SELDOC South East London Doctors

1
SELDOCSouth East London Doctors Co-operative

• Mo Girach
• Chief Executive

2
Presentation Overview

• SELDOC
• New GP Contract
• Response/PCT
• Communication with members
• Implications
• Working with PCTs
• Service Costs
• Organisational Changes
• New Businesses
• Future and opportunities

3
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 AE

4
New GP Contract

• New 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

5
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?

6
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

7
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 AE
• 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

8
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 - 60.00/100
• Weekends - 75.00/100
• Bank Holidays - 90.00/150
• Standbys - 49.00/98
• Cost per Patient ? approx 3.00 per patient
• (Excellent Value for Money)

9
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.

10
Diversification from Core Business

• GP and Nurses Locum Service
• Bulk Purchasing
• Flu Vaccines
• Latex Gloves
• Paper Towels
• Travel Clinic
• GPwSpI (Sexual Health/Dermatology/AE)
• GPs in AE
• Call Centre e.g. Calls for Police Surgeons, etc.
• Cars lease out (in hours)

11
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.