Table 2.

Health coaching competencies.

The application of a patient-centred approachImproving patients’ health and wellbeing through establishing a trusting and empathetic relationship with the patient, facilitating behavioural change and providing self-care support.
Goal setting and action planningFacilitating patient-determined goals that align clinician and patient priorities, delivered through a shared plan and joint responsibility.
Managing the process and relationshipOverseeing the health coaching process, holding patients’ and clinicians’ agendas simultaneously and effectively applying specific behaviour change, communication, and motivational skills.
Using core coaching and consultation skillsRaising awareness, increasing responsibility and shifting patients’ mindsets to enable behaviour change through great listening, effective use of questions, and supportive challenge.
Managing selfHolding and demonstrating a belief in the potential of patients to self-manage and developing a higher level of awareness of consultation style, use of language and impact on patients.
Building on clinical expertiseIntegrating both clinical skills/knowledge and interpersonal skills in behaviour change to encourage accountability for behaviours, preferably through a continuing relationship between an experienced clinician and patient.
Reflecting and the wider systemManaging expectations and reflecting on effectiveness of the coaching approach, and considering the impact on the wider system and resources.