Health and Wellbeing Coaches (HWBCs) will predominately use health coaching skills to support people with lower levels of patient activation to develop the knowledge, skills, and confidence to become active participants in their care so that they can reach their self-identified health and wellbeing goals. They may also provide access to self-management education, peer support and social prescribing. HWBCs will use a non-judgemental approach that supports the person to self-identify existing issues and encourages proactive prevention of new and existing illnesses. This approach is based on using strong communication and negotiation skills, supports personal choice and positive risktaking, addresses potential consequences, and ensures people understand the accountability of their own decisions based on what matters to the person. They will work alongside people to coach and motivate them through multiple sessions, supporting them to self-identify their needs, set goals, and help them to implement their personalised health and care plan.

Click HERE for the Health and Wellbeing Coach Welcome Pack:

An induction guide for health and wellbeing coach workers in primary care networks.

Training/Development

  • The Personalised Care Institute will set out what training is available and expected for HWBCs. Further information will be provided when published. HWBCs will be required to be trained in health coaching in line with the NHSE/I Implementation and quality summary guide
  • Training will include understanding the basics of social prescribing, plus an accredited health coaching skills programme (minimum of 4 days) and documented practice hours, along with opportunities for reflection and follow up activities
  • Ongoing regular supervision from a health coaching mentor is required. Any health coaching provider will have to be accredited by the Personalised Care Institute (PCI).

Benefits to patients

  • Interventions that ‘coach’ or actively support people to self-care.
  • It is person-centred and empowering and based around a person’s own aspirations and goals.
  • There is an increased patient activation and increases in preventative behaviours and self-management.
  • Shown to improve two-way communication and partnership working.
  • Overall improved health outcomes

Benefits to PCN’s

  • Patient activation is associated with fewer visits to general practice.
  • Support for people to self-manage their own health is increased and reduced demand for care due to improved patient wellbeing.
  • There is seen to be increased efficiency due to quicker discharge from caseload and potential to cut waiting times.
  • Less waste identified from unnecessary tests and medication.
  • Long term sustained benefits in terms of cost reductions and service development.
  • There are reported increase in job satisfaction amongst health and care professionals actively using the approach.

Benefits to the wider NHS

  • An independent evaluation showed that, of over 5,000 referrals to Healthy Change (Nottingham Public Health team) in the first year: – The service successfully referred over 80% of clients to lifestyle change services. This enabled over 75% of members to achieve one or more additional goals at end of the coaching period. Service was rated as good or better by over 85% of members.
  • There was a reduced “Did Not Attend” rates for specialist lifestyle services as well as supporting lifestyle change; and improved self-care.
  • Coaching shown to address lifestyle factors that are key determinants of health inequalities.