Job summary
This is an exciting new role for Health Professionals looking to work with our Freshney Pelham PCN.
The Health and Well Being Coach will work predominantly with the Long Term Condition Team and the GP Surgeries to support people with lower levels of patient activation. They will provide patients with the confidence to manage their own health and well being whilst increasing their ability to access and utilise community support. They may also provide access to self-management education, peer support and social prescribing.
You will be working alongside the Freshney Pelham District Nursing, Care Home and Long Term Condition Teams supporting patients and encouraging them to take an active role in their health.
Main duties of the job
The post holder will work closely with the other members of the primary care team and complex care teams in the management/decision making about care and service provision for individual patients. This will include:
- Care planning, health coaching and delivery of systematic self-management support based on a knowledge of individuals activation levels.
- Care coordination across care continuum (including identification and support of carers)
- Support effective team working in primary care and the community through taking on appropriate practice based tasks, attending regular team meetings if required, working with the complex care teams
- Support for individuals to access appropriate community resources and services
About us
We cover around 40,000 patients across the Grimsby and Cleethorpes area. Each surgery is represented on our Board of Directors by a nominated GP. There are currently 40 staff consisting of Nurses, Assistant Practitioners, Health Care Assistants, and an Administration team.
These staff are led by a Clinical Lead Manager, an Operational Business Manager and a District Nurse Practice Educator. Through this Leadership Team and our DN Practice Educator all staff are supported in their CPD.
We work with an integrated approach to nursing and liaise with GPs, social care colleagues and other health care providers. It is our holistic approach which promotes and supports independence.
Why not look at our Website for more information about us and what we can offer you - www.freshneypelham.co.uk
Job description
Job responsibilities
- Job title: Health and Well Being Coach
- Hours: 37.5
Job Summary
The Health and Well being Coach will predominately use health coaching skills to support people with lower levels of patient activation to develop the knowledge, skills, and confidence to manage their health and well being, whilst increasing their ability to access and utilise community support offers. They may also provide access to self-management education, peer support, and social prescribing.
The Health Coach will be responsible for delivering sessions on healthy eating, physical activity and health and well-being to meet with personalised care plans. The coach will play a critical role in engaging patients and use health coaching techniques to support them to take an active role in their health.
The health coach will work closely with those of low to medium complexity who will usually have one or more long term conditions.
The post holder will work closely with the other members of the primary care team and complex care teams in the management/decision making about care and service provision for individual patients. This will include:
- Care planning, health coaching and delivery of systematic self-management support based on a knowledge of individuals activation levels.
- Care coordination across care continuum (including identification and support of carers)
- Support effective team working in primary care and the community through taking on appropriate practice based tasks, attending regular team meetings if required, working with the complex care teams
- Support for individuals to access appropriate community resources and services
Key Responsibilities
- Identification of people with long term conditions and low knowledge skills and confidence to manage their health and wellbeing
- Responsibility for providing support (clinical or non-clinical) to a cohort of patients who will benefit from proactive health management and care including being the single point of contact for the person or carer to simplify access and coordination of services
- Playing a health coaching role; teaching and supporting patients/carers to understand and manage their own conditions and maintain an independent lifestyle through health coaching techniques to encourage patient activation. Coach and motivate patients through multiple sessions to identify their needs, set goals, and support them to implement their personalised health and care plan. Empowering them to take more control in managing their own health and wellbeing, to live independently and improve health outcomes.
- Supporting the development of personalised patient care plans, liaising with the practice team, patient/carer and the complex care team as appropriate.
- providing interventions such as self-management education and peer support; and
- 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; and
- working with the social prescribing service to connect them to community-based activities which support their health and wellbeing.
- Proactively supporting practice targets for number of patients who have seen a health coach.
- Proactively outreaching to patients on a regular and agreed basis.
- 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).
- Coordinating patient visits to primary care amongst the primary care team, ensuring efficient and effective visits for the patient cohort.
- Map and connect community activities/ resources at a locality level including supporting the development of a network of community health champions.
- Support the delivery of community based public health initiatives such as physical activity, healthy eating and social connectedness.
