Family & CYP Health and Wellbeing Coach - Healthy Horley PCN

Job description

Job responsibilities

Health and wellbeing coaches will:

Assess the needs and strengths of individuals referred to the service and help them identify individual goals to achieve desired change.

Coach and motivate referred patients to identify their needs, set goals, and support them to implement and achieve their personalised health and wellbeing objectives. This will include providing patients with advice, guidance and a management plan that is personalized to their individual needs, which aims to improve mental health and well-being.

Manage and prioritise a caseload of children, young people and families, in accordance with the health and wellbeing needs of the patient, including establishing and attaining goals that are important to the patient, and providing interventions to meet them.

Ensure all interventions and coaching are designed to empower patients to be active participants in their own healthcare, empower them to manage their own health and wellbeing, live independently and involve children and young people in the co-production of activities, programmes and local services.

Support and deliver group and peer sessions, with clinical and non-clinical colleagues, implementing new approaches to health across primary care and supporting individuals to access peer support.

Work with the broader MDT to maximise the support available to patients, including working collaboratively with Surrey and Borders NHS Partnership, Surrey Children's Services, Mindworks (CAMHS), Mindworks Alliance Partners, YMCA, Childrens Community Health Providers (CFHS/FCHC) and other community-based services to provide the most effective services for children, young people and their families.

Maintain accurate records of patient engagement, evidence of change and celebrate progress with children and young people.

Manage and prioritise your own caseload, in accordance with the needs, priorities and support required by individuals, some with complex and multiple needs.

Have a good understanding of and utilise the THRIVE delivery model in sessions, which conceptualises the mental health and wellbeing needs of children, young people and families in terms of five different needs-based groupings: getting advice, getting help, getting more help, getting risk support, and thriving.

Apply safeguarding and child protection procedures and work closely with the safeguarding lead to ensure any issues and concerns are escalated and dealt with quickly and effectively.

Help provide written case studies as evidence of the effectiveness of individual interventions.

Work as part of a team and attend team meetings, training events and participate fully in one-to-one, peer and group supervision.

Work across the practices within the primary care network, including a combination of in person, remote, telephone and video consultation.

Patient Coaching, Care and Support:

Provide personalised coaching to patients which supports them to identify and meet their individual lifestyle, health and wellbeing goals.

Tailor health and lifestyle advice effectively to the individual.

Provide personalised support to individuals, their families and carers, and work with them holistically in managing challenging behaviours and resolving conflict.

Build trust and respect with the person, providing non-judgemental and nondiscriminatory support, respecting diversity and lifestyle choices. Work from a strength-based approach focusing on a persons assets.

Increase patient motivation to self-manage and adopt healthy behaviours.

Work with patients with lower activation scores to understand and increase their level of knowledge, skills and confidence (their Activation level) to manage their own health and wellbeing and increase their ability to access and utilise community support offers.

Be a friendly, professional and engaging source of information about health, wellbeing and prevention approaches. Support patients in shared decision-making conversations.

PCN and MDT

Promote health and wellbeing coaching, its role in self-management, addressing health inequalities and the wider determinants of health.

Provide education and specialist expertise to fellow PCN staff, ensuring they are made aware of health coaching and social prescribing services and support colleagues to improve their skills and understanding of personalised care, behavioural approaches, and ensuring consistency in the follow up of peoples goals where an MDT is involved.

Raise awareness within the PCN of shared decision making and decision support tools and supporting people in shared decision-making conversations.

As part of the PCN multi-disciplinary team (MDT), build relationships with staff in GP practices within the local PCN, attending relevant MDT meetings, giving information and feedback on health coaching.

System Responsibilities

Develop and maintain effective relationships with the community, ensuring that patients can easily move between services and community resources to access additional support.

Work in partnership with all local agencies to raise awareness of health and wellbeing coaching, and how partnership working can reduce pressure on statutory services, improve health access and outcomes and enable a holistic approach to care.

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

Alongside other members of the PCN multi-disciplinary team, work collaboratively with all local diverse partners to contribute towards supporting the local VCSE (Voluntary, Community and Social Enterprise) organisations and community groups to become sustainable and that community assets are nurtured, through sharing intelligence regarding any gaps or problems identified in local provision with commissioners and local authorities.

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.

Data capture

Work sensitively with people, their families and carers to capture key information, enabling tracking of the impact of health coaching on their health and wellbeing, including the measures required within the PCN Contract, for example, a reduction in GP appointments for children and young people mental health concerns, reducing referrals into Mindworks, and reducing repeat attendance to the GP for mental health related issues.

Through the use of patient-reported outcome measures (PROMs) and patient-reported experience measures (PREMs); encourage people, their families and carers to provide feedback and to share their stories about the impact of social prescribing and health coaching on their lives to help healthcare providers, commissioners and other stakeholders to make informed changes to the service.

