Being a Psychological Wellbeing Practitioner (PWP) in a Physical Health setting

My name is Michelle, and I am a Senior Psychological Wellbeing Practitioner working in physical health settings. I currently work for Lancashire Teaching Hospitals NHS Foundation Trust, and I have worked within the trust for approximately 5 years. I work in a team of clinical psychologists working within a step care model.

Currently I work on the Major Trauma ward and within the Pain management services. I have also worked within the Oncology, Renal, Medicine, Airways and Critical Care psychology services. Working with Inpatients on the ward, their families if required, supporting staff on the ward and patients attending Outpatients appointments within a clinic environment.

Working in a hospital environment as a psychological wellbeing practitioner can be both challenging and rewarding. Having the opportunity to make a positive impact on the mental health and well-being of patients who are often going through uncertain, difficult, and challenging times.

I work closely with a multidisciplinary team consisting of consultants, doctors, nurses, collaborating to provide comprehensive care for patients suffering from a range of mental health conditions. Whether it's anxiety, depression, acute stress reactions or adjustment and acceptance, listening and working on their personal goals and challenges they are experiencing. My role involves offering evidence-based interventions and support to help individuals navigate their emotional struggles.

It is important I have an awareness around my own emotional intelligence and having the ability to regulate one's emotions and respond appropriately to the emotions of patients. Helping in building the rapport and providing effective support.

Once treatment goals are established, I utilize various therapeutic techniques to support patients in their recovery journey. These may include cognitive-behavioural therapy (CBT) interventions I developed within my PWP training, mindfulness-based interventions, and problem-solving techniques. I also provide psychoeducation, educating patients about their conditions and equipping them with coping strategies they can implement in their daily lives.

Transitioning from inpatient care to outpatient care is a crucial aspect of the patient’s individual recovery.  There are challenges around managing their psychological wellbeing and physical recovery. I currently hold a weekly clinic in the Outpatient department within the services I support. The importance of support through the use of PWP interventions with patients during this transition in the outpatient clinics is key in ensuring their continuity of care, overall wellbeing, and quality of life.

I have a good understanding around the mental health challenges that the conditions may cause. Low mood, anxiety, anger and fear and rather than focusing completely on the conditions or injuries, psychological support provides essential guidance, understanding and coping mechanisms and empowers the patient to regain control back over their life. Helping to regain some normality around the uncertainties that they may find themselves experiencing. Enabling people to participate in their recovery in a safe environment and regaining control.   

Working in a hospital environment also exposes me to the acute nature of mental health crises. When patients present with severe symptoms or are at risk of harm, I have undertaken additional training to provide crisis interventions and make appropriate referrals to emergency services. Being able to respond swiftly and effectively during these critical moments is crucial in ensuring the safety and well-being of our patients.

While the challenges in a hospital setting can be demanding, the rewards are immeasurable. Witnessing patients make progress, regain hope, and rebuild their lives is incredibly fulfilling. Knowing that I have played a part in their journey towards mental and physical well-being is a constant reminder of the importance of my role as a psychological wellbeing practitioner in a hospital environment.