Job summary
We are looking for an enthusiastic and compassionate Health Coach to join the team at Millbrook Surgery, Castle Cary (BA7 7EE). Working 30 hours per week, you will help patients improve their health and wellbeing through proactive, personalised care. The post holder will provide non-clinical support, empowering people to manage long-term conditions, make positive lifestyle changes, and navigate health and social care services. Many patients will be high-risk or disengaged from healthcare, so the role requires excellent communication skills, motivational techniques, and the ability to build trusting relationships. By combining health coaching, care coordination and community engagement, you will play a key part in reducing health inequalities and improving outcomes across our population.
The closing date for this advert is Monday 13th October.
Main duties of the job
You will manage a defined caseload of patients, using health-coaching methods such as motivational interviewing to increase activation and self-management. Working closely with GPs, nurses, care coordinators, social prescribers and the wider multidisciplinary team, you will jointly develop personalised care plans, set health goals, and provide ongoing support via phone, video, clinic, or home visits. The role includes coordinating care across primary, secondary, community and voluntary services, simplifying access and ensuring smooth transitions of care. You will contribute to service audits, quality-improvement initiatives and accurate record-keeping, while maintaining up-to-date knowledge of local resources to signpost and support patients effectively.
About us
We are an
innovative practice providing team-based patient care to a rural community
based around the beautiful Somerset town of Castle Cary. Despite the pressures on General Practice, we
have been able to stay ahead of the curve by continuously improving our
services and looking at new ways to work smarter. This has seen us make some
bold changes to stay ahead. With such a
positive team, embracing innovation and evolving new projects to fit the need
of our local community, our patients are able to enjoy a personal, friendly
service with easy access to the whole team.
Our team includes a number of medical professionals including GPs, Advanced Nurse Practitioners, Practice Nurses, and a team of Health Coaches, who are supported by community staff such as District Nurses, Health Visitors, a Midwife, School Nurses and a Complex Care Team.
Job description
Job responsibilities
Health Coach
Job Title: Health Coach
Reports to: Lead Health Coach
Location: Millbrook Surgery, Millbrook Gardens, Castle Cary, BA7 7EE
Hours: 30 hours per week
Job Purpose
Our Health Coach team play a vital role in supporting patients to improve their health and wellbeing through proactive, personalised care. The post holder will provide non-clinical support to patients, empowering them to take an active role in managing their conditions, improving lifestyle behaviours and navigating health and social care services.
This role is integral to our primary care team, focusing on high-risk patients who may be disengaged from healthcare services, as well as patients with frequent attendances. Many patients will have one or more long-term conditions. By combining motivational coaching, care coordination and community engagement, the Health Coach will contribute to better patient outcomes, reduced health inequalities and improved service efficiency.
Key Responsibilities
Patient Care & Coaching
- Proactively reach out to patients using a range of communication methods (phone, email, video calls, home visits).
- Support patients and carers to understand and self-manage their health conditions, encouraging independence and self-efficacy.
- Apply health coaching techniques (e.g. motivational interviewing, behaviour change strategies) to increase patient activation.
- Jointly develop personalised care plans with patients and the primary care team, helping individuals set and achieve health-related goals.
- Act as a single point of contact for patients and carers, simplifying access to healthcare and support services.
- Provide home visit assessments (e.g. blood pressure, blood tests, observations, virtual consultations in liaison with the GP team).
Care Coordination & Integration
- Coordinate care across the healthcare continuum (primary, secondary, community, voluntary and specialist services).
- Organise and streamline patient visits to primary care, ensuring appointments are effective and efficient.
- Ensure smooth transitions of care, supporting discharge planning and follow-up where appropriate.
- Build and maintain effective working relationships with local community and voluntary sector organisations to support patient signposting and referral.
- Facilitate networks and peer-support opportunities for patients with long-term conditions.
Teamwork & Collaboration
- Work closely with GPs, nurses, care coordinators, social prescribers and other members of the multidisciplinary team.
- Contribute actively to practice huddles and case management meetings, updating the team on patient progress and care plan outcomes.
- Share relevant information with colleagues to ensure coordinated, person-centred care.
- Maintain an environment of positive teamwork, good communication and collaborative problem-solving.
Service Development & Professional Standards
- Contribute to service audits, quality improvement initiatives and evaluation of outcomes.
- Manage available resources effectively, ensuring equitable and high-quality care.
- Maintain accurate, timely and confidential patient records in line with data protection and clinical governance standards.
- Develop a detailed knowledge of local services, resources and community initiatives to support patients.
- Promote health coaching and patient activation as core elements of primary care delivery.
Professional Development
- Participate in supervision, training and continued professional development.
