How to develop a proactive and personalised care model

The coaching approach and why it works

Engaging and empowering your patients to look after themselves well is an essential ingredient in any health system. The recent Lord Darzi review of the NHS highlighted this as his key recommendation for reviving the NHS.

Health coaching is widely recognised as a set of skills and a way of working – a mindset – that is focused on building patient autonomy and agency.

Its central focus is to build confidence and capability of people to look after themselves. In doing so, they become a key asset to themselves and to us as service providers.

Peak Health Coaching is a company set up by GPs Ollie Hart and Tim Williams. Over their careers and through training thousands of staff in the NHS, they have seen the value of applying health coaching, to enable patients to be more active and effective participants in their care.

The Greater Manchester Proactive and Personalised Care Programme included an overview of health coaching principles, including the island-hopping metaphor. The island-hopping theme was used to weave in coaching skills and approaches, helping to shape how the whole project was delivered.

One of the legacies of this programme was a greater appreciation of the value and feasibility of health coaching.

In this nine-minute YouTube video, Dr Ollie Hart describes the health coaching approach. He calls it ‘island style’!

Quality improvement tools and templates

Quality improvement (QI) empowers those closest to the issues affecting care quality by providing them with the time, permission, skills, and resources needed to address and solve these challenges.

It involves a systematic and coordinated approach to solving a problem using specific methods and tools with the aim of delivering a measurable improvement.

Several QI methods were introduced as part of the proactive and personalised care programme, and PCNs were encouraged to use them in designing their projects to improve health outcomes for patients.

The QI sessions were led by Dr Joanna Bircher, Clinical Director for the Greater Manchester Primary Care Provider Board’s GP Excellence Programme.

In her video, which is 14 minutes, Dr Bircher explains the QI approach.

QI templates

Case studies