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

Work closely within the MDT and with GP practices within the PCN to ensure that the relevant codes are captured and inputted into clinical systems, adhering to data protection legislation and data sharing agreements.

Professional development

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

We will offer peer to peer support and clinical supervision.

Undertake identified coaching and training as required.

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

Other

Actively participate in regular clinical supervision with a GP.

Work as part of the healthcare team to seek feedback, continually improve the service and contribute to business planning.

Contribute to the development of policies and plans relating to equality, diversity and health inequalities.

Undertake any tasks consistent with the level of the post and the scope of the role, ensuring that work is delivered in a timely and effective manner.

Please see attached job description form more information

Person Specification

Qualifications

Essential

• Education to a good standard (Level 3)
• Level 3 qualification in coaching, mentoring, youth work, information advice and guidance or similar
• Qualification relevant to working with children, young people and families gained in education, social care or health
• Training in trauma-based cognitive behavioural therapy
• Training in motivational coaching and interviewing, or equivalent experience
• Previous training and/or willing to train in psychological interventions

Skills

Essential

• Ability to actively listen, empathise with people and provide person-centred support in a non-judgemental way
• Ability to provide motivational coaching in a way that inspires trust and confidence, supporting others to reach their potential, and promotes behaviour change
• 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
• Able to provide a culturally sensitive service, by supporting people from all backgrounds and communities, respecting lifestyles and diversity
• Commitment to reducing health inequalities and proactively working to reach people from diverse communities
• Ability to communicate effectively with people, their families, carers, community groups, partner agencies and stakeholders, using various methods (written, verbal, assistive technology etc.)
• Ability to identify risk and assess/manage risk when working with children, young people and families
• Understanding of and commitment to cultural competency, with the ability to work effectively with patients and colleagues from diverse backgrounds
• Have a strong awareness and understanding of when it is appropriate or necessary to refer people back to other health professionals/agencies, when what the person needs is beyond the scope of the Health and Wellbeing Coach role e.g. when there is a mental health need requiring a qualified practitioner
• Able to work from an asset-based approach, building on existing community and personal assets
• Ability to facilitate, or learn to facilitate, group work
• Ability to maintain effective working relationships and to promote collaborative practice with all colleagues
• Commitment to collaborative working with all local agencies (including VCSE organisations and community groups). Able to work with others to reduce hierarchies and find creative solutions to community issues
• Experience or willingness to work in depth with children, young people and their parents using a solution focused approach
• Ability to manage own caseload of children, young people and parents some with multiple and complex needs
• An ability to help design and implement creative and varied programmes of activities which address themes such as self-esteem, relationships and managing anxiety
• Ability to relate well to children, young people and parents and build trusting relationships
• Ability to assess the needs and strengths of individual children, young people and parents
• Can demonstrate personal accountability, emotional resilience and ability to work well under pressure
• Ability to organise, plan and prioritise on own initiative, including when under pressure and meeting deadlines
• High level of written and oral communication skills
• Ability to work flexibly and enthusiastically within a team or on own initiative
• Knowledge of, and ability to work to, policies and procedures, including confidentiality, safeguarding, lone working, information governance, and health and safety

Experience

Essential

• Minimum of two years experience of working with children, young people and their parents
• Minimum of 2 years experience of working within a primary care setting
• Experience of coaching and motivating individuals to achieve their individual health, care or lifestyle goals (including unpaid work)
• Experience of working directly in a community development or support context, including health and social care, learning support or public health/health improvement (including unpaid work)
• Experience of supporting people, their families and carers in a related role (including unpaid work)
• Experience of negotiating, managing conflict and challenging behaviours

Desirable

• Experience of delivering programmes, development or support in a group context
• Experience of data collection and using tools to measure the impact of services
• Experience of working with the VCSE sector (in a paid or unpaid capacity), including with volunteers and small community groups

Knowledge

Essential

• Demonstrable knowledge in lifestyle or health interventions, for example exercise, nutrition
• Demonstrable commitment to professional and personal development
• Knowledge of the personalised care approach
• Understanding of the wider determinants of health, including social, economic and environmental factors and their impact on communities, individuals, their families and carers
• Understanding of, and commitment to, equality, diversity and inclusion
• Knowledge of community development approaches
• Knowledge of IT systems, including ability to use word processing skills, Outlook and the internet to create simple plans and reports
• Knowledge of how the NHS works, including primary care
• Knowledge of the wider social impact of at risk of negative outcomes on young people, their parents and their families

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

Alliance for Better Care CIC

Address

Horley Health Hub

120 Victoria Road

Horley

Surrey

RH1 1EB

Employer's website

https://allianceforbettercare.org/ (Opens in a new tab)