Presentation by Katie Goulding, Organisational Development Facilitator, Blackpool Teaching Hospitals NHS Foundation Trust at the Big Innovation Conversation: Patient Activation and Self Care on Thursday 11 April 2019.

1. The Fylde Coast Patient Activation
Story.
Katie Goulding

4. Patient Activation supports a
new kind of relationship

5. Health Coaching is….
Behaviour Change
techniques
Coaching mindset
Action PlanningClinical or
Practitioner skills
and data
Person Centred
Care
Better conversations that lead
to personalised goals and
growth in knowledge, skills &
confidence
Applications (e.g.,): All LTCs,
Compliance, Exacerbations,
Lifestyle, SDM, End of life, PAM,
Social Prescribing
By: All Professionals, Peers,
Volunteers, Carers
Medium: 1:1, group, MDT,
telephonic, digital
Activation

6. Our Journey
Vanguard and
new models
of care 2015
Initial Wellbeing
Support Worker
visit
Feedback and report to
divisional board
Pilot of PAM
licences April
2016
Initial health
coaching training
from TPC Health
Healthier Lancs & South
Cumbria Development
• Train the Trainer
• Personalised Care
Demonstrator
• Population Health
Focused
development
with services &
teams
Train the Trainer
programme July
2017
Listen, embed, refine

7. Health Coaching & Activation Skills
Development
Service engagement
meeting
•Identify a PAM champion within the service.
•Identify where PAM will fit into the current service pathways.
•Discuss commitments required from the service for implementing
and embedding within practice.
PAM awareness
training
•Patient activation concepts.
•Administration of the PAM tool and recording results.
•How to intepret the results.
•How to use the information introducing basic coaching concepts.
Health Coaching &
Activation skills
training
•Core Health Coaching Skills Workshop (2 Days) delivered by our
trained trainers.
Embed
•Mentoring session between coaching trainer and PAM
champions.
•Introduction of PAM into service's 1-2-1, and clinical supervision.
•Review of PAM at service caseload reviews, MDT, and huddle's.

8. How are our better conversations making a difference?

9. Patient Story…
Programmes attended:
-8 week ‘Eat Well’ programme- education; peer
support and goal setting.
1:1 coaching sessions- tracking progress and
identifying solutions.
8 week ‘Moving Forward’ programme- goal
setting, peer support and future planning.
• 20 stone
• High Blood Pressure
• 3 TIAs
• PAM Level 2
Progress:
- 4 stone weight loss
- Increase to PAM Level 4
- Self-managing healthy diet
- Regularly attending community exercise
group
“I know that it is because I was
involved all the way that I found the
drive to keep going- being able to
set my own parameters with the
guidance and support of the team
made all the difference. I now feel
that I have much more knowledge
about what I should and should not
be eating and also about what
works for me. “
Stephen

10. What has been our Learning?
Creating OPPORTUNITIES
MOTIVATION and the story we tell
Developing the right CAPABILITIES

11. Join the conversation
Our aim is to enable people to thrive by
supporting them around knowledge, skills and
confidence.
k.goulding@nhs.net