dr mark reynolds mbe nagpc chairman working with co-operatives

NAGPC

NAGPCNational Association of GP Co-operatives

Represents & Supports GP Co-operatives&

Promotes Quality OOH Patient Care

www.nagpc.org.uk

NAGPC

Dr Mark Reynolds MBE NAGPC Chairman

Working with Co-operatives

NAGPC

Anatomy of a Co-operative

Management & Staff

Doctors & Nurses

NAGPC

Company Ltd by Guarantee

Members = Owners

ELECT

Council / Board

Employ Staff

NAGPC

Articles & Memoranda of Association

Statutory Regulations

Company Law Requires Solvency

Directors Responsibility

NAGPC

60 – 80 GPs

150 – 180 calls per thousand per year

25,000 calls per year

One every few minutes

One every few hours!

NAGPC

Success !!

Power Triage

Effective Efficient General Practice

Elasticity and Capacity

Intimately Involved Management

NAGPC

Quality From

Local people

Local professionals

Supporting each others

Paying each other

Watching each other!

NAGPC

The Contract

Voluntary

More than GMS

New horizons

Great opportunity

NAGPC

Strategic Choice

VS

Environmental Determinism

NAGPC

C

H

O

I

C

E

C

H

O

I

C

E

D E T E R M I N I S MD E T E R M I N I S M +

+

_

_

Free to do their own thing

- thrive

Free to do their thing to a

specification

Over regulated

Little innovation

Stalemate

Likely to fail

Little innovation

In a rut

(Hrebiniak + Joyce)

NAGPC

Dangerous Times for Capacity

NAGPC

Dangers

Insolvent trading

Provider destabilisation

Commissioning parochialism

Financial mindsets

In the box thinking

NAGPC

Warning

Date X ?

! !

NAGPC

Managing Short Term Risk

Support support support

Why tender ! Often little need

Commission, facilitate involve

Bigger than single PCO’s

Underwrite Solvency

NAGPC

U N D E R S T A N D

or A & E, Ambulance

will be unhappy!

NAGPC

Lets Get The Job Done !

Some facts:

• NHSD

• Triage

• Visiting

• Skill mix

NAGPC

Structures

• Plurality

– Commercial

– LLPs

– Charity

– PCT

– CIC

– NHSD

– Ambulance

– A & E

NAGPC

Structures - CLG

CIC/PIO/PIC constitution and ethos

NHS Pensions

Good vehicle for delivery

NAGPC

C L G

Appropriate pay

Fast

Independent

Local

NHS driven

NAGPC

Lets Get The Job Done

What’s in a name:

Co-op plus?

Clinical service provider?

Network co-ordinator?

Operations board?

NAGPC

Patients

Power Triage

GP OOH a CIC CLG ?

A & ENHSD

Ambulance & PTS

W I C

NursingCommercialServices Mental

HealthS Services+ others

Daytime:Contract support

GPWSIAccess

Education

NAGPC

Co-op / CSP

Governance

Up a gear !!

NAGPC

Exciting, Challenging Agenda

Huge need for

information exchange

and networking

NAGPC

We have done it once

We can do it again

But not alone

NAGPC

NAGPCNational Association of GP Co-operatives

Represents & Supports GP Co-operatives&

Promotes Quality OOH Patient Care

www.nagpc.org.uk