1. Making Healthcare Mutual Peter Hunt Director, Mutuo

2. The Origins of Mutual Structures Different way of doing business Been around for nearly 200 years Origins in Victorian self-help movements Robust corporate structures Worldwide phenomenon

3. What Is A Mutual? Community purpose corporation Ownership –Vested in its members Governance – Stakeholder representation Democracy –One member one vote

4. The Mutual Sector Today Building societies Co-operatives Friendly societies Mutual insurers GP Co-ops New mutuals

5. New Mutuals Leisure services Housing Child care Football supporter trusts

6. Spectrum of UK Mutuality Greenwich Leisure etc Building Societies Consumer Co-ops Foundation Hospitals GP Co-ops Social Clubs Credit Unions Mutual Insurers Network Rail Agricultural Co-ops Supporter Trusts Housing Mutual Partnerships Friendly Societies Glas CymruChildcare Mutual Active Passive MEMBER BENEFIT COMMUNITY BENEFIT

7. Features of New Mutuals Professional management Stakeholder governance Accountable to their members/customers Business-like, but not profit distributing

8. Mutuality & Public Policy Cross-Government interest Foundation Hospitals Citizenship Principle of subsidiarity New Localism

9. Why GP Co-ops Succeed Expert - front line providers also plan the care Innovative and entrepreneurial Flexible and responsive to local health needs Use their inherent self interested mutuality to build strong, cohesive organisations

10. New Mutuals for OOH? Builds on GP Co-op success Is professional Creates new partnerships between providers and commissioners Adds on stakeholder governance Fits into the public policy environment