Health and Wellbeing Coach - Cambridge, United Kingdom - Granta Medical Practices

Granta Medical Practices
Granta Medical Practices
Verified Company
Cambridge, United Kingdom

2 weeks ago

Tom O´Connor

Posted by:

Tom O´Connor

beBee Recruiter
Description

Our PCN and Vision:

Granta is a well-recognised and thriving General Practice in South Cambridgeshire caring for 57000 patients.

The practice is already classed as a Primary Care Network in its own right and is redefining sustainable General Practice for the next generation.

At Granta we are open minded and forward thinking. We offer excellent care and want to ensure we are excellent employers as the happiness and satisfaction of the family we employ is as important as the satisfaction of our patients


OUTLINE OF POST:


The Health and Wellbeing Coach will be responsible for delivering group and one to one sessions on healthy eating, physical activity and health and well-being to meet with personalised care plans.

The coach will play a critical role in engaging patients and use health coaching techniques to support them to take an active role in their health and wellbeing.


The health and wellbeing coach will work closely with those of low to medium complexity who will usually have 1 or more long term conditions.

The post holder will work closely with the other members of the primary care team and complex care teams in the management/decision making about care and service provision for individual patients


This will include:

  • Care planning, health and wellbeing coaching and delivery of systematic selfmanagement support based on a knowledge of individual's activation levels.
  • Care coordination across care continuum (including identification and support of carers)
  • Support effective team working in primary care through taking on appropriate practice based tasks, attending regular team meetings if required, working with the complex care teams
Support for individuals to access appropriate community resources and services


MAIN TASKS:


  • Identification of people with long term conditions and low knowledge skills regarding their condition and build confidence to manage their health and wellbeing
  • Responsibility for providing support (clinical or non-clinical) to a cohort of patients who will benefit from proactive health management and care including being the single point of contact for the person or carer to simplify access and coordination of services
  • Teaching and supporting patients/carers to understand and manage their own conditions either on a one to one basis or by group consultations. To help patients maintain an independent lifestyle through health coaching techniques, to encourage patient activation
  • Supporting the development of personalised patient care plans, liaising with the practice team, patient/carer and the complex care team as appropriate.
  • Proactively supporting practice targets for number of patients who have seen a health coach
  • Proactively outreaching to patients on a regular and agreed basis
  • Playing an active role in MDT meetings if required (regular practice meetings to discuss high risk and / or complex patients) by gathering information and being prepared to update the team on patient progress towards goals etc. (as per their care plan)
  • Coordinating patient visits to primary care amongst the primary care team, ensuring efficient and effective visits for the patient cohort
  • Map and connect community activities/ resources at a locality level including supporting the development of a network of community health champions.
  • Support the delivery of community based public health initiatives such as physical activity, healthy eating and social connectedness.
  • Build and maintain strong links with the voluntary sector, supporting the voluntary and statutory sector to network and improve partnership working
  • Contribute to keeping the community directory up to date for their allocated area
  • Support delivery of systematic self-care support plans for those with COPD, diabetes and multiple long term conditions.
  • Managing the effective use of available resources and services in order to provide constant standards of care in terms of both quality and quantity
  • Adopting a multi-disciplinary and multi-agency approach to care, ensuring that all aspects of the patients' needs are met
  • Understand when it is appropriate or necessary to refer people to other health professionals/agencies
  • Ensure the patient record is accurately updated and maintained
  • Prioritise waiting lists as required
  • Understand the barriers for individuals/groups in accessing support in the community, and use this insight in developing community-based support, working as part of the wider social prescribing model
  • Promote the service within the Primary Care Network, both for users and clinicians, building positive working relationships
  • Contribute to and work with others to organise awareness raising events for services that help support people to improve their health and wellbeing
  • Communicate effectively with colleagues, patients and carers so that information is shared in order to meet patients' needs
  • The post holder will have a
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