Detailed Role Health and wellbeing coaches will Coach and motivate patients through multiple sessions to identify their needs, set goals, and support them to implement and achieve their personalised health and wellbeing objectives. This will include sitting in consultation with a patient, may be remotely by telephone or video and providing them with advice, guidance and a management plan, personalised to their individual needs. It could include dietetics and healthy eating, lifestyle medicine and getting active, safe activities and personal coaching and motivation, including mental health support and guidance. Manage and prioritise a case-load, in accordance with the health and wellbeing needs of the patient population, 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, and live independently. Work with the broader MDT to maximise the support available to patients, including the social prescribing team to connect patients to community-based activities which support them to take increased control of their health and wellbeing, and working with clinical colleagues to provide enhanced support to patients being supported through, identifying those who would benefit the most from health coaching. 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 e.g. adapting physical activities for individuals with mobility issues. Build trust and respect with the person, providing non-judgemental and non-discriminatory 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. Work with the social prescribing team to ensure that individuals can access support to address wider social needs that can impact on their health and wellbeing, such as debt, poor housing, being unemployed, loneliness and caring responsibilities. 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. Engage with and support the new and evolving agendas and service requirements across the PCN, including our work with Care Homes. As part of the PCN multi-disciplinary team, build relationships with staff in GP practices within the local PCN, attending relevant MDT meetings, giving information and feedback on health coaching. System Responsibilities 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 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. Be proactive in encouraging equality and inclusion, through self-referrals and connecting with all diverse local communities, particularly those communities that statutory agencies may find hard to reach. Develop collaborative relationships and work in partnership with health, social care, 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 e.g. PAM measures, ONS4 Encourage people, their families and carers to provide feedback and to share their stories about the impact of Health Coaching on their lives. 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 the clinical systems, as outlined in the Network Contract DES, adhering to data protection legislation and data sharing agreements. Professional Development Work with your line manager to undertake continual personal and professional development, taking an active part in reviewing and developing roles and responsibilities. Training requirements for the role are currently being developed by NHS England; when these are developed, undertake identified coaching and training as required by the Personalised Care Institute. Adhere to organisational policies and procedures, including confidentiality, safeguarding, lone working, information governance, quality, diversity, inclusion training and health and safety. Other 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.