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.
Commissioning Integrated models of care
Kent LTC Year of Care Commissioning Early Implementer Site
Alison Davis, Integration Programme Health and Social Care, Working on behalf of Kent County Council and South Kent Coast and Thanet CCG's
Integrated data to support service redesign decision making 19 01 2016 finalNHS Improving Quality
Integrated data to support service redesign decision making
Leeds LTC Year of Care Commissioning Early Implementer Site
Tricia Cable, Year of Care Lead
Alison Phiri, Business Intelligence Manager
Mohini Chauhan, Year of Care Commissioning Manager
An overview of the work carried out by NHS England and NHS Improving Quality's Long Term Conditions Sustainable Improvement Team. It puts the case for why person-centred care has to be at the heart of healthcare.
Electronic Palliative Care Coordination Systems (EPaCCS): Improving Patient C...NHS Improving Quality
Speaker slides from the national conference, 'Electronic Palliative Care Coordination Systems (EPaCCS): Improving Patient Care at End of Life', 17 March 2016
Self-management in the community and on the Internet - Presentation 22nd Marc...NHS Improving Quality
LTC Lunch & Learn webinar:- 22nd March 2016
Presenter:- Pete Moore, Educator, Author & Pain Toolkit Trainer
As pain is the most daily health problem reported to a GP-
Developing a national pain strategy- reviews from around the world
Presentation slides Frailty: building understanding, empathy and the skills t...NHS Improving Quality
Frailty: building understanding, empathy and the skills to support self-care
Guest speaker:Dr Dawn Moody, Director - Fusion48
An opportunity to learn about some innovative approaches to making the health and care workforce 'Fit for Frailty'* (*British Geriatrics Society 2015).
Learning outcomes:
To explore the Frailty Fulcrum as a tool for holistic assessment and management of frailty
To hear how Virtual Reality is being used to build empathy for older people living with frailty
To learn about the impact of a county-wide, multi-agency, multi-professional training an toolkit for care professionals working with older people
Resources:www.fusion48.net
Commissioning Integrated models of care
Kent LTC Year of Care Commissioning Early Implementer Site
Alison Davis, Integration Programme Health and Social Care, Working on behalf of Kent County Council and South Kent Coast and Thanet CCG's
Integrated data to support service redesign decision making 19 01 2016 finalNHS Improving Quality
Integrated data to support service redesign decision making
Leeds LTC Year of Care Commissioning Early Implementer Site
Tricia Cable, Year of Care Lead
Alison Phiri, Business Intelligence Manager
Mohini Chauhan, Year of Care Commissioning Manager
An overview of the work carried out by NHS England and NHS Improving Quality's Long Term Conditions Sustainable Improvement Team. It puts the case for why person-centred care has to be at the heart of healthcare.
Electronic Palliative Care Coordination Systems (EPaCCS): Improving Patient C...NHS Improving Quality
Speaker slides from the national conference, 'Electronic Palliative Care Coordination Systems (EPaCCS): Improving Patient Care at End of Life', 17 March 2016
Self-management in the community and on the Internet - Presentation 22nd Marc...NHS Improving Quality
LTC Lunch & Learn webinar:- 22nd March 2016
Presenter:- Pete Moore, Educator, Author & Pain Toolkit Trainer
As pain is the most daily health problem reported to a GP-
Developing a national pain strategy- reviews from around the world
Presentation slides Frailty: building understanding, empathy and the skills t...NHS Improving Quality
Frailty: building understanding, empathy and the skills to support self-care
Guest speaker:Dr Dawn Moody, Director - Fusion48
An opportunity to learn about some innovative approaches to making the health and care workforce 'Fit for Frailty'* (*British Geriatrics Society 2015).
Learning outcomes:
To explore the Frailty Fulcrum as a tool for holistic assessment and management of frailty
To hear how Virtual Reality is being used to build empathy for older people living with frailty
To learn about the impact of a county-wide, multi-agency, multi-professional training an toolkit for care professionals working with older people
Resources:www.fusion48.net
Fire service as an asset: providing telecare support in the community Webinar...NHS Improving Quality
Guest speaker: Steve Vincent - West Midlands Fire Service & Simon Brake from Coventry Council
Hosted by: Bev Matthews, Long Term Conditions Programme Lead, NHS England
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
NHS England and partners have published six Quick Guides to bring clarity on how best to work with the care sector. They can be accessed at www.nhs.uk/quickguides
Want to find out how the care sector can support local systems in the run up to winter? Want to break down barriers between health and care organisations? Want to find out how Leicester has achieved a 60% reduction in care home admission costs? Want to finally break down the myths around sharing patient information and assessments? Want to use other people's ideas and resources?
