![Page 1: Dr Mark Reynolds MBE NAGPC Chairman Working with Co-operatives](https://reader035.vdocuments.us/reader035/viewer/2022062322/56814fc1550346895dbd7ccf/html5/thumbnails/1.jpg)
NAGPC
NAGPCNational Association of GP Co-operatives
Represents & Supports GP Co-operatives&
Promotes Quality OOH Patient Care
www.nagpc.org.uk
![Page 2: Dr Mark Reynolds MBE NAGPC Chairman Working with Co-operatives](https://reader035.vdocuments.us/reader035/viewer/2022062322/56814fc1550346895dbd7ccf/html5/thumbnails/2.jpg)
NAGPC
Dr Mark Reynolds MBE NAGPC Chairman
Working with Co-operatives
![Page 3: Dr Mark Reynolds MBE NAGPC Chairman Working with Co-operatives](https://reader035.vdocuments.us/reader035/viewer/2022062322/56814fc1550346895dbd7ccf/html5/thumbnails/3.jpg)
NAGPC
Anatomy of a Co-operative
Management & Staff
Doctors & Nurses
![Page 4: Dr Mark Reynolds MBE NAGPC Chairman Working with Co-operatives](https://reader035.vdocuments.us/reader035/viewer/2022062322/56814fc1550346895dbd7ccf/html5/thumbnails/4.jpg)
NAGPC
Company Ltd by Guarantee
Members = Owners
ELECT
Council / Board
Employ Staff
![Page 5: Dr Mark Reynolds MBE NAGPC Chairman Working with Co-operatives](https://reader035.vdocuments.us/reader035/viewer/2022062322/56814fc1550346895dbd7ccf/html5/thumbnails/5.jpg)
NAGPC
Articles & Memoranda of Association
Statutory Regulations
Company Law Requires Solvency
Directors Responsibility
![Page 6: Dr Mark Reynolds MBE NAGPC Chairman Working with Co-operatives](https://reader035.vdocuments.us/reader035/viewer/2022062322/56814fc1550346895dbd7ccf/html5/thumbnails/6.jpg)
NAGPC
60 – 80 GPs
150 – 180 calls per thousand per year
25,000 calls per year
One every few minutes
One every few hours!
![Page 7: Dr Mark Reynolds MBE NAGPC Chairman Working with Co-operatives](https://reader035.vdocuments.us/reader035/viewer/2022062322/56814fc1550346895dbd7ccf/html5/thumbnails/7.jpg)
NAGPC
Success !!
Power Triage
Effective Efficient General Practice
Elasticity and Capacity
Intimately Involved Management
![Page 8: Dr Mark Reynolds MBE NAGPC Chairman Working with Co-operatives](https://reader035.vdocuments.us/reader035/viewer/2022062322/56814fc1550346895dbd7ccf/html5/thumbnails/8.jpg)
NAGPC
Quality From
Local people
Local professionals
Supporting each others
Paying each other
Watching each other!
![Page 9: Dr Mark Reynolds MBE NAGPC Chairman Working with Co-operatives](https://reader035.vdocuments.us/reader035/viewer/2022062322/56814fc1550346895dbd7ccf/html5/thumbnails/9.jpg)
NAGPC
The Contract
Voluntary
More than GMS
New horizons
Great opportunity
![Page 10: Dr Mark Reynolds MBE NAGPC Chairman Working with Co-operatives](https://reader035.vdocuments.us/reader035/viewer/2022062322/56814fc1550346895dbd7ccf/html5/thumbnails/10.jpg)
NAGPC
Strategic Choice
VS
Environmental Determinism
![Page 11: Dr Mark Reynolds MBE NAGPC Chairman Working with Co-operatives](https://reader035.vdocuments.us/reader035/viewer/2022062322/56814fc1550346895dbd7ccf/html5/thumbnails/11.jpg)
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)
![Page 12: Dr Mark Reynolds MBE NAGPC Chairman Working with Co-operatives](https://reader035.vdocuments.us/reader035/viewer/2022062322/56814fc1550346895dbd7ccf/html5/thumbnails/12.jpg)
NAGPC
Dangerous Times for Capacity
![Page 13: Dr Mark Reynolds MBE NAGPC Chairman Working with Co-operatives](https://reader035.vdocuments.us/reader035/viewer/2022062322/56814fc1550346895dbd7ccf/html5/thumbnails/13.jpg)
NAGPC
Dangers
Insolvent trading
Provider destabilisation
Commissioning parochialism
Financial mindsets
In the box thinking
![Page 14: Dr Mark Reynolds MBE NAGPC Chairman Working with Co-operatives](https://reader035.vdocuments.us/reader035/viewer/2022062322/56814fc1550346895dbd7ccf/html5/thumbnails/14.jpg)
NAGPC
Warning
Date X ?
