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NHS England
GP Coaching Programme
Beyond Coaching
2017-19
“I now want to be a GP again. Before this I was looking at early
retirement, change of career, selling my house to get out of
medicine. Through this I feel more in control, less stressed and
I am enjoying my job” GP
Performance
DevelopmentFulfillment
What is Coaching?
Performance = Potential - Interference
Coach
Helping someone to
develop their own
approach
Coachee
Increased awareness
and responsibility
A Coach helps someone develop their own
approach to solving an issue
Results
Behaviours
Emotions
Thinking
Values
Beliefs
Dr Kanika Shaw, GP
A GP’s Experience Of Coaching
Dr. Stephen Smith
GP - Windrush Medical Practice, Witney
A GP’s Experience Of Coaching
 Why did you go for coaching?
 What was coaching actually like?
 What was the outcome of your coaching?
 Would you recommend coaching ?
A GP’s Experience Of Coaching
Why did you go for coaching?
2016
 Management
Partner - CQC
 Director of PML
GP Federation
PMCF
 Transformation
Board
 LMC
2017
 Resignations &
Recruitment
 Local practice
closes down
 Snowball effect/
Contagion Stress
 Refocus on
practice
2018
 Bored or Stressed
or both
 Discontent
 Demotivated
 Trapped
A GP’s Experience Of Coaching
What was coaching actually like?
Specifics
Session 1
 Background
 Aims – Goal Tracker
 Tools e.g. pieces of
paper 0, 2 & 5 yr.
 Homework - Vision
Board
Session 2
 Discussed Vision
Board
 Discussed initial
ideas
 Holistic
 Homework -
Strengths Profile &
Values Exercise
Session 3
 Discussed how
Strengths Profile
links with Vision
Board
 Practical steps to
make it happen
 Homework –
Business Cases
A GP’s Experience Of Coaching
What was coaching actually like?
General
Fun EnergisingPositive
Safe
Helpful
Nurturing Challenging
Holistic
Not coercive
Only MY
agenda
Emotional
Gentle Valued for
who I am
Creative
Thought
provoking
Supportive
A GP’s Experience Of Coaching
What was the outcome of your coaching?
Work Plan
SHORT
 Succession planning
 PCN Clin.Director
 GP Appraisals
 Photography
MEDIUM
 Delegate Business
Partner role
 Practice turnaround
role
 Complex Patients
research
LONG
 Salaried after 60 !
 Coach/Mentoring role
 Lecturing/Writing
 ?Travel Photography
A GP’s Experience Of Coaching
Would you recommend coaching?
YES!
INDIVIDUAL
 Improved wellbeing
 Avoiding burnout
 Greater job satisfaction
 Recover vocation
 Better work: life balance
 Prolonging career
ORGANISATION
 Staff Retention
 Organisational memory
 Improved Productivity
 Patient Care
 Financial
A GP’s Experience Of Coaching
Who looks outside, dreams;
who looks inside, awakes.
Carl Jung
A GP’s Experience Of Coaching
The afternoon of life is just as full of
meaning as the morning; only, its meaning
and purpose are different
Carl Jung
Why so effective?