Webinar outcomes:
Introduction to the care homes quick guides
Two examples of models referenced in the guides:
- Angela Dempsey, Baker Tilly on the Quest4care tool
- Dawn Moody on MDT working and a model implemented in a CCG
Guest Speakers: Nicola Spencer and Emily Carter - NHS England
Enabling self-management: more than smart phones and digital widgetsNHS Improving Quality
Guest speakers: Ian Briggs, Associate Director Business Development and Jeannie Hardy - County Durham and Darlington NHS Foundation Trust
Hosted by: Beverly Matthews, Long Term Conditions Programme Lead, NHS England
Learning Outcomes:
• Introduction to self-management - driven by lifestyle choice and access - underpinned by digital capability / enablers
• Health call Case studies - INR and/or nutrition
• Importance of lifestyle training and clinical empowerment of patient
A feasibility study to examine the adoption of CBT techniques and their impact on clinical practice in the community pharmacy environment
Led by the AHSN Network
Day One, Pop-up University 8, 11.00
Innovations conference 2014 catherine adams integrating a multidisciplinary...Cancer Institute NSW
Catherine Adams - Integrating a Multidisciplinary Stepped Care Model of Psychosocial Care for Cancer Survivors and Families into routine Clinical Practice in Rural and Remote Regions
Four tips for ensuring a great customer experience in the healthcare industryBrandworkz
Power in the healthcare industry has moved from the providers to the patients. This presentation sets out four tips that the healthcare industry must adopt to deliver a great customer experience .
Fire service as an asset: providing telecare support in the community Webinar...NHS Improving Quality
Guest speaker: Steve Vincent - West Midlands Fire Service & Simon Brake from Coventry Council
Hosted by: Bev Matthews, Long Term Conditions Programme Lead, NHS England
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
NHS England and partners have published six Quick Guides to bring clarity on how best to work with the care sector. They can be accessed at www.nhs.uk/quickguides
Want to find out how the care sector can support local systems in the run up to winter? Want to break down barriers between health and care organisations? Want to find out how Leicester has achieved a 60% reduction in care home admission costs? Want to finally break down the myths around sharing patient information and assessments? Want to use other people's ideas and resources?
Webinar outcomes:
Introduction to the care homes quick guides
Two examples of models referenced in the guides:
- Angela Dempsey, Baker Tilly on the Quest4care tool
- Dawn Moody on MDT working and a model implemented in a CCG
Guest Speakers: Nicola Spencer and Emily Carter - NHS England
Enabling self-management: more than smart phones and digital widgetsNHS Improving Quality
Guest speakers: Ian Briggs, Associate Director Business Development and Jeannie Hardy - County Durham and Darlington NHS Foundation Trust
Hosted by: Beverly Matthews, Long Term Conditions Programme Lead, NHS England
Learning Outcomes:
• Introduction to self-management - driven by lifestyle choice and access - underpinned by digital capability / enablers
• Health call Case studies - INR and/or nutrition
• Importance of lifestyle training and clinical empowerment of patient
A feasibility study to examine the adoption of CBT techniques and their impact on clinical practice in the community pharmacy environment
Led by the AHSN Network
Day One, Pop-up University 8, 11.00
Innovations conference 2014 catherine adams integrating a multidisciplinary...Cancer Institute NSW
Catherine Adams - Integrating a Multidisciplinary Stepped Care Model of Psychosocial Care for Cancer Survivors and Families into routine Clinical Practice in Rural and Remote Regions
Four tips for ensuring a great customer experience in the healthcare industryBrandworkz
Power in the healthcare industry has moved from the providers to the patients. This presentation sets out four tips that the healthcare industry must adopt to deliver a great customer experience .