! !
![Page 15: Dr Mark Reynolds MBE NAGPC Chairman Working with Co-operatives](https://reader035.vdocuments.us/reader035/viewer/2022062322/56814fc1550346895dbd7ccf/html5/thumbnails/15.jpg)
NAGPC
Managing Short Term Risk
Support support support
Why tender ! Often little need
Commission, facilitate involve
Bigger than single PCO’s
Underwrite Solvency
![Page 16: Dr Mark Reynolds MBE NAGPC Chairman Working with Co-operatives](https://reader035.vdocuments.us/reader035/viewer/2022062322/56814fc1550346895dbd7ccf/html5/thumbnails/16.jpg)
NAGPC
U N D E R S T A N D
or A & E, Ambulance
will be unhappy!
![Page 17: Dr Mark Reynolds MBE NAGPC Chairman Working with Co-operatives](https://reader035.vdocuments.us/reader035/viewer/2022062322/56814fc1550346895dbd7ccf/html5/thumbnails/17.jpg)
NAGPC
Lets Get The Job Done !
Some facts:
• NHSD
• Triage
• Visiting
• Skill mix
![Page 18: Dr Mark Reynolds MBE NAGPC Chairman Working with Co-operatives](https://reader035.vdocuments.us/reader035/viewer/2022062322/56814fc1550346895dbd7ccf/html5/thumbnails/18.jpg)
NAGPC
Structures
• Plurality
– Commercial
– LLPs
– Charity
– PCT
– CIC
– NHSD
– Ambulance
– A & E
![Page 19: Dr Mark Reynolds MBE NAGPC Chairman Working with Co-operatives](https://reader035.vdocuments.us/reader035/viewer/2022062322/56814fc1550346895dbd7ccf/html5/thumbnails/19.jpg)
NAGPC
Structures - CLG
CIC/PIO/PIC constitution and ethos
NHS Pensions
Good vehicle for delivery
![Page 20: Dr Mark Reynolds MBE NAGPC Chairman Working with Co-operatives](https://reader035.vdocuments.us/reader035/viewer/2022062322/56814fc1550346895dbd7ccf/html5/thumbnails/20.jpg)
NAGPC
C L G
Appropriate pay
Fast
Independent
Local
NHS driven
![Page 21: Dr Mark Reynolds MBE NAGPC Chairman Working with Co-operatives](https://reader035.vdocuments.us/reader035/viewer/2022062322/56814fc1550346895dbd7ccf/html5/thumbnails/21.jpg)
NAGPC
Lets Get The Job Done
What’s in a name:
Co-op plus?
Clinical service provider?
Network co-ordinator?
Operations board?
![Page 22: Dr Mark Reynolds MBE NAGPC Chairman Working with Co-operatives](https://reader035.vdocuments.us/reader035/viewer/2022062322/56814fc1550346895dbd7ccf/html5/thumbnails/22.jpg)
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
![Page 23: Dr Mark Reynolds MBE NAGPC Chairman Working with Co-operatives](https://reader035.vdocuments.us/reader035/viewer/2022062322/56814fc1550346895dbd7ccf/html5/thumbnails/23.jpg)
NAGPC
Co-op / CSP
Governance
Up a gear !!
![Page 24: Dr Mark Reynolds MBE NAGPC Chairman Working with Co-operatives](https://reader035.vdocuments.us/reader035/viewer/2022062322/56814fc1550346895dbd7ccf/html5/thumbnails/24.jpg)
NAGPC
Exciting, Challenging Agenda
Huge need for
information exchange
and networking
![Page 25: Dr Mark Reynolds MBE NAGPC Chairman Working with Co-operatives](https://reader035.vdocuments.us/reader035/viewer/2022062322/56814fc1550346895dbd7ccf/html5/thumbnails/25.jpg)
NAGPC
We have done it once
We can do it again
But not alone
![Page 26: Dr Mark Reynolds MBE NAGPC Chairman Working with Co-operatives](https://reader035.vdocuments.us/reader035/viewer/2022062322/56814fc1550346895dbd7ccf/html5/thumbnails/26.jpg)
NAGPC
NAGPCNational Association of GP Co-operatives
Represents & Supports GP Co-operatives&
Promotes Quality OOH Patient Care
www.nagpc.org.uk