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A patient’s wellbeing underpins their physical health so what can we do to complement our existing models of care and ensure their wellbeing needs are met? One of our most popular guests (and as it turns out, podcast regular) Dr Neil Modha of Thistlemoor Medical Centre in Peterborough is back on our sofa this week and believes the key lies in the relatively new health and wellbeing coaching roles. What are they? How do they fit within existing staffing and service models? How can practices and PCNs take advantage of these roles, particularly in line with the reimbursement scheme? And most importantly, what value do they add to practices and their patient populations?

Introduction (0:53)

How has Neil’s practice coped during the pandemic? (1:34)

The triage model at Thistlemoor (2:24)

The impact of Covid on general practice locally – and more broadly (3:07)

Integrating health and wellbeing coaches within a practice structure (4:53)

What is a health and wellbeing coach? What can they bring to our table? (6:23)

Are new people required to take on this role or can we upskill existing staff? (7:30)

Where Neil’s PCN are up to in the training and recruitment process (8:39)

The patient journey (10:23)

Caseload (11:43)

What does success look like? (12:20)

Who is responsible for running the training? (13:33)

Proving the impact (14:17)

Utilising funding from the Additional Roles Reimbursement Scheme (ARRS) (15:49)

Breaking down the financial benefits of the ARRS (17:02)

Where do health and wellbeing coaches fit within the context of the PCN DES? (18:00)

Lessons learned so far (19:54)

Following Thistlemoor’s journey and additional resources (20:57)

Further information regarding health coaching can be found on Thistlemoor’s website here

The WHO wellbeing as a measure for wellbeing is an additional tool Neil and his team are using which should be completed at the beginning and end of the patient journey, to measure the impact of their health and wellbeing intervention.

Here are some reference documents which Neil and his team have kindly provided:

1. Thistlemoor’s Health and Wellbeing outline service specification
2. Guideline assessment templates for individual wellbeing consultation (includes; initial consult, nutritional assessment, physical activity assessment, emotional wellness, mindfulness and sleep health)
3. A Health & Wellbeing coach sample job description

If you would like to join the discussion or get in touch, both Neil and Thistlemoor are active in all the usual places:

Twitter:                https://twitter.com/ThistlemoorMC OR https://twitter.com/neilmo

Instagram:           https://www.instagram.com/thistlemoorhealth/

Raw Horizons Academy are a recognised training provider for health and wellbeing coaches and their contact details are as follows:

Website:              academy.rawhorizons.co.uk/

Twitter:                https://twitter.com/RHA_Wellbeing

Facebook:           https://www.facebook.com/rawhorizons

Instagram:           https://www.instagram.com/rawhorizons/

Finally, the link to Neil’s podcast on his practice’s triage model (which Ben refers to) can be found here