IT healthcare leaders are turning to mobility to find the balance between efficiency, security and optimal patient outcomes. Ubiquitous access to printing resources is rising in importance among mobility-enabled healthcare workers, who are discovering the link between improved digital workflow and more efficient delivery of patient care.
The Value of Medical Technologies and the Industry that Makes ThemMedTech Europe
Medical technologies save lives, improve health and contribute to sustainable healthcare. These technologies are developed and produced by the MedTech industry.
This presentation explains what medical technology is and how it has a positive impact on patients, but also on the sustainability of healthcare systems in Europe.
How do we see the healthcare's digital future and its impact on our lives?Jane Vita
"Healthcare is undergoing major changes spurred on by, but not limited to, technology.
Digitalisation is changing the way we think about health, what taking care of it really entails, our personal role in healthcare systems and the way we interact with technology in the context of health.
In many ways, we are entering a post-institutional age of increased personal responsibility, which presents healthcare service providers and other players in the field with major opportunities and great risks. Technology has the potential to empower people and help them become more active in the management of their and their families’ health. This will change the relationship of the patient and the caregiver in profound ways." Mirkka Länsisalo
A co-creation with Mirkka Läansisalo and Sala Heinänen, at Futurice.
Comparison of Pfizer, Novartis, Bayer, Genentech and Other Top Pharmaceutical...Unmetric
Take a deep dive in to the social media habits of top pharmaceutical companies like Pfizer, Merck, Bayer, Novartis and other top companies. Discover the social media strategies that helped drive engagement and allow them to connect to audiences on Facebook in the third quarter of 2015.
In highly regulated healthcare environments, mobile technology advancements enable greater -flexibility, portability, interactivity and better patient care than ever before. This infographic presents different use cases for the latest technologies.
What Your Employees Don't Know About Healthcare [Infographic]BambooHR
What do your employees know about ACA guidelines and healthcare and benefits in general? This infographic shares the knowledge gaps that employees have when it comes to their healthcare plans.
From September 10-12th 2014, nearly 2,000 delegates convened in both Washington D.C. and San Francisco for TEDMED, to hear from some of the most innovative and creative minds in health and medicine today.
Their words, offered as a gift from the stage, were truly those to live by – providing a vision for a better future, driven by imagination, ingenuity, and a deep belief in the power of the human spirit to conquer all.
Whether it's directly improving patient care or helping lower costs to provide more access to healthcare, organizations are continuing to use IT to move the needle for an industry that is at a pivotal point in innovation.
Learn how our innovative storage solutions can help your organization meet its healthcare Big Data challenges: http://www.netapp.com/us/solutions/industry/healthcare/
We spent time collecting healthcare factoids that show key trends driving the need for data in healthcare. And now, we’ve put it into an easy-to-view, shareable, memorable presentation to use as you see fit. You can use these factoids to help you make a case for reducing healthcare waste or get pointers for your next IT project. You can even use a few of them to predict the future of healthcare.
Artificial intelligence (AI) is everywhere, promising self-driving cars, medical breakthroughs, and new ways of working. But how do you separate hype from reality? How can your company apply AI to solve real business problems?
Here’s what AI learnings your business should keep in mind for 2017.
These slides have been designed for healthcare leaders and managers to enable them to run an Making Every Contact Count (MECC) introductory session within their organisations. It may be delivered to teams and individuals prior to them undertaking MECC training.
Sharing and Learning Together to Deliver High Quality End of Life Care for AllNHS Improving Quality
Sharing and Learning Together to Deliver High Quality End of Life Care for All
Presentations from the Sharing and Learning Together to Deliver High Quality End of Life Care for All event held on
Tuesday 24 June 2014, Congress Centre, London, WC1B 3LS
#nhsiqeolcare
Behavioral Health Workforce Development
Webinar Broadcast: December 13th, 2018 | 3 p.m. EST
The need to address the behavioral health workforce shortage has never been greater, and behavioral health education and training targeted at the needs of health centers is a way to make an impact. Training the next generation to deliver behavioral health and primary care services as a part of integrated, interprofessional teams, including opioid use disorder and other substance use disorder treatments, is crucial to establishing a strong, dedicated behavioral health workforce in health centers. During this webinar, you will hear from the CHCI’s Chief Behavioral Health Officer and CHCI Behavioral Health Staff as they provide insight into the crucial components of effectively training behavioral health students working toward different behavioral health degrees. Sharing from their decades of experience supervising, our expert panel will discuss strategies to successfully navigate training and educating the next generation of the behavioral health workforce at your health center.
