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    Urgent Care Ltd is a social enterprise set up by NHS staff to provide home visiting, out-of-hours consultations, and staffing for urgent care centers. It aims to offer accessible, high quality services for patients while allowing staff to retain NHS pensions and flexible working arrangements. Initial steps included forming a board of directors and clinicians, developing business and education plans, and securing start-up funding. The social enterprise now holds contracts with several London-area PCTs and provides workforce development for potential staff. Both opportunities and challenges exist in areas like bidding, staffing, and ensuring financial sustainability as the organization grows.

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    Urgent Care Ltd is a social enterprise set up by NHS staff to provide home visiting, out-of-hours consultations, and staffing for urgent care centers. It aims to offer accessible, high quality services for patients while allowing staff to retain NHS pensions and flexible working arrangements. Initial steps included forming a board of directors and clinicians, developing business and education plans, and securing start-up funding. The social enterprise now holds contracts with several London-area PCTs and provides workforce development for potential staff. Both opportunities and challenges exist in areas like bidding, staffing, and ensuring financial sustainability as the organization grows.

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    13 views16 pages

    Urgent Care: Developing A Social Enterprise

    Uploaded by

    sjc95110
    Urgent Care Ltd is a social enterprise set up by NHS staff to provide home visiting, out-of-hours consultations, and staffing for urgent care centers. It aims to offer accessible, high quality services for patients while allowing staff to retain NHS pensions and flexible working arrangements. Initial steps included forming a board of directors and clinicians, developing business and education plans, and securing start-up funding. The social enterprise now holds contracts with several London-area PCTs and provides workforce development for potential staff. Both opportunities and challenges exist in areas like bidding, staffing, and ensuring financial sustainability as the organization grows.

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    of 16

    Award Winning.................

    Urgent Care

    Developing a Social Enterprise

    Amanda Mayo
    Jane Parker
    Today…….

    1. Motivating factors
    2. Organisation
    3. Funding
    4. Obtaining contracts
    5. Staff development
    6. Highs and lows – NP Perspective
    7. Future Development

    Urgent Care Limited


    2
    • Urgent Care Ltd – Offers Home
    visiting Service, OOH
    Consultations, Rapid Response
    Teams, UCC Staffing

    Urgent Care Limited


    3
    About our Social Enterprise
    Set up by NHS staff Social enterprise
    Nurses Industrial & Provident Society Benefit
    Community
    Paramedics/ECPs
    Not for profit
    GP on Board Charity with HMRC
    Regulated by FSA
    Local subsidiaries OK

    Rights for staff Workforce development


    NHS Pensions for Staff Modular education
    Staff Reps in Board Structured assessment, minor illness,
    minor injuries and LTC
    Voting rights at AGM, EGM
    Case completion at point of contact =
    cheaper, quicker & better for patients

    Urgent Care Limited


    4
    What we are not…..
    • NOT a private company

    • Urgent Care not allowed to profit

    • NOT bureaucratic

    • NOT prepared to accept poor or inaccessible services for patients

    • NOT going to destroy current good services, or remove staff NHS pension
    rights – we will build on the best

    Urgent Care Limited


    5
    Initial Steps
    • Meetings!

    • Suitable Directors, Trustee Board, clinicians

    • Business Plan

    • Funding

    • Networking

    • Policy Development ( e.g. PGDs, CG, Visit protocol, H&S, Risk


    assessment, JDs, Person Specs, Policies........)

    • Services commenced 01.07.07

    Urgent Care Limited


    6
    Funding….Government support…

    • Approached Future Builders

    • Quasi equity model

    • 399k ‘start=up’ package (new funds possible)

    • Lots of other funds available due to our structure

    Urgent Care Limited


    7
    Present Contracts

    • Bromley PCT
    • Hounslow PCT
    • Kingston PCT
    • Havering PCT
    • Croydon PCT
    • Thamesdoc OOH
    • Harmoni OOH

    Urgent Care Limited


    8
    Tricky things........

    • Bidding Process ...uurrgghh!!

    • Pensions

    • Staffing

    • Costing

    • Uncertainty

    Urgent Care Limited


    9
    Staffing

    • Directors

    • ECPs
    • Backgrounds
    • Education
    • Scope of Practice

    • NPs

    Urgent Care Limited


    10
    Workforce Development

    • Support permanent staff

    • Offer educational support and mentoring for potential staff ( Currently


    supporting 12 ‘students’)

    • Develop educational package with Course Director from St Georges

    • Skills Gap analysis

    Urgent Care Limited


    11
    Workforce Development

    Urgent Care Ltd (Social Enterprise)


    Modular Clinical Practitioner Development Programme

    Nurse or Nurse Practitioner


    Physician Paramedic
    Assistant

    Physical
    Physical Assessment
    Assessment

    Clinical
    Clinical Decision
    Decision Making
    Making

    OSCE
    OSCE

    Minor Long
    Long Term
    Minor Illness
    Illness Minor
    Minor Injury
    Injury Term
    Conditions
    Conditions

    Applied
    Applied Paediatric
    Paediatric Assessment
    Assessment Option
    Option
    Pharmacology
    Pharmacology

    Level
    Level 2,3
    2,3 or
    or Masters
    Masters

    Urgent Care Limited


    12
    Employment Pros and Cons

    • Pensions

    • Terms and conditions

    • Pay – You will be paid what you are worth!!

    • Flexible working

    • Closer working relationship with your peers

    • Motivated staff

    Urgent Care Limited


    13
    Highs and Lows
    A Nurse Practitioner view!

    • Previous role

    • Motivating factors to join a Social Enterprise

    • Why this Social Enterprise?

    • Emotions

    • Pros and Cons

    Urgent Care Limited


    14
    Current Role

    Everything!

    ........................................Can do attitude a must !

    Urgent Care Limited


    15
    Opportunities
    • Personal and professional development
    • Joint Venture partnership ..........................

    Urgent Care Limited


    16

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