- Build and maintain strong links with the voluntary sector, supporting the voluntary and statutory sector to network and improve partnership working.
- Contribute to keeping the community directory up to date for their allocated area
- Support delivery of systematic self-care support plans for those with COPD, diabetes and multiple long term conditions.
- Managing the effective use of available resources and services in order to provide constant standards of care in terms of both quality and quantity.
- Adopting a multi-disciplinary and multi-agency approach to care, ensuring that all aspects of the patients needs are met.
- Understand when it is appropriate or necessary to refer people to other health professionals/agencies.
- Ensure the patient record is accurately updated and maintained.
- Manage waiting lists if appropriate.
- Understand the barriers for individuals/groups in accessing support in the community, and use this insight in developing community-based support, working as part of the wider social prescribing model.
- Promote the service within the Primary Care Network, both for users and clinicians, building positive working relationships.
- Contribute to and work with others to organise awareness raising events for services that help support people to improve their health and wellbeing.
- Communicate effectively with colleagues, patients and carers so that information is shared in order to meet patients needs.
- The post holder will have a key role in helping to raise the local populations awareness of the support, groups and opportunities available to assist them in achieving their health and wellbeing goals.
Please refer to the full Job Description for further information.
Job description
Job responsibilities
- Job title: Health and Well Being Coach
- Hours: 37.5
Job Summary
The Health and Well being Coach will predominately use health coaching skills to support people with lower levels of patient activation to develop the knowledge, skills, and confidence to manage their health and well being, whilst increasing their ability to access and utilise community support offers. They may also provide access to self-management education, peer support, and social prescribing.
The Health Coach will be responsible for delivering sessions on healthy eating, physical activity and health and well-being to meet with personalised care plans. The coach will play a critical role in engaging patients and use health coaching techniques to support them to take an active role in their health.
The health coach will work closely with those of low to medium complexity who will usually have one or more long term conditions.
The post holder will work closely with the other members of the primary care team and complex care teams in the management/decision making about care and service provision for individual patients. This will include:
- Care planning, health coaching and delivery of systematic self-management support based on a knowledge of individuals activation levels.
- Care coordination across care continuum (including identification and support of carers)
- Support effective team working in primary care and the community through taking on appropriate practice based tasks, attending regular team meetings if required, working with the complex care teams
- Support for individuals to access appropriate community resources and services
Key Responsibilities
- Identification of people with long term conditions and low knowledge skills and confidence to manage their health and wellbeing
- Responsibility for providing support (clinical or non-clinical) to a cohort of patients who will benefit from proactive health management and care including being the single point of contact for the person or carer to simplify access and coordination of services
- Playing a health coaching role; teaching and supporting patients/carers to understand and manage their own conditions and maintain an independent lifestyle through health coaching techniques to encourage patient activation. Coach and motivate patients through multiple sessions to identify their needs, set goals, and support them to implement their personalised health and care plan. Empowering them to take more control in managing their own health and wellbeing, to live independently and improve health outcomes.
- Supporting the development of personalised patient care plans, liaising with the practice team, patient/carer and the complex care team as appropriate.
- providing interventions such as self-management education and peer support; and
- 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; and
- working with the social prescribing service to connect them to community-based activities which support their health and wellbeing.
- Proactively supporting practice targets for number of patients who have seen a health coach.
- Proactively outreaching to patients on a regular and agreed basis.
- 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).
- Coordinating patient visits to primary care amongst the primary care team, ensuring efficient and effective visits for the patient cohort.
- Map and connect community activities/ resources at a locality level including supporting the development of a network of community health champions.
- Support the delivery of community based public health initiatives such as physical activity, healthy eating and social connectedness.
- Build and maintain strong links with the voluntary sector, supporting the voluntary and statutory sector to network and improve partnership working.
- Contribute to keeping the community directory up to date for their allocated area
- Support delivery of systematic self-care support plans for those with COPD, diabetes and multiple long term conditions.
- Managing the effective use of available resources and services in order to provide constant standards of care in terms of both quality and quantity.
