PrincipiaPartners in Health

Why, What, Who?

Why?

• Response to national policy• Critical mass of like minded GPs• Vehicle to successfully deliver PBC• Opportunity to truly integrate with

community services• Local focus• True community engagement

Who?

• 16 GP practices• 118,000 registered patient population• Core community services:

District nursing; community matrons; primary care mental health; intermediate care;primary care therapists

Principia, Partners in health

118,000 Beneficiaries

Principia Health Network

PRG7 Community

1 CRG Community

CRG6 Clinicians

1 Community

Principia Voting Members20 Community 41 Provider 61 Practitioners

Principia Board6 Community 3 Provider 3 Practitioners

Consultation• Multi professional events• Trade Unions• SHA• Department of Health• Kings Fund• Local Medical Committee

• Bevan Brittan• Local MP• Local councillors• LA Overview and

Scrutiny Committee• Social Enterprise

Coalition• Academic institutes

Labour Party Manifesto(May 2005)

Social EnterprisesWe believe that enterprises in the mutual and cooperative sector have an important role to play in the provision of local services, from health to education, from leisure to care of the vulnerable …Its potential for service delivery should be considered on equal terms.

We have introduced a new legal form –the Community Interest Company (CICs) and want to support new enterprises. A major stimulus to this sector, central government and local authorities will work with these “social enterprises” wherever possible. Wherever services can be provided by mutuals, cooperatives or CICs to the required standard of quality and Value For Money, they should be positively encouraged to develop and be included in procurement policies.

Why Social Enterprise?• Local• Shared understanding• Values to community and people• Cultural – in the NHS but not like it• Partnership – jointly owned problems and

successes

Benefits• Patients: better information; meaningful

consultation; participation with planning and design

• Primary care: more influence; opportunity to integrate professions; increase capacity and competence

• System: clinical leadership; alignment of clinical and financial decisions; reduce delay/duplication; eliminate ineffective practices

Success• New form of ownership• Step change in community involvement• Expansion of patient choice • Quality assured, outcome focussed integrated services• Public health oriented clinicians• Emphasis on long term conditions management• Expanding ambulatory care• Innovative relationships (Independent and Foundation

sector)

The Future

• Clinical integration• Intra-practice working• Profile of a social enterprise• Patient-led service redesign• Budget and service re-alignment• Low risk, high innovation

How keen are your staffto be in a social enterprise?

Workforce• Conservative• People development• Communicate/communicate• All for one and one for all• The weakest link• Organisational development!!!!!!!!!!!!!!!!!!!!!!!!!

Principia annual Healthy Living Festival