Support Patient Wellbeing with Health Coaching, and Save GPs’ Time

In 2019, NHS England approved the recruitment of health and wellbeing coaches through the Additional Roles Reimbursement Scheme to help raise awareness of, and increase responsibility for, patient self-management across England.The aim was to ensure that patients are given timely support and are empowered to manage their own health and wellbeing.

As an HWC, I am responsible for managing the wellbeing needs of patients within the PCN. The coaching sessions are used to understand the patient’s current situation, determine the root causes of their behaviours and attitudes, identify what the patient would like to achieve, and set goals towards meeting these targets.

Before the coaching sessions begin, participants estimate their Patient Activation Measure , a score calculated via a questionnaire that determines the baseline level of their knowledge, skills, and confidence in managing their own wellbeing;this is assessed again directly after the course of sessions has finished. Of the 291 patients who have undertaken a course of sessions, 84% have shown an improvement in their PAM. Scores for the remaining 16% of patients were the same as at baseline .

The benefits of HWCs for patients and practice staff have also been demonstrated by other GP practices. For example, in December 2017, a similar scheme in South Somerset provided health coaching sessions to 12,508 patients with long-term conditions across 17 practices.

We have been fortunate to receive positive feedback from clinicians and patients who have used the service. For example, one patient said that their lifeas a result of receiving health coaching, and healthcare professionals in the PCN report that patients are

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