provide feedback to you manager when patient care and service provision is impacted by changes to the PCNs policies, either negative or positive, to support the continual development of the PCN.

Feedback to your manager (or appropriate policy/service Lead) if you see a need or area of development within policies or service provision while carrying out your role.

When required, support the evaluation of service provision.

General Tasks

2. Gathering and Reporting Information

1. Work sensitively with people, their families and carers to gather key information, enabling tracking of the impact of health coaching on their health and wellbeing;

2. Encourage people, their families and carers to provide feedback and to share their stories about the impact of health coaching on their lives;

3. Support referral organisations to provide appropriate information about the person they are referring. Provide appropriate feedback to referral agencies about the people they referred;

4. 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.

Professional & Organisational Standards

Maintain confidentiality at all times.

Represent the organisation positively and professionally.

Work within policies regarding family violence, vulnerable children and adults, substance abuse and addictive behaviour, and makes referrals as appropriate for safeguarding.

Adheres to and proactively promotes Infection Control standards and complies with Health & Safety, Corporate, Clinical and Information Governance.

Set up and manage systems to ensure continuity of services to patients.

Takes responsibility for own development, learning and performance with support from own manager, including participating in clinical supervision and acting as a positive role model for others.

Person Specification

Planning & Organisation Skills

Essential

  • Ability to organise, plan and prioritise on own initiative, including when under pressure and meeting deadlines,
  • Produce timely and informative reports,
  • Ability to adapt plans and approaches to working respond to the unpredictable needs,
  • Able to be an autonomous practitioner, responsible for the assessment and management of a defined caseload,
  • Ability to work flexibly and enthusiastically within a team or on own initiative.

Knowledge and skills

Essential

  • Ability to travel across multiple sites
  • Understanding how to apply health coaching in group settings
  • Able to work within a biopsychosocial 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
  • 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
  • Proficient in Microsoft Office and web- based services

Desirable

  • 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.
  • Excellent group and one-to-one facilitation skills including conflict resolution
  • Excellent communication and presentation skills
  • A good understanding of the evidence base and development of self- management in the UK

Qualifications

Essential

  • Adheres to a code of ethics and conduct in line with the NHS England and NHS Improvement Health Coaching Implementation and Quality Summary Guide,
  • Educated to GCSE or equivalent,
  • Training in motivational coaching, behavioural change and goal setting,
  • Demonstrable commitment to professional and personal development,
  • Basic life support training,
  • Safeguarding and other mandatory training.

Desirable

  • NVQ Level 3, and/or or relevant basic/first level professional qualification or working towards this.

Experience

Essential

  • Knowledge of the personalised care approach
  • Understands the wider determinants of health, including social, economical, and environmental factors, and their impact on communities, individuals, their families and carers,
  • Experience of partnership/collaborative working and building and maintaining relationships across a variety of organisations,
  • Experience in health promotion,
  • Experience of data collection and using tools and methodologies to measure the impact of services, on both individuals and on the wider system,
  • Experience of working directly in a community development context, adult health and social care, learning support or public health /health improvement (can include voluntary work),
  • Knowledge of the personalised care and community development approaches.

Desirable

  • Knowledge of public health issues in the local area,
  • Experience of supporting people, their families, and carers in a related role (can include voluntary work).

Analytial & Judgemental Skills

Essential

  • Ability to identify risk and assess/manage risk when working with individuals, including carrying out new and complying with existing risk assessments,
  • Have a strong awareness and understanding of when it is appropriate or necessary to refer people to appropriate health professionals/agencies,
  • Ability to assess, plan and evaluate patient care, through determining and obtaining necessary data to make accurate and beneficial facility referrals.

Communication & Relationships

Essential

  • High level of written and oral communication skills,
  • Ability to coach and motivate and engage service users who struggle to motive themselves,
  • Able to engage and communicate effectively with people, one-to-one or in group, including adjusting communication and delivery styles to an individuals needs and preferences,
  • Ability to actively listen, empathise with people from all backgrounds and provide person-centred support in a non-judgemental way,
  • Ability to communicate effectively, both verbally and in writing, with people, their families, carers, community groups, partner agencies and stakeholders,
  • Ability to build and maintain effective working relationships and to promote collaborative practice with all colleagues,
  • Experience of partnership/collaborative working and of building relationships across a variety of organisations,
  • Ability to support people in a way that inspires trust and confidence, motivating others to reach their potential
Person Specification

Planning & Organisation Skills

Essential

  • Ability to organise, plan and prioritise on own initiative, including when under pressure and meeting deadlines,
  • Produce timely and informative reports,
  • Ability to adapt plans and approaches to working respond to the unpredictable needs,
  • Able to be an autonomous practitioner, responsible for the assessment and management of a defined caseload,
  • Ability to work flexibly and enthusiastically within a team or on own initiative.

