social enterprises in health and social care prospects and challenges

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1、Socialenterprisesinhealthandsocialcare:prospectsandchallengesSocialenterprisesinhealthandsocialcare:prospectsandchallengesSocialEnterpriseResearchConference,July2007,LondonSouthBankUniversity.FergusLyon,CentreforEnterpriseandEconomicDevelopmentResearch(CEEDR)MiddlesexUniversity,TheBurroughs,London

2、NW44BT02084116856f.lyon@mdx.ac.ukIntroductionPartsofthispaperarebasedonpreliminaryfindingsofresearchfundedbytheCommissionforRuralCommunitiesaspartofawiderstudyintopublicservicereforminruralareas.ManythankstoCatherineElliswhowasinvolvedinsomeoftheinterviewingandtothesocialenterpriseswhokindlygaveth

3、eirtime.Theviewsexpressedarethoseoftheauthor.AcentralplankofthereformsoftheEnglishhealthservicehavebeentheencouragementofadiverserangeofproviderstobecomeinvolvedandprovidegreaterchoiceforpatients,particularlythoseexperiencingdisadvantage(DepartmentofHeath,2006).Thiscreatesarangeofnewopportunitiesf

4、orsocialenterprises,organisationsthatarenotforprofit,withsocialaimsandreceivingincomefromtradingandcontracts(SmallboneandLyon,2005)Socialenterprisesareseenaswaysofimprovingservicesastheyhavepotentialadvantagesoverotherprovidersintermsoftheirinnovativeapproaches.Theseincludeunderstandinglocalneeds,

5、involvingusersofservicesinthedesignofservices,providingchoiceandpersonalisationofservicesandtheirabilitytoreinvestanysurplusintocommunityorsocialpurposes(SEC,2006;Hewitt,2006).Whilelittleisknownoftheimpactandvalueformoneyforsocialenterprises,thereismuchevidenceoftheinnovativeabilityofsocialenterpr

6、isesintermsoffindingimprovedwaysofmeetingtheneedsofdifferentgroupsofpatientsanddevelopingnewservices(Aminetal,2002).Thispaperaimstoexaminethepotentialroleofsocialenterprisesthroughaddressingthefollowingquestions.·Whataretheexistingrolesofsocialenterprisesinhealthservicesatpresent?·Whataretheconstr

7、aintsfacingsocialenterprises?·Howaretheseconstraintsbeingovercome?Theextentofsocialenterpriseactivityinhealthservicesisnotknowneither.Thelackofawidelyaccepteddefinitioncontributestothedifficultiesofobtainingstati