- Geof Cox's Blog
- The dark side of the social enterprise boom...
- What would a social enterprise economy look like?
- Social Enterprise Law in South Eastern Europe
- Where does social enterprise fit in postcapitalism?
- Can social enterprise save public services?
- Greece, France - making enterprise more social...
- Small is the new big!
- Social impact is no longer an option for big brands
- What on earth is Social Enterprise UK doing?
- Asset Based Strategy Matrix
- Copyright infringement is NOT theft
- Impact2 Social Enterprise Conference
- Not So Grim Up North
- CASE's 30th Birthday
- Guardian Blog
- The Senscot Bulletin
- The Performance of Socially Responsible Investment
- Social Investment – or the Emperor's New Clothes
- Such a definitions mess that NOBODY can now clear it up?
- Social Enterprise Mark... or Social Enterprise Brand?
- Why social enterprise needs its own approach to intellectual property rights
- Does the social enterprise movement lack leadership?
- Business models based on greed and exploitation
- Not many jokes...
- NHS Social Enterprise Spin-outs - the real story
- Will tendering ever work for social enterprise?
- Learning from the Open Source Movement
- The Guardian & Social Enterprise
- The focus on a few kinds of social enterprise is blinding us to a bigger picture
- What do social enterprise and chocolate have in common?
- From Albania Again
- Guardian Social Enterprise Summit
- A conflict common to many co-operatives...
- Social Enterprise in Albania
- 2010 social enterprise visit to Russia - 1
- Day 2 in Rybinsk: -18°c
- Post 3 from Russia - Back to Moscow
- A typical question...
- Sounding like David Cameron...
- Do structures stymie social enterprise?
- 'Right to Request' tender collapses
- The number of 'social enterprises' just doesn't add up
- Social Firms Conference
- What is it, exactly, we’re doing with Social Firms?
- Social Firms UK Annual Conference
- Social Firms and the CIC Consultation
- What is social enterprise?
- Social Enterprise in Russia – Week 1 - Moscow, Schekino and Kaluga
- Social Enterprise in Russia – Week 2 - Rybinsk
- Social Enterprise in Russia – Week 2 - Vyshniy Volochek & Ostashkov
- Social Enterprise in Russia – Week 3 - Moscow & Aleksin
- Ostashkov Conference, October 2008
- Selected old blog entries
- Public Service Transformation
- Organisational structures - and restructuring
- Doing social enterprise
- Knowledge should be free
- Associates and trusted partners
- Джеф Кокс, информация на русском языке
NHS Social Enterprise Spin-outs - the real story
I've posed the question elsewhere of whether the NHS Right to Request process actually led to ANY increase in the number of spin-outs to social enterprise – and not received a satisfactory answer.
Of course I know of a few cases claimed by the Right to Request process – my question is whether these, and possibly others, would have gone ahead, and maybe even been EASIER, without this 'support' intervention. I certainly managed to keep one NHS externalisation last year out of the official process – which was completed very smoothly in just a few months thankyou very much.
Now I've just read the latest Third Sector Research Centre Working Paper on Social enterprise spin-outs from the English health service: a Right to Request but was anyone listening? by Robin Miller and Dr Ross Millar. This should make uncomfortable reading for the NHS, and all those responsible for promoting the Right to Request.
The researchers studied the uptake of Right to Request in the West Midlands. They found that by July 2010, 2/3 of the PCTs in the West Midlands were still not aware of any Right to Requests being developed. From the other 6 PCTs 13 staff groups were known to be exploring Right to Requests - 6 of these had had Expressions of Interest approved by their PCT Board, 2 were about to have their Expressions considered, and the other 5 were still at the ideas stage.
Just 3 months later the picture had changed entirely - by October 2010 all of the whole provider arms had abandoned the process, and there were only 2 Right to Requests still live – one clinical team and one service cluster – both still at an early stage.
Although the Right to Request initiative has now finished. the paper's authors also note that the ideas behind it are still live in the NHS and elsewhere, and indeed that aspects of the Localism Bill and the so-called 'Open Public Services' Bill such as the Rights to Buy/Challenge/Provide might extend similar processes to local authorities.
I am of course very much in favour of introducing social enterprise into public services, and very often an independent sector organisation is indeed the best way to do this.
But please lets stop hyping solutions without putting in place the basic conditions to enable them:
- really expert social enterprise developers
- flexible enough pension arrangements and other staff transfer conditions
- contracts that focus on results not processes
- honest responses to trade union reservations
- time release to develop inspirational leadership
– and I could go on!