- Keep knowledge and skills up to date with evidence-based practice and developments in health coaching and integrated care.
- Demonstrate flexibility in working patterns to meet service needs, including occasional evenings and weekends.
Job description
Job responsibilities
Health Coach
Job Title: Health Coach
Reports to: Lead Health Coach
Location: Millbrook Surgery, Millbrook Gardens, Castle Cary, BA7 7EE
Hours: 30 hours per week
Job Purpose
Our Health Coach team play a vital role in supporting patients to improve their health and wellbeing through proactive, personalised care. The post holder will provide non-clinical support to patients, empowering them to take an active role in managing their conditions, improving lifestyle behaviours and navigating health and social care services.
This role is integral to our primary care team, focusing on high-risk patients who may be disengaged from healthcare services, as well as patients with frequent attendances. Many patients will have one or more long-term conditions. By combining motivational coaching, care coordination and community engagement, the Health Coach will contribute to better patient outcomes, reduced health inequalities and improved service efficiency.
Key Responsibilities
Patient Care & Coaching
- Proactively reach out to patients using a range of communication methods (phone, email, video calls, home visits).
- Support patients and carers to understand and self-manage their health conditions, encouraging independence and self-efficacy.
- Apply health coaching techniques (e.g. motivational interviewing, behaviour change strategies) to increase patient activation.
- Jointly develop personalised care plans with patients and the primary care team, helping individuals set and achieve health-related goals.
- Act as a single point of contact for patients and carers, simplifying access to healthcare and support services.
- Provide home visit assessments (e.g. blood pressure, blood tests, observations, virtual consultations in liaison with the GP team).
Care Coordination & Integration
- Coordinate care across the healthcare continuum (primary, secondary, community, voluntary and specialist services).
- Organise and streamline patient visits to primary care, ensuring appointments are effective and efficient.
- Ensure smooth transitions of care, supporting discharge planning and follow-up where appropriate.
- Build and maintain effective working relationships with local community and voluntary sector organisations to support patient signposting and referral.
- Facilitate networks and peer-support opportunities for patients with long-term conditions.
Teamwork & Collaboration
- Work closely with GPs, nurses, care coordinators, social prescribers and other members of the multidisciplinary team.
- Contribute actively to practice huddles and case management meetings, updating the team on patient progress and care plan outcomes.
- Share relevant information with colleagues to ensure coordinated, person-centred care.
- Maintain an environment of positive teamwork, good communication and collaborative problem-solving.
Service Development & Professional Standards
- Contribute to service audits, quality improvement initiatives and evaluation of outcomes.
- Manage available resources effectively, ensuring equitable and high-quality care.
- Maintain accurate, timely and confidential patient records in line with data protection and clinical governance standards.
- Develop a detailed knowledge of local services, resources and community initiatives to support patients.
- Promote health coaching and patient activation as core elements of primary care delivery.
Professional Development
- Participate in supervision, training and continued professional development.
- Keep knowledge and skills up to date with evidence-based practice and developments in health coaching and integrated care.
- Demonstrate flexibility in working patterns to meet service needs, including occasional evenings and weekends.
Person Specification
Knowledge and Skills
Essential
- Strong communication and interpersonal skills with the ability to build trust and rapport.
- Understanding of behaviour change approaches and motivational techniques.
- Ability to work independently and as part of a team.
- Organisational skills to manage a defined caseload and prioritise tasks.
- Basic IT proficiency (MS Office, clinical systems, remote consultation tools).
- Commitment to patient-centred, compassionate care.
Desirable
- Knowledge of local health, care and voluntary sector services.
Experience
Essential
- Experience working with patients, service users, or clients in a health, care, or community setting.
Desirable
- Experience working with people with long-term conditions.
- Experience in data collection, audit, or service evaluation.
Qualifications
Desirable
- Training or certification in health coaching, care coordination, or motivational interviewing.
Person Specification
Knowledge and Skills
Essential
- Strong communication and interpersonal skills with the ability to build trust and rapport.
- Understanding of behaviour change approaches and motivational techniques.
- Ability to work independently and as part of a team.
- Organisational skills to manage a defined caseload and prioritise tasks.
- Basic IT proficiency (MS Office, clinical systems, remote consultation tools).
- Commitment to patient-centred, compassionate care.
Desirable
- Knowledge of local health, care and voluntary sector services.
Experience
Essential
- Experience working with patients, service users, or clients in a health, care, or community setting.
Desirable
- Experience working with people with long-term conditions.
- Experience in data collection, audit, or service evaluation.
Qualifications
Desirable
- Training or certification in health coaching, care coordination, or motivational interviewing.
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.
