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Social Enterprise our Journey

Social Enterprise our Journey . Angie Abbott Head of Podiatry Torbay Care Trust. Aims and Objectives. Why we set out on this journey Who we are taking with us- background The route/process we are following Hurdles or bridges to cross Where we are now

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Social Enterprise our Journey

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  1. Social Enterprise our Journey Angie Abbott Head of Podiatry Torbay Care Trust

  2. Aims and Objectives • Why we set out on this journey • Who we are taking with us- background • The route/process we are following • Hurdles or bridges to cross • Where we are now • Destination? Where we hope to be in the future

  3. If you are wondering why, ask yourself? • Do you believe in the value of what you deliver to your customers? • Do you believe your service can make a difference to lives of your patients? • Are you frustrated by having a budget and being disempowered to do the best for your service? • Are you at the mercy of more senior managers who think they know the best road for you to take or decide your destiny? • Do you really know what your PCT/ Commissioners have in mind for your service?

  4. If we stayed as we are • Risk of being split into zones disaggregate our unique service • Managed along pathways as part of business units • Year on year top sliced budget • Reduced autonomy • Put out to competitive procurement

  5. Benefits of social enterprise • Flexible to deliver what patient wants- charge for services and provide NHS commissioned activity • Plough any surplus back into service- no reverse incentives if make savings • Potential income-Charitable donations • Responsive • Minimal corporate overheads _ value for money

  6. Companions on our journey • Dental, Podiatry and orthotics services are hosted by Torbay Care Trust • Services are different to the core business of the trust- not in zones • Three highly specialised services • Good reputation • Services share some similarities

  7. milestones into missions Expression of interest submitted for board approval Followed R2R process 3rd wave- 60 SE in total obtained SHA and DOH approval

  8. More milestones • IBP produced and to be approved • Due diligence • Incorporation • Business launch

  9. Journey has been about • Politics • People felt like M25

  10. People • Having a personal vision for the services • Articulate the benefits and rationale to staff and others Along the way • Manage staff beliefs, anxieties and concerns • Manage the change, • Empowering, develop coping strategies and deal with the workload

  11. Politics fast paced.... • Darzi- high quality care for all clinicians in the driving seat, patient centred, choice and competition. • Transforming community services Super charged.... • NHS white paper equity and excellence • Coalition Agreement and Big Society • GP commissioning • Comprehensive spending review • Any willing provider- level playing field

  12. Our Vehicle of choice Social enterprise, CIC Community Interest company • Service users will be involved in the design and development of the service • Staff will have greater involvement and commitment. • Decisions will be nearer the coal face. • Staff have an investment in the company (limited by shares)

  13. Head start on our RouteRight to Request 3rd and final wave • Uncontested contract (3 to 5 years) • Apply for direction status NHS Pensions • Opportunity to cost our service • Support from Social enterprise Unit • SEIF funding £££££

  14. Hurdles to get Past/ pit stops • Staff consultation- Unions, TUPE process • Organisation set up • Project team • CQC registration • Win support – engagement • Communicate this well – WIIFM

  15. Bridges yet to cross • IBP approval • Set up our company • Set up board and recruit • Due diligence • Separation • Marketing

  16. Biggest challenges • Deadline set by DOH • Getting financial data from Care Trust- corporate cost • Managing staff through transition • IBP approval • Acquiring knowledge and skills at such a fast pace and keeping day job going without loss of quality.

  17. Future: • If/when IBP approved -SHA assurance • Set up a company in time scales • Ensure smooth transition • Launch by 30th September 2011

  18. Our Destination? Measures of success • Financially solvent and still trading • Growth of service within current scope and beyond • Achieving our vision and mission of continuing to deliver quality service to “ Improve the wellbeing of our local population”

  19. Thank You • Questions?

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