health policy and social enterprise in the uk george leahy director of research & policy
Post on 21-Dec-2015
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TRANSCRIPT
PURPOSE
The purpose of this presentation is to discuss with you:– UK health policy– Social enterprise in the UK– Social enterprise in the health sector– The Coalition as a model
UK HEALTH POLICY
• 4 ‘natural’ experiments• Devolution has created 4 different
health systems– England, Northern Ireland, Scotland, Wales
• But all still ‘free at the point of use’• England has a programme of (health)
‘system reform’
HEALTH POLICY & SYSTEM REFORM
• Focus on commissioning and contracting– World Class Commissioning
• Care closer to home – moving as much activity out of hospital as possible
• Community-based organisations to deliver health & social care– NHS and non-NHS
• Hospitals ‘independent’ and compete for ‘activity’
‘THE MARKET’
• Policy is aimed at creating diversity and plurality of providers in the care market
• Case for this: it will make the NHS more efficient– Public finance for healthcare is more effective
• And deliver improved outcomes– Improve Public Health – and reduce inequalities – as well as better patient experience
SOCIAL ENTERPRISE
• Businesses with a social and/or environmental purpose
• Operate in many industrial sectors– Energy production– Waste & recycling– Coffee/chocolate– Telecommunications– Transport
1. Trading goods and services
2. Primary purpose beyond commercial outcomes
3. The activity that generates the financial profit, is also the primary means of achieving the social outcomes or mission
EXAMPLES
• Co-Operatives• Social Firms• Community Interest
Companies• Companies Limited
by Guarantee• Employee-owned
• Estimated 55,000 enterprises in UK– Coalition: 8-10,000
members
• Café Direct• Divine Chocolate• ONE Water• Phone Co-op
SOCIAL ENTERPRISE: HEALTH & SOCIAL CARE
• Department of Health Social Enterprise Unit
• Encourage social enterprises to start-up
• £73m Investment Fund (capital)
• NHS providers becoming social enterprises– Delivering community nursing
& Physiotherapy
• Non-NHS SEs operate in:– Prison health– Drug and alcohol treatment– But also public health/health
promoting activities• Exercise
• Healthy eating etc
EXAMPLES
Secure Health• Delivering prison
health services– Inc prisoners in
decision-making
Central Surrey Health• Ex NHS• Owned by employees• Company limited by shares• Deliver community health
services – Health visiting– District nursing– physiotherapy
EXAMPLES
Turning Point• Drug and alcohol
treatment• Connecting Care
– Assessing needs
• Successful transition– From voluntary sector– To enterprise model
Sandwell Community Caring Trust
• Home care services• Employee-owned• Top 100 best employer
in UK
WHY SOCIAL ENTERPRISE?
• Changing landscape of public service funding– Less grant, more contracts for services
• Financial sustainability and diversification• Innovation (freedom to)• Internal efficiencies (lower absenteeism)• BUT, traditional VCS needs time to adjust
PROMOTING SOCIAL ENTERPRISE
The Coalition was established in 2002 as the UK voice of social enterprise– A Coalition of organisations that promoted interests of social
enterprise that wanted a national influence
The Coalition:– showcases the benefits of social enterprise– shares good practice– influences policy – Is made up of over 46 networks and reaching
10,500 social enterprises– Less than 1/3rd funding from government grant
INFLUENCING POLICY• Campaigns to promote social enterprise as a
business model and in public service delivery• Lobby govt on business support, tax etc• Support the development and implementation
of govt SE action plans• Work through our networks to develop values
and a common language• Political activity with our members and the
APPG on social enterprise– (All Party Parliamentary Group)
SUMMARY
• Health policy in England is promoting a market based approach to delivering services
• Social enterprises are seen as an important element of creating a ‘plurality’ of providers
• Social enterprise is seen as a sustainable funding model• And as an innovator of service delivery• The Coalition has been key to keeping social enterprise high
on the political agenda as an alternative business model– To the private sector– To traditional voluntary sector– To existing public service providers