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SELDOC SELDOC Presentation Transcript

  • SELDOC South East London Doctors’ Co-operative Mo Girach Chief Executive
  • Presentation Overview
    • SELDOC
    • New GP Contract
        • Response/PCT
        • Communication with members
        • Implications
    • Working with PCTs
    • Service Costs
    • Organisational Changes
    • New Businesses
    • Future and opportunities
  • SELDOC
    • DOH Accredited OOH organisation
    • Integrated with NHSD SE – ‘Saturday Club Integration’
    • Exemplar site for ‘Technical Links’ – ‘Hub’
    • Clinical governance in place with PRP (two lay persons)
    • Enhanced service for violent patients
    • Part of Liftco Project at Dulwich Development
    • Member of Co-op UK
    • CSSC link with Local Mental Health Trust
    • ‘ Business Link’/Learning and Skills Council
    • Financially robust and sound
    • Presidium Cover – 24 hours
    • OOH Social Worker (Mental Health)
    • Base at local A&E
  • New GP Contract
    • New GP Contract
    • Not a Threat
    • ‘ An Opportunity’
    • Why? ->
            • High quality/standard of care OOH care
            • Robust clinical governance in place
            • Excellent value for money
            • Highly competitive
            • Loyalty of GP members
            • Disciplined ‘organisation’
  • Implications of New GP Contract
    • PCT as commissioning not GP members
    • Provide Saturday morning cover
    • Additional cover from 6.30pm to 8.00am
    • Securing adequate funding -> ‘ cost of service’
    • Manpower – skill mix
    • Opt-in or Opt-out
    • retain service
    • members via PCT
    • So – What did we do?
  • What did we do?
    • ‘ A Dossier’
    • (Pros/cons of Opt-in/out)
    • 15 Council Members
    • Discussion/Inform Constituents Members
    • Communication/Communication/Communication
    • Joint questionnaire with LMC re: Opt-in/Opt-out
    • Estimated 70 to 80% GPs will opt-in
  • Working with 3 PCTS
    • Relatively good relationship
    • Commenced work very early
    • Accreditation of SELDOC
    • So how did PCT and SELDOC work on OOH Care?
    • Jointly with SELDOC and other OOH providers – PCT -> service specification
          • Close working with A&E
          • Skill Mix
          • Integration with NHSD
          • Part of Urgent Care System/Whole System Approach
    • PCT -> ‘not formal tendering process’
    • -> SELDOC responded fully and appropriately
    • ‘ Preferred Provider Status’
    • Quality
    • SLA Monitoring Meeting
  • How much does the service cost
    • Current membership - £1.00 per patient per year
    • Cost of Items of Service - Advice – FREE
        • Base Visit - £28.30
        • Home Visit - £44.70
    • GP Rates: Weekdays - £60.00/£100
      • Weekends - £75.00/£100
      • Bank Holidays - £90.00/£150
      • Standbys - £49.00/£98
    • Cost per Patient -> approx £3.00 per patient
    • (Excellent Value for Money)
  • Change of Name
    • ‘ On Call’ dropped
    • ‘ Co-operative’
    • South East London Doctors’ Co-operative
    • Co-operative Values
    • (true example of Social Enterprise)
    • Change of Memorandum & Articles to include other
    • members (public, staff, local partners) and asset lock.
  • Diversification from Core Business
    • GP and Nurses Locum Service
    • Bulk Purchasing
        • Flu Vaccines
        • Latex Gloves
        • Paper Towels
    • Travel Clinic
    • GPwSpI (Sexual Health/Dermatology/A&E)
    • GPs in A&E
    • Call Centre e.g. Calls for Police Surgeons, etc.
    • Cars lease out (in hours)
  • So – What next for SELDOC?
    • Further exploratory work in:
      • Further joint working with local PCTs
      • GP Beds – owned/managed by GPs
      • Nursing Homes?
      • Interpreting Service
      • GP Practices -> Mutual/Co-operative
      • Chronic Disease Management Clinics
      • Specialist Nurse Clinics
      • And so on……….