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The Performance Coach is a limited company, registered in England, no. 04332637. Our London address is The Performance Coach, Marble Arch Towers, 55 Bryanston Street, London W1H 7AA. We are a leading UK executive coaching and leadership development company based near London, UK. Design by Style Factory.

The Performance Coach, were approached to undertake this piece of work by the London Deanery because we are considered to be the leaders in the field of utilising coaching and leadership development approaches to optimise clinical interactions and patient care. The Performance Coach is unique in our capacity to provide leadership and coaching development programmes for clinicians by Converse Full Black Sneakers

Pre and post attitudinal testing for participants

Health coaching is the combination of clinical skills plus behaviour change assistance and can be defined as a method of patient education that guides and prompts a patient to be an active participant in behaviour change It aims to raise awareness and responsibility in the patient for health, achieved through such a transformation in the clinician/patient relationship.

The first programme comprised a GP pathfinder project designed to look at new ways that GPs and commissioning groups could introduce shared decision making and different consulting models to encourage self care with patients. The resulting Health Coaching Skills development programme involved a 5 training days, skills practice and learning integration sessions over a 6 month period. Participants included final year GP registrars and Dharzi fellows.

With three quarters of all deaths predicted from chronic disease by 2020 and long term conditions accounting for 50% of all GP appointments, 70% of all inpatient bed days and 70% of NHS spend, new approaches to working with patients are required to address the challenges associated with increasing patient confidence, decision making, compliance and lifestyle change.

The impact of the programme has been measured in a number of ways by The Performance Coach

The second part of this piece of work involved a series of master Converse Shoes For Kids Boys classes delivered to clinical leaders who had already been trained in coaching skills through the Deanery. The objective was to help them learn how to combine their coaching skills with their clinical abilities in order to generate different conversations with patients that encourage greater self responsibility. An important part of the master classes was to identify and enrol clinical leaders who were interested in becoming part of the dissemination strategy to share these approaches with others.

Our work with the London Deanery coaching for health

Findings indicate that the coaching approach has been successful in promoting the self efficacy of the majority of patients attending longer coaching appointments. A paired sample t test of the pre and post coaching self efficacy scores of patients indicates that on average, participants reported greater self efficacy post coaching (M=8.2, SE=.18) than pre coaching (M=6.4, SE=.22), t(63)= 8.65, p

As Bennett et al state physicians are well trained to patients a fish curing Cheap Converse High Tops Size 5

Health coaching case studies

The fourth and on going part of this project is the roll out of this training programme to other clinicians in NHS London using a model of delivery that includes an expert provider with one of the trained participants from The Performance Coach Train the Trainer programme.

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Converse Shoes For Kids Boys

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Independent programme evaluation was undertaken by The Evidence Centre in the first stage, and the Tavistock Institute during the roll out phase. Key findings include increases in patient self efficacy, behaviour change among patients, different consulting styles among clinicians and greater satisfaction with patient clinician interactions among both patients and clinicians."I just wanted to say a big thank you for this fantastic course. This has been for me, the best consultation skills course I have ever been on and it was amazing to see how it can be done in the 10 minute consultation as demonstrated. I am going to feed it back to my practice so we can all put the skills into use. Thanks to you and the facilitators" General Practitioner

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With the London Deanery we have been commissioned to undertake a series of programmes to help clinicians develop their leadership and consulting skills through coaching, for use with each other, and also with their patients. The aim was to create organisational capacity and enable a resource that could continue to contribute to a desired shift towards greater emphasis on patient activation and self management.

Satisfaction scores are similarly positive. All patients responding to the questionnaire report that they found the longer appointment useful. As a result, Converse All Black

74% report understanding their condition better and 61% understand their tests and treatments better.

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Feedback gained from patients

coaches who themselves have extensive clinical backgrounds.

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Electronic feedback from programme participants on their experience and learning during the programmes

Third, a Train the Trainer programme was undertaken with 8 selected clinical educators who were to be trained how to take health coaching skills forward into the wider clinician population. This programme comprised 2 x 2 day workshops designed to assist participants develop a greater understanding of the psychological and behavioural theory underpinning a more coaching oriented approach to patient behaviour change, and provide them with opportunities to learn how to deliver health coaching skills programmes to other clinicians.

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an acute problem or prescribing medications for a chronic condition health coaching teaches patients and families to fish. Coaching is based on strong provider communication and negotiation skills, informed, patient defined goals, conscious patient choices, exploration of the consequences of decisions, and patient acceptance of accountability for decisions made.

To test the concept of coaching NHS East of England Regional Innovation Fund funded a pilot programme for practice nurses. The nurses received 5 days of health coaching training that included the development of core coaching competencies coupled with patient activation, behavioural change, motivational interviewing, and strengths based approaches. Patients were then given longer appointments for the nurses to practice their skills and for patients to establish goals and agree their health plan.

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