Lance Gardner: Delivering care through

8/12/2019 Lance Gardner: Delivering care through

http://slidepdf.com/reader/full/lance-gardner-delivering-care-through 1/25

Delivering care through

Social Enterprise

• Lance Gardner MBE

• Chief Executive Care PlusGroup

8/12/2019 Lance Gardner: Delivering care through

http://slidepdf.com/reader/full/lance-gardner-delivering-care-through 2/25

8/12/2019 Lance Gardner: Delivering care through

http://slidepdf.com/reader/full/lance-gardner-delivering-care-through 3/25

8/12/2019 Lance Gardner: Delivering care through

http://slidepdf.com/reader/full/lance-gardner-delivering-care-through 4/25

Entrepreneurs

• Market Entrepreneurs

• Civic Entrepreneurs

• Social Entrepreneurs

8/12/2019 Lance Gardner: Delivering care through

http://slidepdf.com/reader/full/lance-gardner-delivering-care-through 5/25

What is social enterprise?

•  A business that trades with a social and/orenvironmental purpose.

• “A business with primarily social

objectives whose surpluses are principallyreinvested for that purpose in the

business or in the community, rather than

being driven by the need to maximiseprofit for shareholders and owners.“ (DTI,

2002). 

8/12/2019 Lance Gardner: Delivering care through

http://slidepdf.com/reader/full/lance-gardner-delivering-care-through 6/25

Where?

8/12/2019 Lance Gardner: Delivering care through

http://slidepdf.com/reader/full/lance-gardner-delivering-care-through 7/25

Right to Request

• Introduced 3 years ago

•  Aim to enable frontline staff to own andrun services

• Range of guarantees

•  1 of 57 sites worth £900 million 

• 10% of all community provider services

7

8/12/2019 Lance Gardner: Delivering care through

http://slidepdf.com/reader/full/lance-gardner-delivering-care-through 8/25

Leadership is the

capacity to translatevision into realityWarren G Bennis 

8/12/2019 Lance Gardner: Delivering care through

http://slidepdf.com/reader/full/lance-gardner-delivering-care-through 9/25

 Care Plus Group

• We are a Social Enterprise (since 1 July 2011)

• Fully integrated health and social care provider

• 720 staff [820+]• €26million [ €28.5 million]

• 156,000 population

• ISO 9001 & 27001

8/12/2019 Lance Gardner: Delivering care through

http://slidepdf.com/reader/full/lance-gardner-delivering-care-through 10/25

 Some of our Services

• Intermediate tier

• Community nursing

• Home care

• Specialist nursing• Drug and Alcohol intervention programme

• Employability

• Meals on wheels

• Day services

• Chlamydia screening

8/12/2019 Lance Gardner: Delivering care through

http://slidepdf.com/reader/full/lance-gardner-delivering-care-through 11/25

Core Values • That it meet the needs of everyone

• That it be free at the point of delivery whereverpossible

• That it be based on need, not ability to pay

• Provide a comprehensive range of services

• Will shape its services around the needs andpreferences of individual patients, their families andtheir carers

• Will respond to the different needs of differentpopulations

8/12/2019 Lance Gardner: Delivering care through

http://slidepdf.com/reader/full/lance-gardner-delivering-care-through 12/25

Irony

Care Plus Group left the Public Sector to

protect Public Sector Values!

8/12/2019 Lance Gardner: Delivering care through

http://slidepdf.com/reader/full/lance-gardner-delivering-care-through 13/25

“The Provider of Choice” mission statement

8/12/2019 Lance Gardner: Delivering care through

http://slidepdf.com/reader/full/lance-gardner-delivering-care-through 14/25

8/12/2019 Lance Gardner: Delivering care through

http://slidepdf.com/reader/full/lance-gardner-delivering-care-through 15/25

8/12/2019 Lance Gardner: Delivering care through

http://slidepdf.com/reader/full/lance-gardner-delivering-care-through 16/25

„Company‟ versus „Society‟ 

8/12/2019 Lance Gardner: Delivering care through

http://slidepdf.com/reader/full/lance-gardner-delivering-care-through 17/25

Care Plus Group

-a Community Benefit Society • Every member of staff is an owner

• for the benefit of more than just the members

• social objectives

• can be an charity

• We have an asset -lock

• can issue shares to the wider community

• 1 member, 1 vote

8/12/2019 Lance Gardner: Delivering care through

http://slidepdf.com/reader/full/lance-gardner-delivering-care-through 18/25

CARE PLUS GROUP 

Care Plus Board 

3 Execs – 4 NEDs

Council of Governors 

8 staff, 2 Councillors, 2 GPs, 3 LayPeople 

Advisory Committee 

800 members approx 

CARE PLUS GROUP 

Care Plus 

(operating Division)

800 members approx

8/12/2019 Lance Gardner: Delivering care through

http://slidepdf.com/reader/full/lance-gardner-delivering-care-through 19/25

8/12/2019 Lance Gardner: Delivering care through

http://slidepdf.com/reader/full/lance-gardner-delivering-care-through 20/25

“The  best executive is one who hasthe sense enough to pick goodpeople to do what he wants them to

do, and the self-restraint enough tokeep from meddling with them whilethey do it.” 

Theodore Roosevelt, US President

8/12/2019 Lance Gardner: Delivering care through

http://slidepdf.com/reader/full/lance-gardner-delivering-care-through 21/25

 So What‟s Different? 

• More freedom to act

• Different relationship with commissioners

• Broader roles

• More opportunities to work with staff from across the

Society

• Sense of ownership

• If things don‟t work we are empowered to change them 

8/12/2019 Lance Gardner: Delivering care through

http://slidepdf.com/reader/full/lance-gardner-delivering-care-through 22/25

Value for money

• The members have the answers

• We are in the NHS - „when it

suits‟ 

• Blurring of roles

• Sharing infrastructure

• Sharing cost

8/12/2019 Lance Gardner: Delivering care through

http://slidepdf.com/reader/full/lance-gardner-delivering-care-through 23/25

Benefits

• Lease cars

• Child care

• Gyms

• Savings

• Insurance

•  Annual leave

8/12/2019 Lance Gardner: Delivering care through

http://slidepdf.com/reader/full/lance-gardner-delivering-care-through 24/25

Partnerships

• No competitors……… 

• Values

• Balance• Respect

• Pragmatism

8/12/2019 Lance Gardner: Delivering care through

http://slidepdf.com/reader/full/lance-gardner-delivering-care-through 25/25

“A social enterprise is driven by the best interests of

the community. A social entrepreneur will always bebold, aspirational and ambitious because their prime

purpose is to change the world.”

Penny Newman CEO, Cafedirect Feb 2007