NAGPC NAGPC National Association of GP Co- operatives Represents & Supports GP Co-operatives & Promotes Quality OOH Patient Care www.nagpc.org.uk
Jan 20, 2016
NAGPC
NAGPCNational Association of GP Co-operatives
Represents & Supports GP Co-operatives&
Promotes Quality OOH Patient Care
www.nagpc.org.uk
NAGPC
Dr Mark Reynolds MBE NAGPC Chairman
Working with Co-operatives
NAGPC
Anatomy of a Co-operative
Management & Staff
Doctors & Nurses
NAGPC
Company Ltd by Guarantee
Members = Owners
ELECT
Council / Board
Employ Staff
NAGPC
Articles & Memoranda of Association
Statutory Regulations
Company Law Requires Solvency
Directors Responsibility
NAGPC
60 – 80 GPs
150 – 180 calls per thousand per year
25,000 calls per year
One every few minutes
One every few hours!
NAGPC
Success !!
Power Triage
Effective Efficient General Practice
Elasticity and Capacity
Intimately Involved Management
NAGPC
Quality From
Local people
Local professionals
Supporting each others
Paying each other
Watching each other!
NAGPC
The Contract
Voluntary
More than GMS
New horizons
Great opportunity
NAGPC
Strategic Choice
VS
Environmental Determinism
NAGPC
C
H
O
I
C
E
C
H
O
I
C
E
D E T E R M I N I S MD E T E R M I N I S M +
+
_
_
Free to do their own thing
- thrive
Free to do their thing to a
specification
Over regulated
Little innovation
Stalemate
Likely to fail
Little innovation
In a rut
(Hrebiniak + Joyce)
NAGPC
Dangerous Times for Capacity
NAGPC
Dangers
Insolvent trading
Provider destabilisation
Commissioning parochialism
Financial mindsets
In the box thinking
NAGPC
Warning
Date X ?
! !
NAGPC
Managing Short Term Risk
Support support support
Why tender ! Often little need
Commission, facilitate involve
Bigger than single PCO’s
Underwrite Solvency
NAGPC
U N D E R S T A N D
or A & E, Ambulance
will be unhappy!
NAGPC
Lets Get The Job Done !
Some facts:
• NHSD
• Triage
• Visiting
• Skill mix
NAGPC
Structures
• Plurality
– Commercial
– LLPs
– Charity
– PCT
– CIC
– NHSD
– Ambulance
– A & E
NAGPC
Structures - CLG
CIC/PIO/PIC constitution and ethos
NHS Pensions
Good vehicle for delivery
NAGPC
C L G
Appropriate pay
Fast
Independent
Local
NHS driven
NAGPC
Lets Get The Job Done
What’s in a name:
Co-op plus?
Clinical service provider?
Network co-ordinator?
Operations board?
NAGPC
Patients
Power Triage
GP OOH a CIC CLG ?
A & ENHSD
Ambulance & PTS
W I C
NursingCommercialServices Mental
HealthS Services+ others
Daytime:Contract support
GPWSIAccess
Education
NAGPC
Co-op / CSP
Governance
Up a gear !!
NAGPC
Exciting, Challenging Agenda
Huge need for
information exchange
and networking
NAGPC
We have done it once
We can do it again
But not alone
NAGPC
NAGPCNational Association of GP Co-operatives
Represents & Supports GP Co-operatives&
Promotes Quality OOH Patient Care
www.nagpc.org.uk