Urgent Care Limited - Social Enterprise

Urgent Care Social enterpriseUrgent Care Ltd is a social enterprise to bring together the valuable skills of Emergency Care Practitioners and Nurse Practitioners for first contact, and Primary Care Trusts (PCTs) need to get responsive clinicians providing care at the point of need.

Primary Care Trusts PCTs purchase care on behalf of their population. One of the most expensive ways to get urgent and unscheduled care (or emergency care) is the traditional form - ambulance 'scoops and runs' from the scene and delivers to the A&E department of hospital. Why is it so expensive? You pay for the ambulance, then for the A&E department, then for any care that follows. PCTs sought a lower cost alternative. For many patients, they simply don't need to attend hospital and would receive both the best care but also the most appropriate care with a suitably qualified and experienced first contact practitioner (see ECP). So PCTs sought to buy ECP teams to provide local unscheduled care. Emergency Care Practitioners, trained by Ambulance Trusts, were the ideal solution. When ambulance trust and PCT couldn't agree the Service Level Agreement, we sought to set up an employee-owned company to make the link, deliver the service, and satisfy the needs of the PCT and population in combination with the desire of ECPs to serve. this organisation is Urgent Care Limited, Social Enterprise. As founding chair, I ensured the right funding and cash flow and the initial contracts, the governance and structure of the company, and the Trustees. After 14 months I've stepped aside and the charitable organisation continues to develop.

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Recent Additions and Updates

If I were running the country - encouraging business

Minimum wage

Fantasy government - what would I do if I were in government?  Well how about reduce corporation tax, increase income tax, increase minimum wage and invest in job creation in the regions?  That would be a good start - create jobs where there are workers, then make sure that the right amount of tax is collected and at the same time reduce spend on benefits which are only used to increase profits of selfish organisations.

Would it work?  Have your say.

PwC Report on the Current State of Project Management

PwC Project Management ReportPwC found that successful companies are getting more mature in their project management ability.  This raises the game – successful companies have lower costs from fewer failed projects, and less successful companies have to work harder to catch up.  There are some important lessons to take this report for everyone – Read more…

Joy instead of tedium

The Office

Every office has them - the tasks that have to be done that nobody likes doing.  Whether it's the audit, the wages, standard letters, whatever it is - someone has to do it and it feels like a waste of time and money.

Why should you care?

So you employ somebody, so why do you care about how tedious the task is? Well they are costing money, to do something that could be done far more effectively.

Learning from the Past

Evidence for service improvement

Many public service changes have little basis in evidence. Their success (or otherwise) does not appear to depend on how 'good' the policy itself is, but rather on how it has been implemented. This relies on staff attitudes and relationships. My research falls into a number of broad categories: finding out what is currently happening; what people think about it; and what people think it will mean.

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Consumer Price Index (CPI) Calculator for SROI

CPI components

When calculating a Social Return on Investment (SROI) evaluation or SROI forecast , sometimes you have to rely on published figures from reports.  But if these are from a few years ago, then they probably need adjusting for inflation.

There are calculators on the web to do this for you, but I found them cumbersome and it was difficult to keep a record of what calculator I'd used, and how, for which value - auditability and transparency is vital for SROI.  So here's a spreadsheet to do this properly!