1. Urgent Care Developing a Social Enterprise Amanda Mayo Jane Parker Award Winning.................

2. Urgent Care Limited 2 Today……. 1.Motivating factors 2.Organisation 3.Funding 4.Obtaining contracts 5.Staff development 6.Highs and lows – NP Perspective 7.Future Development

3. Urgent Care Limited Urgent Care Ltd – Offers Home visiting Service, OOH Consultations, Rapid Response Teams, UCC Staffing 3

4. Urgent Care Limited 4 About our Social Enterprise Social enterprise Industrial & Provident Society Benefit Community Not for profit Charity with HMRC Regulated by FSA Local subsidiaries OK Set up by NHS staff Nurses Paramedics/ECPs GP on Board Workforce development Modular education Structured assessment, minor illness, minor injuries and LTC Case completion at point of contact = cheaper, quicker & better for patients Rights for staff NHS Pensions for Staff Staff Reps in Board Voting rights at AGM, EGM

5. Urgent Care Limited 5 What we are not….. NOT a private company Urgent Care not allowed to profit NOT bureaucratic NOT prepared to accept poor or inaccessible services for patients NOT going to destroy current good services, or remove staff NHS pension rights – we will build on the best

6. Urgent Care Limited Initial Steps Meetings! Suitable Directors, Trustee Board, clinicians Business Plan Funding Networking Policy Development ( e.g. PGDs, CG, Visit protocol, H&S, Risk assessment, JDs, Person Specs, Policies........) Services commenced 01.07.07 6

7. Urgent Care Limited 7 Funding….Government support… Approached Future Builders Quasi equity model 399k ‘start=up’ package (new funds possible) Lots of other funds available due to our structure

8. Urgent Care Limited Present Contracts Bromley PCT Hounslow PCT Kingston PCT Havering PCT Croydon PCT Thamesdoc OOH Harmoni OOH 8

9. Urgent Care Limited Tricky things........ Bidding Process...uurrgghh!! Pensions Staffing Costing Uncertainty 9

10. Urgent Care Limited Staffing Directors ECPs Backgrounds Education Scope of Practice NPs 10

11. Urgent Care Limited Workforce Development Support permanent staff Offer educational support and mentoring for potential staff ( Currently supporting 12 ‘students’) Develop educational package with Course Director from St Georges Skills Gap analysis 11

12. Urgent Care Limited 12 OSCE Nurse or Nurse Practitioner Paramedic Physician Assistant Physical Assessment Clinical Decision Making Minor Illness Long Term Conditions Minor Injury Applied Pharmacology Paediatric AssessmentOption Level 2,3 or Masters Urgent Care Ltd (Social Enterprise) Modular Clinical Practitioner Development Programme Workforce Development

13. Urgent Care Limited Employment Pros and Cons Pensions Terms and conditions Pay – You will be paid what you are worth!! Flexible working Closer working relationship with your peers Motivated staff 13

14. Urgent Care Limited Highs and Lows A Nurse Practitioner view! Previous role Motivating factors to join a Social Enterprise Why this Social Enterprise? Emotions Pros and Cons 14

15. Urgent Care Limited Current Role Everything!........................................Can do attitude a must ! 15

16. Urgent Care Limited Opportunities Personal and professional development Joint Venture partnership.......................... 16