Diabetes Health and Wellbeing Coach | Royal Free London NHS Foundation Trust

Health coaching is a partnership between health and care practitioners and people. It guides and prompts people to change their behavior, so they can make healthcare choices based on what matters to them. It also encourages them to become more active in their health and care.

Health coaching revolves around using coaching skills to support people with lower levels of patient activation to develop the knowledge, skills, and confidence to manage their health and wellbeing, whilst increasing their ability to access and utilize community support offers. They may also provide access to self-management education, peer support, and social prescribing. You will work with patients holistically, considering the whole person. Your role and skills will support and encourage the prevention of developing further illness, or the deterioration of existing long-term conditions.

To provide World Class Care in line with Royal Free Values and behaviors.

Duties and Responsibilities

1. Coach and motivate patients through multiple sessions to identify their needs, set goals, and support them to implement their personalized health and care plan.

2. Support services to deliver group education and support with self-management peer groups and other activities to engage patients to manage their health and wellbeing.

3. Provide personalized support to individuals, their families and carers to ensure that they are active participants in their own healthcare; empowering them to take more control in managing their own health and physical wellbeing, to live independently, and improve their health outcomes through joint care planning.

4. Assist with signposting patient and carers to the appropriate health, mental and social care services within the community.

5. Assist patients in building community resilience and make informed decisions and choices when their health changes.

6. Help to identify gaps and develop resources for individuals, such as peer support groups and provide interventions such as self-management and education.

7. Supporting people to establish and attain goals set by identifying what is important to them, documenting and producing a patient centered joint care plan.

The Integrated Diabetes Service is a nurse-led service supported by a multidisciplinary team, including a diabetes consultant, clinical nurse lead, diabetes specialist nurses, dietitian, psychologist, healthcare assistant, and a health and wellbeing coach.

The service delivers specialised care for adults with Type 1 and Type 2 diabetes, including support for pregnancy, renal, and preconception clinics. Care is provided through a fully integrated model, with close collaboration between community and acute teams.

The service adopts a multidisciplinary team (MDT) approach. Clinical activities include assessment, diagnosis, shared decision-making, and the delivery of personalised treatment and management plans, focusing on achieving the three treatment targets and completing the nine key diabetes care processes.

This includes comprehensive assessment of patient history and pathology, management of diabetes-related complications, and review of dietary and lifestyle interventions. The service also provides structured education programmes for individuals newly diagnosed with diabetes.

Using Digital platforms like to support people to improve their health and wider wellbeing.

Use of proactive approved analytic tools for smarter targeting of eligible patients.

Working with the social prescriber, care coordinator and other services to connect them to community-based activities which support their health and wellbeing.

Contemporaneous recording the data on RIO and use of templates and processes.

Initiation of the jointly created personalized care plan and assisting care coordinators, social prescriber and or other community services staff in reviewing and meeting the personalized needs of the patients.

Undertake if not already done by the care coordinator the first Patient Activation Measure (PAM) questionnaire to identify people’s levels of knowledge, skills and confidence (activation) and document.

Undertake the second PAM review, reassess, and review the care plans accordingly.

Work with people with lower activation to understand their level of knowledge, skills, and confidence (their Activation level) when engaging with their health and wellbeing.

Asses, advice and encourage patients to jointly agree the action plan and ensure that it is achieved in timely fashion.

This advert closes on Wednesday 23 Sep 2026