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Health coaching for lay professionals


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Slides from a lunch and learn webinar hosted by NHS England's Long Term Conditions Team, on the topic of health coaching by lay professionals.

The speakers and Anya de Longh and Jim Phillips.

Published in: Health & Medicine
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Health coaching for lay professionals

  1. 1. Long Term Conditions Lunch & Learn Health coaching for lay professionals with Anya De Iongh & Jim Phillips 10 February 2016
  2. 2. LTC Framework Commitment to Carers Frailty Health Ageing Guide Fire Service as an asset Care Homes Quick Guides Care & Support Planning Navigating Health & Social Care Self Care Ambitions for End of Life Care Our Declaration Delivery Models Planning for Change: • Capitated Budget • Contracting • Simulation Modelling Patient and Service Selection Planning for Change: Workforce Whole Population Analysis; Understanding your population LTC Dashboard LTC Toolkit
  3. 3. Long term conditions resources Simulation model Unbundling recovery simulation model
  4. 4. 7 Using behavioural change to open minds #A4PCC – Action for Person-Centred Care Person with long term condition o Make a declaration at -declaration o Tell your teams about our work o Encourage them to make a declaration o Ask them to feed back thoughts and ideas o Use our hashtag – #A4PCC – when you see work that is relevant to person-centred care for people with LTCs o Let us know of any events, activities or social media opportunities that we can join forces with you
  5. 5. Date Topic Led by and details of session Venue 11 March Fire Service as an Asset: providing telecare support in the community Learning Outcomes • To better understand the role that the Fire and Rescue Service can provide as a community asset to support health needs • Enhancing the quality of life for people by supporting them to stay in their own home, even in a crisis Steve Vincent – West Midlands Fire Service & Simon Brake from Coventry Council Via WebEx 22 March Self-management in the community Peter Moore, The Pain Toolkit Via WebEx LTC Virtual Learning Community Lunch & Learn webinars: Sharing and Learning …
  6. 6. Long Term Conditions Lunch & Learn Health coaching for lay professionals with Anya De Iongh & Jim Phillips 10 February 2016
  7. 7. Health Coaching in the community: the role of non- clinical staff and people with lived experience as coaches Jim Phillips Self-management coaching Service Manager and Director, QISMET Anya de Iongh long term condition patient, Patient Leader and Self-Management Coach
  8. 8. Overview of Webinar • Examples of coaching services • Discussion of different referral routes and how it fits with traditional clinical services • Comparison with similar non-clinical support roles • Core competencies of coaches • Quality standards • Further resources
  9. 9. “… a patient-centred approach wherein patients at least partially determine their goals, use self-discovery or active learning processes together with content education to work towards their goals, and self-monitor behaviours to increase accountability, all within the context of an interpersonal relationship with a coach. The coach is trained in behaviour change theory, motivational strategies, and communication techniques, which are used to assist patients to develop intrinsic motivation and obtain skills to create sustainable change for improved health and well- being.” Wolever R Q et al. A systematic review of the literature on health and wellness coaching: defining a key behavioural intervention in healthcare. Global Adv Health Med 2013;2(4):34-53. What is Health Coaching?
  10. 10. Lay Coaches • Lay coaching can exist as a stand alone service • Coaching can become part of a clinicans role - for use within consultation, focus on specific health related behavours or condition specific, bound by service framework within clinics (eg. East of England work) • Focus on self-management support, rather than traditional health remit. • Lay self-management / health coaches don’t comment on or advise about the specifics of a health condition, but can support with skills of self-management • Non-clinical service set-up enables a stronger focus on what is important to the individual even if not health-related. • Dedicated coaching services can work more intensively with someone, and follow-up more effectively • There is a debate about the necessity of lived experience in the self-management coach role.
  11. 11. Education programs Social prescribing Advocacy Peer support Structured guidance Self-efficacy Information Provision COACHING
  12. 12. • Be aware of and maintain appropriate boundaries • Manage and make effective use of time • Appropriate use of goal setting • Appropriate use of problem solving and goal follow up • Understanding of the bio-psychosocial model of health • Use a solution-focussed approach • Create and maintain a safe and positive relationship • Support and encourage behaviour change by using motivational and coaching skills during goal-setting and goal-follow-up • Working understanding of social learning and self- determination theory • Be responsive to the needs of the client Core Competencies of non-clinical self-management coaches
  13. 13. • L2/3 counselling/life coaching • People who have come through the service or other similar self-management programmes such as Expert Patient Programme • Open recruitment (avoiding traditional application processes that puts some people off) Prior learning is assessed through a skills role play that covers in condensed form the four stages of the coaching model. Recruiting self-management coaches
  14. 14. Training • Full training is 35 hours with additional mandatory training for Safeguarding and Information Governance (in accordance with the employing organisations policies and procedures and may include addition training on issues such as lone working etc.) • Trainees have ongoing continuous assessment through the training and observation of practice sessions. • Coaches should have one observed session with a client and receive feedback. • Coaches are encouraged to keep a reflective learning log. • All full time coaches are required to attend a minimum of an hour individual supervision at least once per calendar month. • All coaches are required to do one case study per annum. This will be an in depth review of one client combined with one observed session with the client or for one session to be recorded. • Coaches should attend a minimum of two skills review sessions per annum.
  15. 15. • Non-clinical nature of the role and conversations mean… “I’ve never told anyone this before” “I’d never say this to my doctor” Safeguarding boundaries
  16. 16. Quality • Standardize lay coaching approaches and services • Provide registration and certification against standards • Support profile of coaching in a clinical qualification-led health sphere
  17. 17. My Health My Way • Commissioned by Dorset CCG • Provided in the community by partnership led by a third sector organisation, with community and mental health NHS Trust, acute NHS Trust and technology company • Menu of options including one to one coaching, group courses and online support across Dorset, Poole and Bournemouth • Remit to support local people with long term health conditions and their carers • Measured using the Health Education Impact Questionnaire (HEIQ) • One to one sessions held in community or local NHS venues or over the phone • Average of 6-8 45 min sessions • Team of 5FTE + bank • On average, coach has up to 100 people, but actively working with 30 people
  18. 18. Demographics 0 20 40 60 80 100 120 140 160 180 200 LESS THAN £15,000 £15,001-£25,000 £25,001-£35,000 £35,001-£50,000 £50,001-£70,000 MORE THAN £70,000 NOT DISCLOSED Total Household Income
  20. 20. Live Well and Feel Better • One to one coaching by GP referral and open access online support • Commissioned by High Weald, Lewes and Haven’s CCG • Inviting patients off the GP lists at each surgery – they are actively identify from disease register • Coaches are specific to a GP surgery • Coaching support is only available to patients at that practice • Practice based, GP led service
  21. 21. Different referral routes Coaching support Self-Referral GP referral HCP/practice staff referral Third sector / community As part of care pathway Relationship to Primary Care – do GPs see it as another external NHS service, or an integral part of their surgery’s offering?
  22. 22. Coach model for Dorset Listen to the clients story Identify what's important, what they want to change Express as a goal Follow up and dealing with barriers
  23. 23. Further Resources • My Health My Way ( • Know Your Own Health ( • Quality Institute for Self-Management Education and Training ( • Symphony Project ( • Live Well Feel Better ( • East of England ( • Health Foundation Person Centred Care Resource Centre (
  24. 24. Thank you! Jim Phillips @jim_epp Anya de Iongh @anyadei