This workshop brought together, for the first time, the pioneers and the partner organisations of the Integrated Care and Support programme. It focused on building a learning community that will help develop, share and spread knowledge and solutions at scale and pace across the country.
More information: http://www.nhsiq.nhs.uk/news-events/events/integrated-care-and-support-pioneers-inaugural-workshop.aspx
More about the integrated care and support pioneers programme: http://www.nhsiq.nhs.uk/7862.aspx
Enhancing the quality of life for people living with long term conditions.
https://mhealthinsight.com/2016/06/27/join-us-at-the-kings-funds-digital-health-care-congress/
Advancing Team-Based Care: Achieving Full Integration of Behavioral Health an...CHC Connecticut
This webinar highlighted ways to fully integrate behavioral health care into primary care. The role of nurses, medical assistants, behaviorists, lay health workers, and primary care providers was discussed along with the use of clinical dashboards and warm hand-offs.
This webinar was presented May 19, 2016 3:00 p.m. Eastern Time
Dave Atkinson
Lead on Department of Health’s Positive and Safe Guidance
Independent Consultant Nurse working who led on Department of Health's ' 'Positive and Proactive Care'
2.2 Develop the team - nursing - Louise BradyNHS England
Develop the team - nursing. Developing nursing roles in primary care. Reviewing a wide range of initiatives including from Manchester, Gateshead and Hanwell. Louise Brady, Clinical & Strategic Development Lead Practice Nursing , Manchester CCGs.
Sustainability & spread across multiple pathways in community & mental health...Isabelle Sparrow
Caroline Poole, Clinical Improvement Lead at Pennine Care NHS Trust recently attended the Simple Telehealth National Conference in Stoke-on-Trent to give a presentation about the trust's success in implementing Flo Telehealth.
Personal Health Budgets and Continuing HealthcareMS Trust
This presentation by Gill Ruecroft, Commissioning Manager, provides an overview of Personal Health Budgets (PHBs) and demonstrates the effectiveness of PHBs through case studies.
It was presented at the MS Trust Annual Conference in November 2014.
Similar to Health coaching for lay professionals (20)
Stopping over-medication of People with Learning Disabilities
(STOMPLD) 2016.
Reducing Inappropriate Psychotropic Drugs in People with a Learning Disability in General Practice and Hospitals in 2016.
The final poll for the person centred care images captured at the LTC Midlands and East learning event in November 2015. Which captures person centred care the most to you? Access to records or quality for everyone?
Improving the physical health of patients with severe mental health illness ...NHS Improving Quality
Improving the physical health of patients with severe mental health illness in primary care, by Rhiannon England, GP Clinical Lead, City and Hackney CCG
Three Dimensions of Care for Diabetes (3DFD) – diabetes management for people...NHS Improving Quality
Three Dimensions of Care for Diabetes (3DFD) – diabetes management for people with psychological / social needs, by King's College Hospital NHS Foundation Trust, Guy's and St Thomas' NHS Foundation Trust and King's Health Partners
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
2. www.england.nhs.uk
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
4. www.england.nhs.uk
7
Using behavioural
change to open minds
#A4PCC – Action for Person-Centred Care
Person with
long term
condition
o Make a declaration at
www.engage.england.nhs.uk/survey/ltc
-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. www.england.nhs.uk
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 …
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. 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. “… 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. 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.
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. • 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. 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. • 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. 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. 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
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. 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. 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. Further Resources
• My Health My Way (www.myhealthdorset.org.uk)
• Know Your Own Health (www.kyoh.org)
• Quality Institute for Self-Management Education and Training (www.qismet.org.uk)
• Symphony Project (www.symphonyproject.org.uk)
• Live Well Feel Better (http://standrews.lwfb.org.uk/)
• East of England
(https://eoeleadership.hee.nhs.uk/Health_Coaching_Training_Programmes)
• Health Foundation Person Centred Care Resource Centre
(http://personcentredcare.health.org.uk/)