10 July 2014 Welcome Overview of our Health Coaching Workshop Karen Bloomfield, Leadership and...

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Transcript of 10 July 2014 Welcome Overview of our Health Coaching Workshop Karen Bloomfield, Leadership and...

  • 10 July 2014Welcome Overview of our Health Coaching Workshop Karen Bloomfield, Leadership and Organisational Development Manager

    www.hee.nhs.ukwww.eoeleadership.nhs.uk/healthcoaching

    To increase understanding of health coaching and its applicationTo network, share experience and explore how health coaching is used in different settingsTo consider interim findings and evaluation to inform further development of health coaching To consider how health coaching aligns with other organisational strategies and across the systemTo start to develop a plan on how to increase the impact of health coaching in your organisation

    Aims

    www.hee.nhs.ukwww.eoeleadership.nhs.uk/healthcoaching

    10.30Welcome, Introductions and overview of the day10.45Overview and Interim ReportPenny Newman, Clinical Lead, Health Coaching Programme 11.15Sharing progress to date and learning with each otherKaren Bloomfield, Leadership and Organisational Development Manager11.45Identifying the impact from Health CoachingAlison Carter, The Institute for Employment Studies12.45Lunch13.30Targeting your training and using the modelsAndrew McDowell, Director, The Performance Coach14.15Pulling it all together the House of Care Penny Newman, Clinical Lead, Health Coaching Programme 14.45Essentials for on-going development and sustainability/ Next stepsAndrew McDowell, Director, The Performance Coach and Penny Newman, Clinical Lead, Health Coaching Programme 15:30Close

    www.hee.nhs.ukwww.eoeleadership.nhs.uk/healthcoaching

    Please tweet .

    #EoEHealthCoaching@eoeleadership

    www.hee.nhs.ukwww.eoeleadership.nhs.uk/healthcoaching

    Whos in the room ?Role (Trainer, Co-ordinator, Clinician) Geographical base/ workforce partnership Norfolk/ Suffolk : Essex : Beds/ Herts : Cambs/PboroOrganisational / client base Acute: Primary Care: Community: Mental Health:CCG

    www.hee.nhs.ukwww.eoeleadership.nhs.uk/healthcoaching

    5 mins discussion

    What would make your day Fab or Drab ?

    Post its please

  • 10 July 2014Overview and Interim ReportDr Penny NewmanGP, Consultant in Public HealthDirector of Service Integration,Colchester Hospital NHS University Foundation TrustClinical Lead, Health Coaching Programme

    www.hee.nhs.ukwww.eoeleadership.nhs.uk/healthcoaching

    Penny slides

  • 10 July 2014Sharing progress to date and learning with each other

    Karen Bloomfield, Leadership and Organisational Development Manager

    www.hee.nhs.ukwww.eoeleadership.nhs.uk/healthcoaching

    20 min discussionWhats your interest in Health Coaching?

    Then on flip chart note a few points

    Whats working well about Health Coaching in your organisation so far? And not so well ? What do you need to more of ..?

  • 10 July 2014The Impact of Health CoachingDr Alison CarterInstitute for Employment Studies

    www.hee.nhs.ukwww.eoeleadership.nhs.uk/healthcoaching

    Impact/Evaluation mechanismsReflective practice by clinicians when using their health coaching skillsCo-ordinators are encouraged to conduct their own local evaluations to measure resultsProgramme team are conducting post-training and follow-up surveys on programme quality and application of learning Independent IES evaluation on impact of health coaching in five clinical practice settings

    www.hee.nhs.ukwww.eoeleadership.nhs.uk/healthcoaching

    IES Evaluation IES Evaluation Not a randomised controlled trial (RCT)Exploring whether health coaching is a useful approach for clinicians and their patientsCase study approach in five organisationsEvaluation sitesNorth Norfolk CCGCambridgeshire Community Services NHS TrustNorfolk and Suffolk NHS Foundation TrustNorfolk and Norwich University Hospitals NHS Foundation TrustHawthorn Drive (GP surgery)

    www.hee.nhs.ukwww.eoeleadership.nhs.uk/healthcoaching

    At each case study siteDescribe the intervention and process of implementation and contextualise itExplore views on usefulness for clinicians and their patientsExplore views on any changes to thinking or practiceSupport local identification of relevant outcome data and examine local evidence of impact (health outcomes and consequences for organisations)

    www.hee.nhs.ukwww.eoeleadership.nhs.uk/healthcoaching

    Evaluation methods Qualitative

    Scoping Focus groups with (18) cliniciansInterviews with (3) experts Organisational case studies Interviews with co-ordinators & team leaders (9)Focus groups with (41) cliniciansFollow up interviews in progress with 25 clinicians & 5 co-ordinatorsInterviews with 5 local stakeholders

