NHS Partners
Nature-based coaching for neurodivergent & chronically ill adults
This time-bound coaching complements clinical care and social prescribing. Clear referral criteria, safeguarding and evaluation. Minimal admin for busy teams.
What we do
Earth Coaching® delivers nature-based, neuro-affirming, trauma-informed coaching for adults who are autistic, have ADHD, or are living with chronic illnesses such as CFS/ME or Long Covid.
We help patients stabilise routines, pace activity, manage sensory load and build self-advocacy. The work sits neatly alongside personalised care and social prescribing pathways.
Who it helps
Adults whose daily function is limited by fatigue, sensory overload or executive function challenges
Frequent attenders who need structured pacing and routine design
Patients on waiting lists who would benefit from supportive self-management
Staff teams seeking practical tools for ND-informed care and signposting
Where we work
Outdoors in Southend-on-Sea (Priory Park, Prittlewell Square and accessible seafront routes)
Online & via telephone across Essex
Referral criteria
Adults able to consent, presenting with ADHD/autism and/or CFS/ME/Long Covid-related functional challenges
Suitable for risk profiles involving outdoor, telephone, or online sessions
Accessibility needs to be agreed in advance
Our Services
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Focus: pacing, sleep/energy mapping, routine design, sensory strategies, and confidence in clinical conversations.
Deliverables: pre/post goals, personalised plan, end-of-programme GP summary (with consent).
Format: 1:1 outdoors locally or online.
Guide investment: £600 per participant (£100 per session). -
Topics: Pacing 101, sensory regulation, nature-based routines, return-to-work scaffolding and neuro-affirming wellbeing workshops (6–12 participants).
Guide investment: £300 per session. -
Practical tools for ND & Chronic illness (particularly CFS/ME) support, referral criteria, and quick wins for busy clinics.
Guide investment: £120–£180.
Quick-to-Start Pilot Options
PCN pathway (12 weeks, ~10–15 participants)
Referral sources: GPs, SPLWs, care coordinators
Offer: 6 × 1:1 sessions per participant, plus an optional group session for 6-12 participants
Reporting: midpoint update and an aggregate end-of-pilot report within 14 days
Hospital add-on (8–12 weeks, 4–6 sessions)
Teams: Long Covid, Pain Management, Occupational Health, Patient Experience
Focus: pacing, sensory regulation, graded activity and return-to-work scaffolding
Reporting aligned to your KPIs
Evaluation and Outcomes
Improved routine stability and pacing literacy
Reduced missed appointments and clearer goals at reviews
Increased confidence in communicating needs and self-management
Qualitative narratives alongside simple quantitative measures (e.g., Goal Attainment Scaling, brief wellbeing tools)
Testimonials
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"Before I started my Earth Coaching package, I had spent the year since my diagnosis (aged 35) feeling quite lost. I had a lot of feelings of frustration, anger and confusion. Whilst finally being able to put my finger on a factor that had contributed to a lot of negative feelings about myself. The biggest thing I got out of the experience was learning to understand more about myself and coming to terms with finally having a diagnosis. Medication has had mixed results, but being able to sit and work through things in my own time and space has been a revelation. I still have my struggles, but Bex has been fantastic in letting me work through the various issues and difficulties in my own way. Being able to work with someone who doesn't make you feel as though you're being judged and doesn't try to "fix" you (like many therapists I've seen in the past) is easily Bex's biggest strength."
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"I truly feel that working with Bex Harper ‘saved me’ from crashing this year. Before I started my Earth Coaching package, I was feeling totally wired, overwhelmed and falling through time and my own life – that’s the only way I can describe it, I was also drowning in my own stuff, this was spreading seemingly without control through my home. I love my home and live and work here and it has been my haven but I was ‘escaping’ more and more. I just couldn’t sort myself out. Even simple decisions like getting dressed were becoming increasingly difficult. Bex has given me the tools to organise my time better, to sort myself out and helped me to see how little self care I was giving myself and how hard I could be on myself. I recognise the importance to rest daily, and to divide up the time I give to the different things in my life, so I wasn’t just trying to deal with the problem areas, or exhaust myself on physical activities but to give myself care and rest and do things that make me happy too."
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"Before I started with Bex I was struggling to get up and to work, spending a lot of time sleeping, and I felt very unconfident in my ability to do my job. Since working with Bex I have managed to find a (mainly) consistent work routine, implement good self-care routines and make changes in the direction and day-to-day of my business. I am now feeling much more confident and capable and I'm extremely proud of the difference in what I achieve and my mental health now compared to a year ago. Bex is very patient and understanding, they've born with me while I ramble on in an unfocused way, always helping me come back to a concrete goal and plan of action. I would (and do) 100% recommend Bex for anyone disabled, neurodivergent and/or living with chonic health conditions."
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"Earth Coaching has helped me work through ADHD burnout, improve my work/life balance, figure out my goals and life values, and boost my self-esteem. After completing the Growth Package, I feel at home in myself, I have more compassionate for myself and others, and I'm able to advocate for my needs confidently. It's been truly transformative. Bex is an incredibly understanding, professional, and kind person, and I can't wait to work with them again in the future."
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"Bex has been so helpful with a range of different issues and difficulties. I have learned so many techniques that I can use moving forward and ways that I can approach issues in the future. This has helped me improve my confidence but also awareness and understanding about the conditions I struggle with. I would really recommend Bex as they have a patient, kind, compassionate nature and support on a practical, emotional and spiritual level."
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"Thanks to Bex, I now find simple things like getting up in the morning easier and more exciting! By helping me to restructure my life around my neurodivergence, Bex has helped me feel more confident about my future and career! Bex is the best coach I've ever had, as they don't just ask generic questions, they use their experience to recommend tried & tested techniques, as well as integrating therapeutic techniques to help me shift my mindset to value what's best for my wellbeing."
Safeguarding, Governance and Data
Trauma-informed, consent-led practice with clear boundaries and lone-working protocols for outdoor sessions.
Policies: safeguarding adults, confidentiality and data handling, environmental and participant risk assessment, and incident reporting.
Data: GDPR/UK DPA 2018 compliant; consent-based information sharing; secure storage; anonymised evaluation in reports.
Documents available on request: Enhanced DBS, PI/PL insurance, ICO registration, risk assessments and SOPs.
How Referrals Work
Send a secure email or complete the two-minute referral form
We triage within 48 hours and confirm the start date
Participant receives a welcome pack and accessibility questionnaire
Midpoint check-in to referrer (for PCN pilots)
End-of-programme summary (with consent) and aggregate report for pilots
Next Steps
Download the Assessor Pack for service list, rates, example schedules and governance
Refer a patient via the quick form below
Book a 15-minute scoping meeting to set up a PCN or hospital pilot
Invite us for a 45-minute CPD taster for your GP/SPLW team
Quick Referral Form
Please complete the information below, and we will be in touch with you shortly.
Earth Coaching processes data under UK GDPR for care coordination and evaluation. We store data securely, share with your service only with consent, and provide anonymised aggregate reporting for pilots. Policies and ICO registration available on request.