Health Education England

Evaluation


The following studies relate to health coaching evidence originating from work in the East of England:

Wessex Strategic Clinical Networks Rehabilitation, Reablement and Recovery

This toolkit provides an over view of patient centred approaches. East of England case study (P.65/71) and training applied to a rehab ward (p165) showed savings of £5k per patient, or £4m for 50 rehab patients. Click here for further information 

The Wessex Coaching Initiative' Qualitative Report for NHS Thames Valley and Wessex Leadership Academy. University of Winchester (2016)

Evaluation of coaching programme delivered to 144 staff and 8 trainers at Hampshire Hospitals NHS Foundation Trust, Hampshire County Council and Southern Health NHS Foundation Trust using TPC/EOE Training. See report here 

Does Health Coaching work? - a rapid review by The Evidence Centre (2014) commissioned by Health Education East of England

A Rapid Review of evidence from 275 studies mainly from the USA considered the effectiveness of health coaching as a referral service, a standalone intervention or part of a system of care, and carried out by telephone, on line or face to face. This indicated that health coaching works best for people in most need, increases patient’s motivation to self-manage and adopt healthy behaviours, is widely applicable and can be adopted by all professionals. See report here

The case for health coaching. Evaluation of the 2013/15 East England Health Coaching for Behaviour Change programme. Institute for Employment Studies (2015)

 Qualitative review of five organisational case studies including CCGs, community services, hospitals and GP surgeries. See report below.

  • More than two thirds of the clinicians training were continuing to use their health coaching skills up to one year after their 2-day.
  • Two thirds of clinicians were using health coaching with a wide range of patients and conditions (depression, weight, smoking, foot ulcers, pain, anxiety, COPD, coronary heart disease, poor kidney function, hypertension) and finding it useful.

  • Reported benefits in NHS efficiency and effectiveness included improved patient compliance, quality and consistency; reduction in episodes of care, appointments per patient and quicker discharge off caseload; potential to cut waiting list times and for less acute admissions; less waste from unnecessary tests and medication.
  • Reported benefits to patients included increased confidence, patient empowerment and satisfaction; more personalised advice/care; reduced dependency; less medication.
  • One professional identified a 63% indicative cost saving from reduced clinical time post compared to pre training, giving a potential annual saving of £12,438 per FTE if reduced clinical time was widely replicable and sustainable over time. 

For more information about the Institute for Employment Studies and The Case for Health Coaching report please visit their website here

Read the Case for Health Coaching - Executive Summary

Download here

Read the Case for Health Coaching - Full Evaluation Report

Download here

HEEoE Health Coaching for Behaviour Change - Interim Progress (2014)

Based on the NHS Suffolk pilot, between March 2013-2015, Health Education East of England (HEEoE) commissioned 43 two-day multidisciplinary programmes for 779 clinicians including nurses, doctors and allied health professionals from 45 organisations across community, primary care, mental health and acute settings.

Over 96% of clinicians rated content, delivery, learning opportunities and application to their work as good/very good. Post training feedback was of a change in mind set and belief, move from “fixer” to enabler, more listening, and much-enhanced skills in identifying patient goals and behaviour change. See report here


Feedback from previous evaluation studies

NHS Suffolk Health Coaching programme for practice nurses (2011)

In 2010 the East of England Regional Innovation Fund supported a pilot health coaching programme in NHS Suffolk which was developed with The Performance Coach (TPC). Over the course of six months 13 nurses from 7 practices attended a 4 day health coaching training session. Approximately 199 patients were recruited and over 360 coaching appointments completed. Evaluation was carried out using pre and post patient questionnaires and the Stanford self-efficacy outcome measure. Staff and patient feedback showed: significant improvements in self-efficacy which mirrored patients' and nurses' stories; very high or high levels of patient satisfaction (98%); high levels of recommendation to other patients (86%); greater patient understanding of their conditions(74%) and greater understanding of their tests and treatments (61%). 

Please click on the report below to download

Health Coaching in NHS London

Health coaching has been rolled out to hundreds of clinicians through the London Deanery following a DH funded pilot with GP trainees. The evaluation of the pilot indicated there were benefits of a shift in mind-set and attitude, practical skills to help empower people and more confidence and tools to support patients with long-term conditions. Patients receiving coaching even reported benefits over a short follow up period, including weight loss, smoking cessation and changes to medication and adherence. 

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