    Quantitative

    Patient experience surveys Analysis of relevant local outcome data (clinical and management) where available

    www.hee.nhs.ukwww.eoeleadership.nhs.uk/healthcoaching

    ProfessionalsAwarenessAwareness of campaignUnderstand the challenge of behaviour changeWillingness to train

    Initial TrainingIndividuals receive health coaching trainingTeams/ organisations engage with programme

    Mind-setWillingness to coachGreater self belief in coaching skillsIncreased use of coachingIncreased coaching skillMore variety in patients coachedTool to use in specific situationsIntegration with existing style/practicePractice

    www.hee.nhs.ukwww.eoeleadership.nhs.uk/healthcoaching

    ProfessionalsAwarenessAwareness of campaignUnderstand the challenge of behaviour changeWillingness to train

    Initial TrainingIndividuals receive health coaching trainingTeams/ organisations engage with programme

    MindsetWillingness to coachGreater self belief in coaching skillsPracticeIncreased use of coachingIncreased coaching skillMore variety in patients coachedTool to use in specific situationsIntegration with existing style/practiceEvidence?Focus groups with clinicians and Follow-on interviews with clinicians and stakeholders

    www.hee.nhs.ukwww.eoeleadership.nhs.uk/healthcoaching

    PatientsInitial outputs mind-setIncreased Awareness of opportunity for self managementSelf beliefWillingness and intention to change behaviour

    Initial behaviour outputsChanged health behavioursAdoption of self management principles

    Impact on outcomesReduction in appointmentsHealth indicators Improved self-assessment of well-being

    www.hee.nhs.ukwww.eoeleadership.nhs.uk/healthcoaching

    PatientsInitial outputs mind-setIncreased Awareness of opportunity for self managementSelf beliefWillingness and intention to change behaviour

    Initial behaviour outputsChanged health behavioursAdoption of self management principles

    Impact on outcomesReduction in appointmentsHealth indicators Improved self-assessment of well-beingEvidence?Evidence?Patient experience surveysManagement /clinical information

    www.hee.nhs.ukwww.eoeleadership.nhs.uk/healthcoaching

    www.hee.nhs.ukwww.eoeleadership.nhs.uk/healthcoaching

    Early observationsImplementation progress has varied enormously Targeting services or patient groups & selecting the 'right' clinicians for trainingCreating the 'right' environment to allow the skills to be used & anticipating adjustments to clinical environments

    A highly valued approach for individual clinicians who can provide stories of success with patientsNot yet articulating success criteria or measurement

    www.hee.nhs.ukwww.eoeleadership.nhs.uk/healthcoaching

    Measurement ChallengesImpact may take some time

    Deciding what to measure

    Identifying comparison groups can be difficult

    No follow up appointments makes pre- and post-intervention comparisons difficult

    www.hee.nhs.ukwww.eoeleadership.nhs.uk/healthcoaching

    Organisation EvaluationsWhat are you trying to achieve with health coaching in your organisation? Clinical practice and/or wider strategic goals?What will success look like?How will know you know when you have got there?Can you use data already collected by the organisation or will you develop and implement something new?

    www.hee.nhs.ukwww.eoeleadership.nhs.uk/healthcoaching

    Organisation Evaluations (2)WHY are we evaluating?WHAT was the purpose of the coaching?WHO is the evaluation for?HOW much resource do we have for the evaluation?WHO should be involved in the evaluation?WHERE will we look for impact?Do we really need RoI?

    www.hee.nhs.ukwww.eoeleadership.nhs.uk/healthcoaching

    Top tipsPlan before coaching starts

    Tell people you will be evaluating

    Focus on key indicators

    Get perceptual data from multiple sources

    Organisation benefits are always asked about

    Stories can be powerful

  • 10 July 2014What are your Evaluation issues? What would help you?

    alison.carter@employment-studies.co.uk

  • 10 July 2014LunchRun photo slide deck

  • 10 July 2014Targeting your Training and using the modelsDr Andrew McDowell, Psychologist and Director of the Performance Coach

  • A Health Coaching ApproachMindsetPrinciples and beliefs inherent in a coaching approachSkillsGeneral coaching skills that can be used widely in health consultationsTechniquesSpecific coaching techniques and conversation frames that can be applied in health consultationsOpportunitiesWhat are your top tips for seizing opportunities to have coaching conversations with patients*

  • Review of ModelsWhat do I remember about this technique or concept?

    How have I used it?

    In what areas do I believe it can be applied?*

  • Notes*

  • *Source: WhitmoreThe TGROW Model

  • Components of Managing Health Diamond model*Questions:Where are you now and what has contributed to that?Where would you like to be and what are the reasons for that?What can you do that is within your control to move this forward?

    Source: McDowell

  • Define the behaviour AntecedentsConsequencesEliciting persona