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Dr Mark Reynolds MBE NAGPC Chairman Working with Co-operatives

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

  2. Dr Mark Reynolds MBE NAGPC Chairman Working with Co-operatives

  3. Anatomy of a Co-operative Management & Staff Doctors & Nurses

  4. Company Ltd by Guarantee Members = Owners ELECT Council / Board Employ Staff

  5. Articles & Memoranda of Association Statutory Regulations Company Law Requires Solvency Directors Responsibility

  6. 60 – 80 GPs 150 – 180 calls per thousand per year 25,000 calls per year One every few minutes One every few hours!

  7. Success !! Power Triage Effective Efficient General Practice Elasticity and Capacity Intimately Involved Management

  8. Quality From Local people Local professionals Supporting each others Paying each other Watching each other!

  9. The Contract Voluntary More than GMS New horizons Great opportunity

  10. Strategic ChoiceVSEnvironmental Determinism

  11. + 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)

  12. Dangerous Times for Capacity

  13. Dangers Insolvent trading Provider destabilisation Commissioning parochialism Financial mindsets In the box thinking

  14. WarningDate X ?! !

  15. Managing Short Term Risk Support support support Why tender ! Often little need Commission, facilitate involve Bigger than single PCO’s Underwrite Solvency

  16. U N D E R S T A N D or A & E, Ambulance will be unhappy!

  17. Lets Get The Job Done !Some facts: • NHSD • Triage • Visiting • Skill mix

  18. Plurality Commercial LLPs Charity PCT CIC NHSD Ambulance A & E Structures

  19. Structures - CLG CIC/PIO/PIC constitution and ethos NHS Pensions Good vehicle for delivery

  20. C L G Appropriate pay Fast Independent Local NHS driven

  21. Lets Get The Job Done What’s in a name: Co-op plus? Clinical service provider? Network co-ordinator? Operations board?

  22. 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

  23. Co-op / CSPGovernanceUp a gear !!

  24. Exciting, Challenging Agenda Huge need for information exchange and networking

  25. We have done it onceWe can do it againBut not alone

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

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