Scope of Practice

Natalie Fruchaud is a member of the UK Health Coaches Association (“UKHCA”), the professional body for Health and Wellness Coaching in the UK and Ireland.

UKHCA Directory Listing

The UKHCA provides a national framework to set, guide and uphold:

  • Professional standards in health and wellness coaching;
  • Progression and professional development within health and wellness coaching;
  • Access to education, training, and CPD to support standards and progression;
  • An environment within the health space where the profession of health and wellness coaching is recognised and UKHCA health and wellness coaches are highly valued and sought after in the private and public health sectors, in education and in business and communities throughout the UK and Ireland.

Scope of Practice for UKHCA Members:

The UKHCA members adhere to a Scope of Practice specific to health and wellness coaching ONLY. Where a member also practices additional wellness modalities to complement their health and wellness coaching services, there will be a separate scope of practice pertaining to such additional services for which the UKHCA holds no affiliation or responsibility.

As the association and professional body for Health and Wellness Coaching in the UK and Ireland, the role of the UKHCA is to uphold practices that ensure that its’ members act in a responsible and legitimate way that protects practising coaches, clients, coaching practice and the coaching profession.

“Scope of Practice” refers to the boundaries of the process of health and wellness coaching and the rules that must be followed when engaging in anything related to health and wellness coaching, whether it be writing a blog, giving a webinar, coaching a group or an individual, speaking at educational events and communicating in online forums, meetings, with colleagues, peers and other health care professionals.

The Health and Care Professionals Council (“HCPC”) states:

“Your scope of practice is the limit of your knowledge, skills and experience. It is made up of the activities you carry out within your professional role, provided that you have knowledge, skills and experience to do them lawfully, safely and effectively.”

UKHCA members scope of practice:

  • Health and wellness coaches work with individuals and groups in a client-centred process to facilitate and empower the client to develop and achieve self-determined goals related to health and wellness.
  • Coaches support clients in mobilising internal strengths and external resources, and in developing self-management strategies for making sustainable, healthy lifestyle, behaviour changes.
  • As partners and facilitators, health and wellness coaches support their clients in achieving health goals and behavioural change based on their clients’ own goals and consistent with treatment plans as prescribed by individual clients’ professional health care providers.
  • Coaches assist clients to use their insight, personal strengths and resources, goal setting, action steps and accountability toward healthy lifestyle change and may offer supporting resources from nationally and internationally recognised authorities, such as current government and public health guidelines and peer-reviewed sources.
  • Coaches must unless otherwise credentialed and be able to do so legitimately, avoid giving specific personal health advice, but may offer a client direction to health and wellness information and resources from nationally/internationally recognised, robust evidence-based and peer-reviewed authorities, so that clients can draw their own conclusions, gain confidence and a sense of empowerment.

In common with all health professionals, health and wellness coaches must follow a “do no harm” mandate by refraining from or carrying out any actions that would harm clients or patients.

For all UK Health and Wellness Coaches, these actions include:

  • assessing symptoms;
  • diagnosing conditions;
  • interpreting lab results;
  • giving specific dietary advice;
  • removing food groups;
  • prescribing treatments or therapeutic interventions (including nutritional);
  • making claims to prevent or cure any condition;

or engaging in any other activities that could ultimately;

  • harm a client or patient;
  • lead to a legal lawsuit;
  • invalidate insurance cover;
  • bring the UK Health Coaches Association and the Health Coaching profession into disrepute.

The boundaries of the health coaching Scope of Practice may include, but is not limited to:

  • coaching an individual;
  • coaching a group;
  • writing a blog or articles;
  • holding or participating in webinars, speaking and educational events;
  • communicating in online forums, meetings, with colleagues, peers, HCPs.

The exception to this is where a coach holds multiple, active credentials and insurance.

Holding Multiple credentials

While Health and Wellness Coaches do not, per se assess symptoms, diagnose conditions, interpret lab results, give specific dietary advice, remove food groups, prescribe treatments or therapeutic interventions (including nutritional) or make claims to prevent or cure any condition- if they also hold active, nationally recognised professional credentials and insurance (for example as a nutritionist, nutritional therapist, dietician, nurse, doctor, pharmacist, psychologist, physiotherapist, mental health specialist, osteopath, chiropractor) they may provide expert guidance related to that topic, but must act within the Scope of Practice of that or those profession(s).

The role of a UKHCA Health and Wellness Coach