1. Bromley Healthcare

2. Our Objectives To Provide Community Healthcare To be seen as a provider of choice

3. Bromley Healthcare What we do 450,000 Patient Contacts Community Nursing Children with Additional Needs Re-ablement Long Term Conditions/Primary care Health improvement Community Paediatric Team Dental Bromley Healthcare

4. Bromley Healthcare’s services Care Co-ordination for Older People Care Home Liaison Children's Short Break Service Chiropody & Podiatry Community Heart Failure Service Community Matrons Community Paediatricians Community Physiotherapy for Children & Adults Complex Communication Service Continence Service Contraception and Reproductive Health Chronic Obstructive Pulmonary Disease Diabetes Specialist Nursing Community Dietetic Service District Nursing EMdoc Out of Hours GP Service Feeding Team Health Improvement Health Visiting Heart Failure Service Hollybank children's respite & home-based support Children's Hearing Assessment HIV / AIDS Clinical Nurse Specialist Hydrotherapy & Aquatots ICES Home Loan Service Immunisation and Advisory Clinic Integrated Childrens Community Nursing Team Intermediate Care Services, Community Assessment and Rehabilitation Teams Occupational Therapy for Children & Adults Orthotics Post Acute Care Enablement Primary Care Mental Health Team/IAPT Rapid Response Safeguarding Children Nurse Team School Nursing Team Special Care Dental Services Speech & Language Therapy for Children & Adults Tissue Viability Service Wheelchair and Special Seating Assessment Service

5. Bromley Healthcare Where we do it Community clinics Schools Children’s centres Home 800 staff Income £32.6m Bromley Healthcare

6. Changes to Healthcare Background Commissioning a Patient Led NHS Commissioners Providers Foundation Trusts Social Enterprises Commercial Enterprises

7. Bromley Healthcare What has happened in Bromley to arrive at Bromley Healthcare? PCT Board Explored long-list of options 2008/2009 Reviewed outline Business Case for two options June 2009: Oxleas (Foundation Trust) and Bromley Healthcare (Social Enterprise) Requested full Business Case for Bromley Healthcare in early 2010 Gave final Approval – Sept 2010 Subject to Assurance by NHS London

8. Bromley Healthcare Social Enterprises Background 62,000 Social enterprises in the UK* Turnover of at least £27 billion* Over 5% of all businesses in the UK* Contribute £8.4 billion to the UK economy* Department of Health white paper is very supportive of this model for Healthcare *Source: 2005-07 Annual Survey of Small Businesses

9. Bromley Healthcare Social Enterprise A new kind of organisation Bromley Healthcare Will be owned & run by the staff Income will come through the ‘selling’ of our services Surpluses can be reinvested in services Better for patients

10. Bromley Healthcare The benefits of social enterprise for patients Directs public money into organisations that have been established for public benefit rather than shareholder profit Activities are focused around community need Services delivered by people with a real stake in the business, resulting in better quality ‘Balanced score-card’ approach to business at our core Access to services that may not otherwise be available

11. Bromley Healthcare Better for patients We will work closely with partners including: Voluntary sector Patient groups such as LINk/Healthwatch Local Authority Other NHS providers

12. Bromley Healthcare

13. Community Forum Patient reps Community reps Shareholders/ members Staff GPs Membership strategy Council of Governors 2 Patients / Carers 2 Community reps 3 Staff Shareholders 1 GP Shareholder 1 GP Commissioner 1 Local Authority rep 1 PCT rep Board Chairman 3 NED’s Chief Executive Clinical Lead Commercial Director Bromley Healthcare

14. Timeline Spring 2011 Requires NHS London and Department of Health due diligence and approval

15. Bromley Healthcare Bromley Healthcare - Structure Chief Executive Diane Hedges (acting) Commercial Director Jacqui Scott (Appointed - not yet in post but in PCT) Clinical Director (2x 0.3wte) GP Dr Cath Jenson + Ops. Dir. Andrew Hardman Operational Directors (3 x 1 wte) Kerry Bott Janet Ettridge Andrew Hardman Corporate Director Paulette Coogan Stephanie Griffin (Appointed - not yet in post but in PCT) Chair Raoul Pinnell Non-Executive Directors Mary Bishop Sarah Dowling Philip Lloyd = Board Member

16. Bromley Healthcare Thank you Bromley Healthcare