Long Term Conditions and Health/ Wellbeing Coach inStockport inStockport PUBLISHED 7 NOV 2024

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.

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

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