Beyond Coaches
Exceptional professional coaches with extensive experience and
qualifications:
 deep understanding of coaching for transformational change
 working with GPs and/or clinicians
 working across all sectors
 skilled in collaborative leadership development
 previously senior leaders in their own right
Self-Coaching Workbook
The Self-Coaching Workbook is a
free tool created by Beyond which
was made available to GPs on the
programme
The Self-Coaching Workbook can be downloaded for free from the following link:
www.beyond-coaching.co.uk/gp-self-coaching-tool
Coach Observations
A spectrum of challenges for GPs falling into 3 categories:
1. Struggling
2. Working hard to maintain sustainability of the practice
3. Running sustainable practices and looking for wider development
and growth
Key Themes
 Lack of confidence and
assertiveness
 Lack of clarity on career
options
 Isolation and lack of
community and support
 Resilience, resourcefulness
and managing change
 Managing relationships and
influencing others
 Self care, wellbeing and
work-life balance
Positive impact on GPs after three sessions
+28% Reduction in the likelihood of leaving
+98% of GP’s reported a positive impact of coaching on themselves
+77% Said that coaching had influenced how they feel about general practice
+43% Increase in GPs’ clarity regarding career plans
+24% Said they were happier GP’s and therefore providing better care
+42% Achieving better work-life balance
+37% of GP’s identified an improvement in how they communicate and influence
relationships in the practice/others
+39% Job satisfaction
Practice Manager Coaching and
Mentoring Programme
 700 Practice Managers currently being coached
 3 x 90-min sessions
 Beyond created:
 Practice Manager Frequently Asked Questions document
 Practice Manager Self-Coaching Workbook
Practice Manager Coaching and
Mentoring Programme
Early Practice Manager feedback includes:
“The most productive 90 minutes of my year so far” PM
“It has been invaluable. I feel like I have gone from banging my head against a brick wall
to having clarity about what I need to do for the first time in months” PM
“I now feel ‘not so alone’. The weight has lifted off my shoulders and going forward I now
feel more confident and assured.” PM
“The experience has been transformational” PM
Recommendations from Beyond
 One-to-one coaching for GPs
 Personal Development and Wellbeing Workbook
 Self-Coaching Workbook
 One-to-one coaching for Practice Managers
 Team Coaching within Practice
 Health Coach approach training
 Collaborative Leadership development for GPs and PMs to support sustainability
and development of General Practice and Primary Care Networks
A final word from the GPs
“I am less likely to leave and [patients] get to keep their doctor. I am also less frustrated and so can
cope better with whatever they come with.” GP
“Without this coaching I have no doubt I would have ended up being off work through stress and
would have burnt out. I have realised the value in looking after me so I am able to look after
others” GP
"Reflections on the professional journey have given me perspective on the rest of my life” GP
“This was the most valuable support I have received in my 20 year career, thank you” GP
Thank You
Beyond Coaching
admin@beyond-coaching.co.uk
07725 638364
www.beyond-coaching.co.uk

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NHS GP Coaching Programme Provides Major Benefits

  • 1. NHS England GP Coaching Programme Beyond Coaching 2017-19 “I now want to be a GP again. Before this I was looking at early retirement, change of career, selling my house to get out of medicine. Through this I feel more in control, less stressed and I am enjoying my job” GP
  • 3. Performance = Potential - Interference Coach Helping someone to develop their own approach Coachee Increased awareness and responsibility A Coach helps someone develop their own approach to solving an issue
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  • 8. A GP’s Experience Of Coaching Dr. Stephen Smith GP - Windrush Medical Practice, Witney
  • 9. A GP’s Experience Of Coaching  Why did you go for coaching?  What was coaching actually like?  What was the outcome of your coaching?  Would you recommend coaching ?
