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Dr Mark Reynolds MBE NAGPC Chairman Working with Co-operatives PowerPoint PPT Presentation


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NA GP C National Association of GP Co-operatives Represents & Supports GP Co-operatives & Promotes Quality OOH Patient Care www.nagpc.org.uk. Dr Mark Reynolds MBE NAGPC Chairman Working with Co-operatives. Anatomy of a Co-operative. Management & Staff Doctors & Nurses.

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Dr Mark Reynolds MBE NAGPC Chairman Working with Co-operatives

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Dr mark reynolds mbe nagpc chairman working with co operatives

NAGPCNational Association of GP Co-operativesRepresents & Supports GP Co-operatives&Promotes Quality OOH Patient Carewww.nagpc.org.uk


Dr mark reynolds mbe nagpc chairman working with co operatives

Dr Mark Reynolds MBE

NAGPC Chairman

Working with Co-operatives


Anatomy of a co operative

Anatomy of a Co-operative

Management & Staff

Doctors & Nurses


Company ltd by guarantee

Company Ltd by Guarantee

Members = Owners

ELECT

Council / Board

Employ Staff


Articles memoranda of association

Articles & Memoranda of Association

Statutory Regulations

Company Law Requires Solvency

Directors Responsibility


Dr mark reynolds mbe nagpc chairman working with co operatives

60 – 80 GPs

150 – 180 calls per thousand per year

25,000 calls per year

One every few minutes

One every few hours!


Success

Success !!

Power Triage

Effective Efficient General Practice

Elasticity and Capacity

Intimately Involved Management


Quality from

Quality From

Local people

Local professionals

Supporting each others

Paying each other

Watching each other!


The contract

The Contract

Voluntary

More than GMS

New horizons

Great opportunity


Strategic choice vs environmental determinism

Strategic ChoiceVSEnvironmental Determinism


Dr mark reynolds mbe nagpc chairman working with co operatives

+

C

H

O

I

C

E

C

H

O

I

C

E

Free to do their thing to a specification

Free to do their

own thing

- thrive

_

D E T E R M I N I S M

D E T E R M I N I S M

+

Over regulated

Little innovation

Stalemate

Likely to fail

Little innovation

In a rut

_

(Hrebiniak + Joyce)


Dangerous times for capacity

Dangerous Times for Capacity


Dangers

Dangers

Insolvent trading

Provider destabilisation

Commissioning parochialism

Financial mindsets

In the box thinking


Warning date x

WarningDate X ?! !


Managing short term risk

Managing Short Term Risk

Support support support

Why tender ! Often little need

Commission, facilitate involve

Bigger than single PCO’s

Underwrite Solvency


U n d e r s t a n d

U N D E R S T A N D

or A & E, Ambulance

will be unhappy!


Lets get the job done some facts

Lets Get The Job Done !Some facts:

  • NHSD

  • Triage

  • Visiting

  • Skill mix


Structures

Plurality

Commercial

LLPs

Charity

PCT

CIC

NHSD

Ambulance

A & E

Structures


Structures clg

Structures - CLG

CIC/PIO/PIC constitution and ethos

NHS Pensions

Good vehicle for delivery


C l g

C L G

Appropriate pay

Fast

Independent

Local

NHS driven


Lets get the job done

Lets Get The Job Done

What’s in a name:

Co-op plus?

Clinical service provider?

Network co-ordinator?

Operations board?


Dr mark reynolds mbe nagpc chairman working with co operatives

Patients

Power Triage

A & E

NHSD

Ambulance & PTS

W I C

GP OOH a CIC CLG ?

Nursing

Commercial

Services

Mental

Health

S Services

+ others

Daytime:

Contract support

GPWSI

Access

Education


Co op csp governance up a gear

Co-op / CSPGovernanceUp a gear !!


Exciting challenging agenda

Exciting, Challenging Agenda

Huge need for

information exchange

and networking


We have done it once we can do it again but not alone

We have done it onceWe can do it againBut not alone


Dr mark reynolds mbe nagpc chairman working with co operatives

NAGPCNational Association of GP Co-operativesRepresents & Supports GP Co-operatives&Promotes Quality OOH Patient Carewww.nagpc.org.uk


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