It is estimated that the treatment and care of those with a long term condition (LTC) accounts for 69% of the primary and acute healthcare budget in England (Department of Health 2008). This research took an action research approach to explore how group coaching can be a support mechanism for people with LTC to make changes to their lifestyle. Data was collected through five group-coaching sessions with six participants. Three themes emerged: practice; participants’ change and growth; self, emotions and awareness. Drawing on the findings a ‘group coaching health and wellbeing framework’ has been developed. The findings indicate that group coaching can be a support mechanism to support people with a LTC to make lifestyle changes.