Knowledge and skills

Essential

  • Ability to travel across multiple sites
  • Understanding how to apply health coaching in group settings
  • Able to work within a biopsychosocial 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
  • 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
  • Proficient in Microsoft Office and web- based services

Desirable

  • 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.
  • Excellent group and one-to-one facilitation skills including conflict resolution
  • Excellent communication and presentation skills
  • A good understanding of the evidence base and development of self- management in the UK

Qualifications

Essential

  • Adheres to a code of ethics and conduct in line with the NHS England and NHS Improvement Health Coaching Implementation and Quality Summary Guide,
  • Educated to GCSE or equivalent,
  • Training in motivational coaching, behavioural change and goal setting,
  • Demonstrable commitment to professional and personal development,
  • Basic life support training,
  • Safeguarding and other mandatory training.

Desirable

  • NVQ Level 3, and/or or relevant basic/first level professional qualification or working towards this.

Experience

Essential

  • Knowledge of the personalised care approach
  • Understands the wider determinants of health, including social, economical, and environmental factors, and their impact on communities, individuals, their families and carers,
  • Experience of partnership/collaborative working and building and maintaining relationships across a variety of organisations,
  • Experience in health promotion,
  • Experience of data collection and using tools and methodologies to measure the impact of services, on both individuals and on the wider system,
  • Experience of working directly in a community development context, adult health and social care, learning support or public health /health improvement (can include voluntary work),
  • Knowledge of the personalised care and community development approaches.

Desirable

  • Knowledge of public health issues in the local area,
  • Experience of supporting people, their families, and carers in a related role (can include voluntary work).

Analytial & Judgemental Skills

Essential

  • Ability to identify risk and assess/manage risk when working with individuals, including carrying out new and complying with existing risk assessments,
  • Have a strong awareness and understanding of when it is appropriate or necessary to refer people to appropriate health professionals/agencies,
  • Ability to assess, plan and evaluate patient care, through determining and obtaining necessary data to make accurate and beneficial facility referrals.

Communication & Relationships

Essential

  • High level of written and oral communication skills,
  • Ability to coach and motivate and engage service users who struggle to motive themselves,
  • Able to engage and communicate effectively with people, one-to-one or in group, including adjusting communication and delivery styles to an individuals needs and preferences,
  • Ability to actively listen, empathise with people from all backgrounds and provide person-centred support in a non-judgemental way,
  • Ability to communicate effectively, both verbally and in writing, with people, their families, carers, community groups, partner agencies and stakeholders,
  • Ability to build and maintain effective working relationships and to promote collaborative practice with all colleagues,
  • Experience of partnership/collaborative working and of building relationships across a variety of organisations,
  • Ability to support people in a way that inspires trust and confidence, motivating others to reach their potential

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

Bexley Health Neighbourhood Care CIC

Address

Doctors Surgery

24 Westwood Lane

Welling

Kent

DA16 2HE


Employer's website

https://www.bhnc.org.uk/ (Opens in a new tab)

Employer details

Employer name

Bexley Health Neighbourhood Care CIC

Address

Doctors Surgery

24 Westwood Lane

Welling

Kent

DA16 2HE


Employer's website

https://www.bhnc.org.uk/ (Opens in a new tab)

Employer contact details

For questions about the job, contact:

HR Administrator

bhnc.hr@nhs.net

Details

Date posted

18 July 2023

Pay scheme

Other

Salary

Depending on experience £27,300-£32,250 dependent on experience £14-£16.54 per hour

Contract

Permanent

Working pattern

Full-time, Flexible working

Reference number

B0027-23-0020

Job locations

Doctors Surgery

24 Westwood Lane

Welling

Kent

DA16 2HE


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