Social Enterprise our Journey

1
Social Enterprise our Journey

• Angie Abbott
• Head of Podiatry
• Torbay Care Trust

2
Aims and Objectives

• Why we set out on this journey
• Who we are taking with us- background
• The route/process we are following
• Hurdles or bridges to cross
• Where we are now
• Destination? Where we hope to be in the future

3
If you are wondering why, ask yourself?

• Do you believe in the value of what you deliver
  to your customers?
• Do you believe your service can make a difference
  to lives of your patients?
• Are you frustrated by having a budget and being
  disempowered to do the best for your service?
• Are you at the mercy of more senior managers who
  think they know the best road for you to take or
  decide your destiny?
• Do you really know what your PCT/ Commissioners
  have in mind for your service?

4
If we stayed as we are

• Risk of being split into zones disaggregate our
  unique service
• Managed along pathways as part of business units
• Year on year top sliced budget
• Reduced autonomy
• Put out to competitive procurement

5
Benefits of social enterprise

• Flexible to deliver what patient wants- charge
  for services and provide NHS commissioned
  activity
• Plough any surplus back into service- no reverse
  incentives if make savings
• Potential income-Charitable donations
• Responsive
• Minimal corporate overheads _ value for money

6
Companions on our journey

• Dental, Podiatry and orthotics services are
  hosted by Torbay Care Trust
• Services are different to the core business of
  the trust- not in zones
• Three highly specialised services
• Good reputation
• Services share some similarities

7
milestones into missions

• Expression of interest submitted for board
  approval
• Followed R2R process 3rd wave- 60 SE in total
• obtained SHA and DOH approval

8
More milestones

• IBP produced and to be approved
• Due diligence
• Incorporation
• Business launch

9
Journey has been about

• Politics
• People
• felt like M25

10
People

• Having a personal vision for the services
• Articulate the benefits and rationale
• to staff and others
• Along the way
• Manage staff beliefs, anxieties and concerns
• Manage the change,
• Empowering, develop coping strategies and deal
  with the workload

11
Politics

• fast paced....
• Darzi- high quality care for all clinicians in
  the driving seat, patient centred, choice and
  competition.
• Transforming community services
• Super charged....
• NHS white paper equity and excellence
• Coalition Agreement and Big Society
• GP commissioning
• Comprehensive spending review
• Any willing provider- level playing field

12
Our Vehicle of choice

• Social enterprise, CIC Community Interest company
• Service users will be involved in the design and
  development of the service
• Staff will have greater involvement and
  commitment.
• Decisions will be nearer the coal face.
• Staff have an investment in the company (limited
  by shares)

13
Head start on our RouteRight to Request 3rd and
final wave

• Uncontested contract (3 to 5 years)
• Apply for direction status NHS Pensions
• Opportunity to cost our service
• Support from Social enterprise Unit
• SEIF funding

14
Hurdles to get Past/ pit stops

• Staff consultation- Unions, TUPE process
• Organisation set up
• Project team
• CQC registration
• Win support engagement
• Communicate this well WIIFM

15
Bridges yet to cross

• IBP approval
• Set up our company
• Set up board and recruit
• Due diligence
• Separation
• Marketing

16
Biggest challenges

• Deadline set by DOH
• Getting financial data from Care Trust- corporate
  cost
• Managing staff through transition
• IBP approval
• Acquiring knowledge and skills at such a fast
  pace and keeping day job going without loss of
  quality.

17
Future

• If/when IBP approved -SHA assurance
• Set up a company in time scales
• Ensure smooth transition
• Launch by 30th September 2011

18
Our Destination?

• Measures of success
• Financially solvent and still trading
• Growth of service within current scope and beyond
• Achieving our vision and mission of continuing to
  deliver quality service to
• Improve the wellbeing of our local population

19
Thank You

• Questions?