1. Who wants to be an Entrepreneur? Social Enterprise Development Lessons from the North West

2. How was your day?

4. Provider and Market Development Directorate NHS North West Vision To ensure world class health care provision in the North West which is patient centred and actively engages the public, patients and their carers in the delivery of care, and stimulates both current and new market entrants in providing quality health care solutions. There are three functional work streams: Commercial reform & choice, Quality Assurance New provider models including social enterprise, Foundation Trusts, 3 rd sector and private sector

5. Purchasing PaymentsProvision Policy Performance management Department of Health Strategic Health Authorities (SHAs) Commissioners Primary Care Trusts Practice Based Commissioners Local Authorities Others Healthcare Commission Monitor Regulation/ inspection Contracts and Tariffs Providers NHS Providers (acute & community) Primary Care Contractors Independent Sector Social Enterprise & 3 rd Sector Who Does What in Today’s NHS

6. CHOICE, COMMISSIONING & SOCIAL ENTERPRISE IN THE NORTH WEST ROLE OF THE COMMISSIONER Create the choices. Better specification of services. Intelligent assessment of provider risk. Development of commissioner risk. Consult/ Engage the public on service change. Commissioners includes Primary Care Trusts, Practice Based Commissioners, Local Authorities and others.

7. Strategic Fit (Health & Social Care Background) Examples of Provider Service Models/ Opportunities Statutory Organisations Partnership (GPs) Community Interest Company Company Limited by Shares Special Health Authorities William Greenwood Provider & Market Development Directorate Industrial & Provident Society (Co-Operative) Charities Vertical Integration/ Arms Length Unit Foundation Trusts (Community Benefit Society) Company Limited by Guarantee Managed Practitioner Networks

8. Alston Health Care Social Enterprise Pathfinder providing e-health and telemedicine in a disperse farming community in the NE of Cumbria.

9. Alston Health Care Engagement of rural communities. Harnessing technology for e-health and telemedicine use. Stakeholder involvement. Sustainable community development.

10. Salford Health Matters Social Enterprise Pathfinder – 4 former PCT run GP practices now working as a social enterprise under APMS contract

11. Salford Health Matters Community Interest Company. Aim to be the very best primary care team. GP services with added focus on training, wider care model, involvement. Time, legal's, financials, contracting with NHS. Lots of chocolate biscuits!

12. Stockport PCT Stockport PCT and local GPs have formed 2 community interest companies to support the development of a “health campus” to deliver community based services with extended opening hours.

13. Stockport PCT Industrial Provident Society.  Stockport Managed Care. Community Interest Company.  Stockport Health Enterprises. Links to other developments – Stockport Health Campus, Practice Based Commissioning, PCT provider services developments.

14. How do you make it happen? Who is your commissioner? What key issues affect your model? Who’s aims and values does it address? What is your market strategy?

15. 2 Filing Clerks 3 Administrators 4 Telemarketers 5 Accounts Assistants 6 Switchboard Operators 7 Credit Controllers 8 Data Inputters 9 Office Juniors 10 Personal Assistants 11 Shorthand Secretaries 12 Receptionists On the 1 st Day of Christmas, Santa Sent To Me …. And a fantastic office manager

16. Contact details William Greenwood, tel: 0161 625 7206 Julie Cheetham, tel: 0161 625 7202 Isabella Woodcock, tel: 0161 625 7215 Alston Healthcare - Daniel Heery, tel: 01434 382808/0845 126 1308. Salford Health Matters - Lynn Smith, tel:- 07824 505222 Stockport - Alison Tonge, tel: 0161 426 5600

17. Thank you