Making Healthcare Mutual

Peter HuntDirector, Mutuo

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

What Is A Mutual?

• Community purpose corporation• Ownership

– Vested in its members• Governance

– Stakeholder representation• Democracy

– One member one vote

The Mutual Sector Today

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

New Mutuals

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

Spectrum of UK Mutuality

GreenwichLeisure etc

Building Societies

Consumer Co-ops

Foundation Hospitals

GP Co-ops

Social Clubs

Credit Unions

Mutual Insurers

Network Rail

Agricultural Co-ops

Supporter Trusts

Housing Mutual

Partnerships

Friendly Societies

Glas Cymru Childcare Mutual

ActivePassive

MEMBER BENEFIT

COMMUNITY BENEFIT

Features of New Mutuals

• Professional management• Stakeholder governance• Accountable to their

members/customers• Business-like, but not profit

distributing

Mutuality & Public Policy

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

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

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