1. Introduction to coaching conversations Ann Telesz May 2015

2. Aims To introduce coaching conversations as part of communication skills To introduce the idea of Health Coaching To practice conversations using coaching and advising

3. Objectives to differentiate between coaching and other types of conversation to identify scenarios when a coaching approach could be useful

4. What is coaching? ‘The coach works with clients to achieve speedy, increased and sustainable effectiveness in their lives and careers through focused learning. The coach’s sole aim is to work with the client to achieve all of the client’s potential – as defined by the client’ Jenny Rogers Coaching Skills A Handbook 2008

5. Principles of coaching The client is resourceful The coach’s role is to develop the client’s resourcefulness through skilful questioning, challenge and support Coaching addresses the whole person – past, present and future The client sets the agenda The coach and client are equals Coaching is about change and action

6. What is coaching not? Advice Performance review Patronage by senior in the field Counselling Psychotherapy

7. ‘The success of coaching and mentoring is in the establishment of an effective relationship based upon mutual respect, honesty and understanding, combined with structured questioning to enable the coachmentee to find their own solutions.’

8. Exercise in pairs Think of something that you have been wanting to do something about, but haven’t managed e.g. a New Years resolution. Now tell your colleague about that. And get your colleague to give you their best advice for no longer than a minute, then swap round for a further minute

9. Questions only Now repeat the process concentrating on active listening and when you speak using questions only for 5mins Do this just one way in your pair What questions work?

10. In relation to the topic you were talking about What do you specifically want to change? How will you know that you have succeeded? What benefits will success bring? How are you stopping yourself making this change? When have you had success in the past, at least in part? What can you learn from that success? What is the first step now

11. Models of Coaching IGROW Egan’s skilled helper Coaching with the Kipper Tie

12. Kipper K Key issues and goals I Importance and Implications P Present Situation P Perfect World and Possibilities E Evaluating Choices R Resolutions and Review Management Futures Consulting Limited 2013

13. Trainee exercise Work in group of 3 where one is an observer Think of an issue you have had with a trainee Briefly describe it to a colleague Role play the trainee with a trainer adopting a coaching approach Observer to monitor

14. Health coaching is… ‘ a method of patient education that guides and prompts a patient to be an active participant in behaviour change ’

15. Traditional ApproachHealth Coaching Approach Decisions are made by the clinician Decisions are made in patient-clinician partnership Patient told what to do Patient finds their own solutions Patient believes it is the clinician's role to fix them Patient believes that they have an active role to play in changing to improve their own health Goals are set by the clinician and success is measured by them The patient is supported to define their own goals & success is measured by their attainment Patient required to change as requested Collaboration and assistance in facilitating change Psychological barriers to change not considered Psychological barriers to change included Focus on extrinsic motivators Intrinsic motivators included

16. Health coaching exercise Think of a patient with a long term health condition where you feel you have not been getting the message across In groups of 3 – patient, doctor and observer try a coaching approach

17. Objectives to differentiate between coaching and other types of conversation to identify scenarios when a coaching approach could be useful

18. Questions?

19. Balance Wheel Exercise © Management Futures

20. Resources Coaching courses including Coaching for Health www.mentoring.londondeanery.ac.uk/training www.mentoring.londondeanery.ac.uk/training Applying for coaching www.mentoring.londondeanery.ac.uk Coaching and Mentoring Team t: 020 7866 3242 e: mentoring@nwl.hee.nhs.uk