Embracing Mutual Healthcare for Community Benefits

1. Making Healthcare Mutual Peter Hunt Director, Mutuo

2. The Origins of Mutual Structures • Different way of doing business • Been around for nearly 200 years • Origins in Victorian self-help movements • Robust corporate structures • Worldwide phenomenon

3. What Is A Mutual? • Community purpose corporation • Ownership • Vested in its members • Governance • Stakeholder representation • Democracy • One member one vote

4. The Mutual Sector Today • Building societies • Co-operatives • Friendly societies • Mutual insurers • GP Co-ops • New mutuals

5. New Mutuals • Leisure services • Housing • Child care • Football supporter trusts

6. MEMBER BENEFIT Agricultural Co-ops Partnerships Social Clubs Mutual Insurers Building Societies Friendly Societies Consumer Co-ops GP Co-ops Credit Unions Active Passive Network Rail Housing Mutual Foundation Hospitals Supporter Trusts Greenwich Leisure etc Glas Cymru Childcare Mutual COMMUNITY BENEFIT Spectrum of UK Mutuality

7. Features of New Mutuals • Professional management • Stakeholder governance • Accountable to their members/customers • Business-like, but not profit distributing

8. Mutuality & Public Policy • Cross-Government interest • Foundation Hospitals • Citizenship • Principle of subsidiarity • New Localism

9. Why GP Co-ops Succeed • Expert - front line providers also plan the care • Innovative and entrepreneurial • Flexible and responsive to local health needs • Use their inherent self interested mutuality to build strong, cohesive organisations

10. New Mutuals for OOH? • Builds on GP Co-op success • Is professional • Creates new partnerships between providers and commissioners • Adds on stakeholder governance • Fits into the public policy environment