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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
