Commercial Models Mutuals Programme Presentation to East Midlands Councils Wednesday 10th July William Burgon Policy and Commercial Advisor, Cabinet Office

Commercial Models Mutuals Policy The Coalition Programme for Government made a clear commitment to new forms of organisations delivering public services “We will support the creation and expansion of mutuals, co-operatives, charities and social enterprises, and enable these groups to have much greater involvement in the running of public services” Commercial Models - Mutuals Programme UNCLASSIFIED

Commercial Models Mutuals Definition Although the sector has varying definitions, a public service mutual has three key characteristics An organisation that has spun out of the public sector …and continues to deliver public services …and involves a high degree of employee control Commercial Models - Mutuals Programme UNCLASSIFIED

Commercial Models Mutuals Numbers The number of public service mutuals is growing rapidly, with many more in development Q4 2010 Q2 2013 Projected 120 70 9 Probation Commercial Models - Mutuals Programme UNCLASSIFIED

Commercial Models Mutuals Sectors Mutuals are operating in a range of sectors, delivering services from the front line to the back office Adult Learning Community Learning Libraries Health Social Care Social Work Fire & Rescue Education Children & Youth Leisure Housing Community Safety Environment School Support Probation Commercial Models - Mutuals Programme UNCLASSIFIED

Commercial Models Mutual Sectors The growth in scope has been explosive, and developing projects will further broaden the services offered by mutuals Commercial Models - Mutuals Programme UNCLASSIFIED

Commercial Models Mutuals Benefits Mutuals deliver a number of benefits which improve outcomes for staff, for commissioners, and for citizens Service improvements Savings and efficiencies High growth and additional contracts Lower absenteeism Reduced staff turnover Commercial Models - Mutuals Programme UNCLASSIFIED

Commercial Models What We Do Our work is designed to inform, guide, and support public sector staff and parent bodies along their journey to mutualise services Campaigns Commissioner Support Stakeholder Engagement Mutuals Support Programme Mutuals Information Service Commercial Models - Mutuals Programme UNCLASSIFIED

Commercial Models Mutuals Support Programme The Mutuals Support Programme provides a comprehensive package to help at every stage in the journey Exploration Planning Development Website & Hotline ‘One to Many’ Training ‘One to One’ Funding Ambassadors & Mentors Commercial Models - Mutuals Programme UNCLASSIFIED

Commercial Models Mutuals in Action A number of mutuals have already recorded impressive results, and the evidence base continues to grow CECS SEQOL Social adVentures 3BM 8% savings last year £3m new business in last 12 months Staff innovation resulted in iPad deployment First mutual joint-venture in wider public sector Combines public service ethos and private sector expertise 4% increase in nurse visits per month 12% savings in first year Building network with local VCSE providers 262% growth winning RBS SE100 award Expansion into new and diverse service areas 20% fall in absenteeism cost Commercial Models - Mutuals Programme UNCLASSIFIED

Commercial Models Mutuals in Action These independent businesses are delivering significant improvements in productivity, driving down staff absenteeism Productivity City Health Care Partnership CIC has delivered 4% efficiency savings, worth £600,000 a year. Central Surrey Health made 41% productivity gains on the Stroke Ward at Epsom General Hospital, so patients get 76 more treatment slots per week. Anglian Community Enterprise achieved 4.5% efficiency savings in 2011/2012 worth £1.4 million. Staff Absenteeism At Care Plus Group - average sickness pre spin-out was 22.3 days per year. It has now fallen to 10.6 days per year. At Social adVentures, the cost of staff on sick leave before spinning out was £25,000. It is now only £2,000. At Central Essex Community Services, days lost to sickness absence per FTE decreased by approximately two days per employee per year. Staff from Central Essex Community Services (left) and Central Surrey Health (below) at work Commercial Models - Mutuals Programme UNCLASSIFIED

Commercial Models Mutuals in Action They are also growing rapidly, both in terms of staff size and turnover, whilst delivering significant improvements in user outcomes Growth Social adVentures won the RBS SE100 Index Growth Champion award as its annual turnover increased 262%. City Health Care Partnership CIC has expanded from 1,200 to 1,400 staff. Project Salus has increased its turnover and staff 30% since spinning out. Outcomes NAViGO’s 2011 staff survey saw 79% of staff recording patient care as their Trust’s top priority, against a national average of 66%. 75% of SEQOL’s re-enablement patients do not require long-term term care. After Circle’s mutualisation of Hinchingbrooke, cancer targets which were last met in summer 2010 have been met five months running. City Health Care Partnership CIC staff at work Commercial Models - Mutuals Programme UNCLASSIFIED

Commercial Models Mutual JVs Mutual joint-ventures present another take on the model, and are already successfully delivering core services in a number of sectors 3BM is the first mutual joint venture to spin out of local Government. They have entered into a partnership with Prospects, the education employment company, bringing benefits to both sides. By combining the public service experience and ethos of 3BM’s staff with Prospects’ capital and business expertise, 3BM is leveraging the best of the public and private sectors. This means both parties can access skills and resources they would otherwise lack, enabling 3BM to provide a suite of high quality services to schools, including financial management, IT, and building development In spinning out, the local councils will see £1million in savings over the next four years. Commercial Models - Mutuals Programme UNCLASSIFIED

Commercial Models Find Out More Click through to the Mutuals Information Service, call the hotline, and follow us on Twitter Online mutuals.cabinetoffice.gov.uk Hotline 0845 5390 543 Twitter @mutualsgovuk Commercial Models - Mutuals Programme UNCLASSIFIED

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