26 November 2015
The vision for the Fylde Coast Local Health Economy is to create new models of care specifically tailored to support the needs of particular segments of the population, with health and social care services better coordinated around the patient, and a focus on improved self-management of long-term conditions whenever possible.

The Fylde Coast Local Health Economy was selected as an Integrated Pioneer site by NHS England in January 2015. In March 2015, NHS England awarded Fylde Coast Local Health Economy multispecialty community provider vanguard status.

A key new role in the multidisciplinary team is the Wellbeing Support Worker. This is a non-clinical role which assists the patient in navigating the local health and social care system, helps the patient achieve mutually agreed health and wellbeing goals, and motivates the patient to better manage the following long term conditions under normal circumstances and in times of crisis: Coronary Artery Disease, Atrial Fibrillation, Congestive Heart Failure, Chronic Obstructive Pulmonary Disease (COPD), Diabetes, Dementia.

The first cohort of Wellbeing Support Workers was recruited in April 2015 and Viv Cuthill from CETAD followed their progress during the first six months in post benchmarking their starting point, evaluating a four week training programme, a two week work shadowing period, and reviewing experiences during the first two months in post to evaluate whether the training programme and work shadowing period prepared participants to meet the role requirements of the Wellbeing Support Worker. Recommendations were made about changes to the training programme and further development needs for Wellbeing Support Workers during the first 12 months in post.

A key learning point was the need to develop a model of behaviour change for Wellbeing Support Workers and to provide ongoing support in coaching techniques and building a therapeutic relationship for behaviour change during their first 12 months in post. The job role requires them to use behaviour change techniques with individuals and groups in the community to empower them to identify, make and sustain positive lifestyle changes to improve health and wellbeing.

A report was produced for the Extensive Care Service, Fylde Coast Local Health Economy. The report will also be presented to NHS England to allow the learning and outputs from this Integrated Pioneer site to be shared with and utilised by the Integrated Pioneer community in England.