Durham Coast PCN Health and Wellbeing Coach

Job description

Job responsibilities

Identification of people with long term conditions and low knowledge skills and confidence to manage their health and wellbeing

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 and wellbeing 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

Supporting the development of personalised patient care plans, liaising with the practice team, patient/carer and the complex care team as appropriate.

Proactively supporting practice targets for number of patients who have seen a health coach

Proactively outreaching to patients on a regular and agreed basis

Where appropriate take and record patient observations such as BP/weight/BMI and when trained carry out phlebotomy to assist.

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, Pre-Diabetes, CVD 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.

Person Specification

Qualifications

Essential

• Educated to A level/BTEC
• Be enrolled in, undertaking or qualified from appropriate health coaching training, covering topics outlined in the NHS England and NHS Improvement Implementation and Quality Summary Guide. The training to be delivered by a training organisation listed by the Personalised Care Institute
• Evidence of continuing professional development

Desirable

• Health/Social Care Degree

Experience

Essential

• Adhere to a code of ethics and conduct in line with the NHS England and NHS Improvement Health coaching Implementation and Quality Summary Guide
• Have formal, individual and group coaching supervision which must come from a suitably qualified or experienced individual.
• Working closely in partnership with the Social Prescribing Link Worker(s) or social prescribing service provider to identify and work alongside people who may need additional support, but are not yet ready to benefit fully from social prescribing
• Experience working in health and wellbeing, public or voluntary sector or leisure and fitness environment
• Experience in a customer facing role
• Experience delivering lifestyle change / brief interventions
• Experience working in a health trainer / advisor role
• Excellent people skills, interacting with all types of people and able to change communication style to fit the person
• Ability to work independently and as part of a team
• Comfortable working with people from public, private and voluntary organisations
• Highly organised, managing time, resources and competing priorities in a structured and efficient way
• Highly motivated and willing to go out of your way to help clients
• Creative problem solver and willing to search for hard to find information
• Good IT and administrative skills
• Good understanding of health issues and the wider determinants of health and wellbeing
• Knowledge of social prescribing
• Understanding of health and social wellbeing and community/local/national services
• Using own initiative

Desirable

• Experience or willingness to train up in Phlebotomy and other patient observation taking.
• Experience working in partnership with community organisations
• Experience promoting and / or marketing services to other organisations / the public
• Experience of working on SystmOne (clinical system)

Other

Essential

• Willingness to travel within network of practices and to visit patients in their own homes

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.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

Employer details

Employer name

South Durham Health CIC

Address

Wheatley Hill Medical Centre

Ashmore Terrace

Wheatley Hill

Durham

DH6 3NP

Employer's website

https://www.southdurhamhealth.co.uk/ (Opens in a new tab)