Click to edit Master subtitle style Click to edit Master title style Click to edit Master subtitle style 1 Health Coaching at David Sweeting, Clinical Specialist Physiotherapist and Cheryl Jarvis, Training & Development Lead Health Coaching: Can we afford to ignore it?

Click to edit Master subtitle style The Strategy Within Adult Services put all registered and band 4 staff through the 2 day Health Coaching Programme by the of 2015 Have Health Coach Trainers within ECCH To have Health Coach Champions in each clinical locality To have a support network and CPD for coaches

Click to edit Master subtitle style The story so far 3 Accredited Health Coach Trainers ££££ investment 100 ECCH staff have completed the 2 day training programme Planned roll out dates Over 200 more ECCH staff to train

Click to edit Master subtitle style Why are we doing this? Evidence that Health Coaching can support patients with long-term conditions (and others) Ultimately better health outcomes and reduction in appointments To support struggling teams Consistent with Simon Stevens’ published vision “5-Year Forward View of the NHS”

Click to edit Master subtitle style Patient and Financial Benefits Patient benefits More effective consultations Aiding patients to make healthier choices Developing patient motivation and confidence to self-manage Setting more effective and realistic goals that are truly Patient-led Improved concordance with medication Creating shared responsibility Improved health outcome Financial benefits Reducing inappropriate activities Reducing demand e.g. from stopping smoking and weight reduction Reducing attendance by supporting self-care Reducing follow up rates Reduction in pharmacy costs and wastage Reduced supplier led demand Reduced patient need

Click to edit Master subtitle style A great development opportunity New communication skills and not just with patients Builds resilience Personal satisfaction A shift in mind set in patient interaction ECCH Staff Benefits

Click to edit Master subtitle style How was the training? Good delivery – maintained interest Much more practical than anticipated Generally fun Nice venue – felt like doing something special A lot to take on board Could have been more explicit in one way Good support to implement change Overall: 9.5/10 (A*)!!

Click to edit Master subtitle style What did we learn? A structured, effective & pragmatic approach Understanding of “stages of change” Specific Techniques Mutually beneficial for clinician and patient

Click to edit Master subtitle style What is different now? All consultations changed in a subtle way………. “What do you want to achieve over the next 30 minutes?” “I’ve some ideas, but I would like to hear yours first” “What would you be most interested in taking forward?” “How much time will you be able to put into this?” “Can you see any barriers to this?”

Click to edit Master subtitle style Predominantly those with persistent pain Poor engagement Patient presenting barriers Lack of direction (why are we here, what do we want to achieve) Formal use on the less “activated”

Click to edit Master subtitle style Techniques most used TGROW Diamond Motivational Interview Inner game Decisional grid

Click to edit Master subtitle style Impact on patients Surprise – don’t know how to react “you are the expert” Most – pleased and engaged once they get the idea Some - resistant

Click to edit Master subtitle style Reduced pressure/feeling of failure Identifying patients who are appropriate to work with Better at identifying goals More confident that patients are happy with care More able to challenge; so more effective Impact on me

Click to edit Master subtitle style Impact on demand/costs No hard and fast data Gut feel – less wasted time and patients clearer about their responsibilities Potential for less consultations/earlier discharges / fewer re-referrals???

Click to edit Master subtitle style The Future System- wide locality approach For all patients to receive Health Coaching where appropriate Health Coaching becoming the norm in consultations Cost-effective and time effective care

Click to edit Master subtitle style Challenges? Health coaching is a long way from the traditional practice of many health professionals Requires initial effort from clinician

Click to edit Master subtitle style More Challenges? Needs a system-wide approach to be truly successful Short term ££££ Short-term time investment Patient resistance/denial

Click to edit Master subtitle style Future development? System wide locality coaching to ensure success Active support from GPs & other referrers This approach needs to be what the patient expects on arrival

Click to edit Master subtitle style Next steps Roll out of training to adult services staff Identify locality champions Patient awareness Development of HC network Research project

Click to edit Master subtitle style Top tips for new coaches Look for quick wins to build confidence & positive experience Use discrete notes/prompts Recognise it will not work with everyone Keep trying!!!

Click to edit Master subtitle style Close and questions