- Adopting a multi-disciplinary and multi-agency approach to care, ensuring that all aspects of the patients needs are met.
- Understand when it is appropriate or necessary to refer people to other health professionals/agencies.
- Ensure the patient record is accurately updated and maintained.
- Manage waiting lists if appropriate.
- Understand the barriers for individuals/groups in accessing support in the community, and use this insight in developing community-based support, working as part of the wider social prescribing model.
- Promote the service within the Primary Care Network, both for users and clinicians, building positive working relationships.
- Contribute to and work with others to organise awareness raising events for services that help support people to improve their health and wellbeing.
- Communicate effectively with colleagues, patients and carers so that information is shared in order to meet patients needs.
- The post holder will have a key role in helping to raise the local populations awareness of the support, groups and opportunities available to assist them in achieving their health and wellbeing goals.
Please refer to the full Job Description for further information.
Person Specification
Qualifications
Essential
- NVQ Level 3 or equivalent and/or relevant basic/first level professional qualification or working towards this.
Desirable
- Health Coaching Qualification
Experience
Essential
- Experience in health promotion
- Experience using clinical systems (EMIS)
- Experience of supporting people, their families and carers in a related role
Desirable
- Experience of working directly in a community development context, adult health and social care, learning support or public health/health improvement
- Experience of supporting people with their mental health
- Experience of data collection and using tools to measure the impact of services
- Experience of partnership/ collaborative working and of building relationships across a variety of organisations including the voluntary sector
Knowledge and Skills
Essential
- Knowledge of health promotion strategies
- Awareness of clinical governance issues in primary care
- Demonstrable commitment to professional and personal development
- Change-management skills and ability to support patients to change lifestyle
- Communication skills, both written and verbal
- Negotiation and conflict management skills
- Knowledge of IT systems to include the ability to use word processing skills, emails and internet Knowledge of the personalised care approach
- Understanding of the determinants of health to include social, economic and environmental factors
- Understanding of, and commitment to, equality, diversity and inclusion.
Desirable
- Ability to identify determinants on health in the local area
- Knowledge of public health issues in the local area
- Awareness of local and national health policy
- Awareness of issues within the wider health economy
- Uses initiative
- Gets on well with people at all levels
- Knowledge and experience of training volunteers
- Knowledge of community development approaches
- Knowledge of the needs of patients with long term conditions
- Training in motivational coaching, behavioural change and goal setting
Person Specification
Qualifications
Essential
- NVQ Level 3 or equivalent and/or relevant basic/first level professional qualification or working towards this.
Desirable
- Health Coaching Qualification
Experience
Essential
- Experience in health promotion
- Experience using clinical systems (EMIS)
- Experience of supporting people, their families and carers in a related role
Desirable
- Experience of working directly in a community development context, adult health and social care, learning support or public health/health improvement
- Experience of supporting people with their mental health
- Experience of data collection and using tools to measure the impact of services
- Experience of partnership/ collaborative working and of building relationships across a variety of organisations including the voluntary sector
Knowledge and Skills
Essential
- Knowledge of health promotion strategies
- Awareness of clinical governance issues in primary care
- Demonstrable commitment to professional and personal development
- Change-management skills and ability to support patients to change lifestyle
- Communication skills, both written and verbal
- Negotiation and conflict management skills
- Knowledge of IT systems to include the ability to use word processing skills, emails and internet Knowledge of the personalised care approach
- Understanding of the determinants of health to include social, economic and environmental factors
- Understanding of, and commitment to, equality, diversity and inclusion.
Desirable
- Ability to identify determinants on health in the local area
- Knowledge of public health issues in the local area
- Awareness of local and national health policy
- Awareness of issues within the wider health economy
- Uses initiative
- Gets on well with people at all levels
- Knowledge and experience of training volunteers
- Knowledge of community development approaches
- Knowledge of the needs of patients with long term conditions
- Training in motivational coaching, behavioural change and goal setting
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.
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
Additional information
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
Employer details
Employer name
Freshney Pelham Care Ltd
Address
Freshney Green PCC
Sorrel Road
Grimsby
NE Lincolnshire
DN34 4GB
