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Health Policy and Social Enterprise in the UK

Health Policy and Social Enterprise in the UK. George Leahy Director of Research & Policy. 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. PURPOSE.

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Health Policy and Social Enterprise in the UK

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  1. Health Policy and Social Enterprise in the UK George Leahy Director of Research & Policy

  2. 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 PURPOSE

  3. 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’ UK HEALTH POLICY

  4. 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’ HEALTH POLICY & SYSTEM REFORM

  5. 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 ‘THE MARKET’

  6. Businesses with a social and/or environmental purpose Operate in many industrial sectors Energy production Waste & recycling Coffee/chocolate Telecommunications Transport Trading goods and services Primary purpose beyond commercial outcomes The activity that generates the financial profit, is also the primary means of achieving the social outcomes or mission SOCIAL ENTERPRISE

  7. 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 EXAMPLES

  8. 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 SOCIAL ENTERPRISE: HEALTH & SOCIAL CARE

  9. 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

  10. 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 EXAMPLES

  11. 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 WHY SOCIAL ENTERPRISE?

  12. 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 PROMOTING SOCIAL ENTERPRISE

  13. 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) INFLUENCING POLICY

  14. 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 SUMMARY

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