Making Healthcare Mutual

1
Making Healthcare Mutual

• Peter Hunt
• Director, Mutuo

2
The Origins of Mutual Structures

• Different way of doing business
• Been around for nearly 200 years
• Origins in Victorian self-help movements
• Robust corporate structures
• Worldwide phenomenon

3
What Is A Mutual?

• Community purpose corporation
• Ownership
• Vested in its members
• Governance
• Stakeholder representation
• Democracy
• One member one vote

4
The Mutual Sector Today

• Building societies
• Co-operatives
• Friendly societies
• Mutual insurers
• GP Co-ops
• New mutuals

5
New Mutuals

• Leisure services
• Housing
• Child care
• Football supporter trusts

6
Spectrum of UK Mutuality
7
Features of New Mutuals

• Professional management
• Stakeholder governance
• Accountable to their members/customers
• Business-like, but not profit distributing

8
Mutuality Public Policy

• Cross-Government interest
• Foundation Hospitals
• Citizenship
• Principle of subsidiarity
• New Localism

9
Why GP Co-ops Succeed

• Expert - front line providers also plan the care
• Innovative and entrepreneurial
• Flexible and responsive to local health needs
• Use their inherent self interested mutuality to
  build strong, cohesive organisations

10
New Mutuals for OOH?

• Builds on GP Co-op success
• Is professional
• Creates new partnerships between providers and
  commissioners
• Adds on stakeholder governance
• Fits into the public policy environment