SELDOCSouth East London Doctors’ Co-

operative

Mo Girach

Chief Executive

Presentation Overview SELDOC New GP Contract

Response/PCT Communication with members Implications

Working with PCTs Service Costs Organisational Changes New Businesses Future and opportunities

SELDOC DOH Accredited OOH organisation Integrated with NHSD SE – ‘Saturday Club

Integration’ Exemplar site for ‘Technical Links’ – ‘Hub’ Clinical governance in place with PRP (two lay

persons) Enhanced service for violent patients Part of Liftco Project at Dulwich Development Member of Co-op UK CSSC link with Local Mental Health Trust ‘Business Link’/Learning and Skills Council Financially robust and sound Presidium Cover – 24 hours OOH Social Worker (Mental Health) Base at local A&E

New GP ContractNew GP Contract

Not a Threat

‘An Opportunity’Why? →

High quality/standard of care OOH care Robust clinical governance in place Excellent value for money Highly competitive Loyalty of GP members Disciplined ‘organisation’

Implications of New GP Contract

PCT as commissioning not GP members Provide Saturday morning cover Additional cover from 6.30pm to 8.00am Securing adequate funding → ‘cost of service’ Manpower – skill mix Opt-in or Opt-out

retain service members via PCT

So – What did we do?

What did we do?

‘A Dossier’

(Pros/cons of Opt-in/out)

15 Council Members

Discussion/Inform Constituents Members

Communication/Communication/Communication Joint questionnaire with LMC re: Opt-in/Opt-out Estimated 70 to 80% GPs will opt-in

Working with 3 PCTS Relatively good relationship Commenced work very early Accreditation of SELDOC

So how did PCT and SELDOC work on OOH Care?

Jointly with SELDOC and other OOH providers – PCT → service specification

Close working with A&E Skill Mix Integration with NHSD Part of Urgent Care System/Whole System Approach

PCT → ‘not formal tendering process’→ SELDOC responded fully and appropriately

‘Preferred Provider Status’ Quality

SLA Monitoring Meeting

How much does the service cost

Current membership - £1.00 per patient per year

Cost of Items of Service - Advice – FREE Base Visit - £28.30 Home Visit - £44.70

GP Rates: Weekdays - £60.00/£100Weekends - £75.00/£100Bank Holidays - £90.00/£150Standbys - £49.00/£98

Cost per Patient → approx £3.00 per patient(Excellent Value for Money)

Change of Name‘On Call’ dropped

‘Co-operative’

South East London Doctors’ Co-operative

Co-operative Values(true example of Social Enterprise)

Change of Memorandum & Articles to include other

members (public, staff, local partners) and asset lock.

Diversification from Core Business

GP and Nurses Locum Service Bulk Purchasing

Flu Vaccines Latex Gloves Paper Towels

Travel Clinic GPwSpI (Sexual Health/Dermatology/A&E) GPs in A&E Call Centre e.g. Calls for Police Surgeons,

etc. Cars lease out (in hours)

So – What next for SELDOC?

Further exploratory work in:

Further joint working with local PCTs GP Beds – owned/managed by GPs Nursing Homes? Interpreting Service GP Practices → Mutual/Co-operative Chronic Disease Management Clinics Specialist Nurse Clinics

And so on……….