  • 10. A GP’s Experience Of Coaching Why did you go for coaching? 2016  Management Partner - CQC  Director of PML GP Federation PMCF  Transformation Board  LMC 2017  Resignations & Recruitment  Local practice closes down  Snowball effect/ Contagion Stress  Refocus on practice 2018  Bored or Stressed or both  Discontent  Demotivated  Trapped
  • 11. A GP’s Experience Of Coaching What was coaching actually like? Specifics Session 1  Background  Aims – Goal Tracker  Tools e.g. pieces of paper 0, 2 & 5 yr.  Homework - Vision Board Session 2  Discussed Vision Board  Discussed initial ideas  Holistic  Homework - Strengths Profile & Values Exercise Session 3  Discussed how Strengths Profile links with Vision Board  Practical steps to make it happen  Homework – Business Cases
  • 12. A GP’s Experience Of Coaching What was coaching actually like? General Fun EnergisingPositive Safe Helpful Nurturing Challenging Holistic Not coercive Only MY agenda Emotional Gentle Valued for who I am Creative Thought provoking Supportive
  • 13. A GP’s Experience Of Coaching What was the outcome of your coaching? Work Plan SHORT  Succession planning  PCN Clin.Director  GP Appraisals  Photography MEDIUM  Delegate Business Partner role  Practice turnaround role  Complex Patients research LONG  Salaried after 60 !  Coach/Mentoring role  Lecturing/Writing  ?Travel Photography
  • 14. A GP’s Experience Of Coaching Would you recommend coaching? YES! INDIVIDUAL  Improved wellbeing  Avoiding burnout  Greater job satisfaction  Recover vocation  Better work: life balance  Prolonging career ORGANISATION  Staff Retention  Organisational memory  Improved Productivity  Patient Care  Financial
  • 15. A GP’s Experience Of Coaching Who looks outside, dreams; who looks inside, awakes. Carl Jung
  • 16. A GP’s Experience Of Coaching The afternoon of life is just as full of meaning as the morning; only, its meaning and purpose are different Carl Jung
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  • 18. Why so effective? Beyond Coaches Exceptional professional coaches with extensive experience and qualifications:  deep understanding of coaching for transformational change  working with GPs and/or clinicians  working across all sectors  skilled in collaborative leadership development  previously senior leaders in their own right
  • 19. Self-Coaching Workbook The Self-Coaching Workbook is a free tool created by Beyond which was made available to GPs on the programme The Self-Coaching Workbook can be downloaded for free from the following link: www.beyond-coaching.co.uk/gp-self-coaching-tool
  • 20. Coach Observations A spectrum of challenges for GPs falling into 3 categories: 1. Struggling 2. Working hard to maintain sustainability of the practice 3. Running sustainable practices and looking for wider development and growth
  • 21. Key Themes  Lack of confidence and assertiveness  Lack of clarity on career options  Isolation and lack of community and support  Resilience, resourcefulness and managing change  Managing relationships and influencing others  Self care, wellbeing and work-life balance
  • 22. Positive impact on GPs after three sessions +28% Reduction in the likelihood of leaving +98% of GP’s reported a positive impact of coaching on themselves +77% Said that coaching had influenced how they feel about general practice +43% Increase in GPs’ clarity regarding career plans +24% Said they were happier GP’s and therefore providing better care +42% Achieving better work-life balance +37% of GP’s identified an improvement in how they communicate and influence relationships in the practice/others +39% Job satisfaction
  • 23. Practice Manager Coaching and Mentoring Programme  700 Practice Managers currently being coached  3 x 90-min sessions  Beyond created:  Practice Manager Frequently Asked Questions document  Practice Manager Self-Coaching Workbook
  • 24. Practice Manager Coaching and Mentoring Programme Early Practice Manager feedback includes: “The most productive 90 minutes of my year so far” PM “It has been invaluable. I feel like I have gone from banging my head against a brick wall to having clarity about what I need to do for the first time in months” PM “I now feel ‘not so alone’. The weight has lifted off my shoulders and going forward I now feel more confident and assured.” PM “The experience has been transformational” PM
  • 25. Recommendations from Beyond  One-to-one coaching for GPs  Personal Development and Wellbeing Workbook  Self-Coaching Workbook  One-to-one coaching for Practice Managers  Team Coaching within Practice  Health Coach approach training  Collaborative Leadership development for GPs and PMs to support sustainability and development of General Practice and Primary Care Networks
  • 26. A final word from the GPs “I am less likely to leave and [patients] get to keep their doctor. I am also less frustrated and so can cope better with whatever they come with.” GP “Without this coaching I have no doubt I would have ended up being off work through stress and would have burnt out. I have realised the value in looking after me so I am able to look after others” GP "Reflections on the professional journey have given me perspective on the rest of my life” GP “This was the most valuable support I have received in my 20 year career, thank you” GP