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New Arrangements for GMS& PMS Premises
Keith Houghton
0113 2547089
0771 8030734
New Arrangements for GMS& PMS Premises
Keith Houghton
0113 2547 124
07718 03 07 34
New Arrangements for GMS& PMS Premises
• Demise of Statement of Fees & Allowances
• Replaced by easier to administer nGMS arrangements set out in Directions
• These arrangements may be used for PMS
New Arrangements for GMS& PMS Premises
• GMS “but not as we know it”
• Service provision to be agreed in contract
• Global sum agreed with providers
New Arrangements for GMS& PMS Premises
• Separate element for infrastructure costs comprising three elements:– existing spend– resources to meet commitments contractually
agreed by 30 September 2004– plus weighted growth element to meet costs of
developments agreed after 1 October, IGs, Flexibilities etc
New Arrangements for GMS& PMS Premises
• The first and second elements will form a baseline allocation to all PCTs
• The third element will be allocated to lead PCTs on SHA aggregate basis
• For onward cascade to PCTs in line with agreed priorities
Role of the Lead PCT
• To hold revenue premises funding not yet re/allocated
• To advise SHAs on PC Estate and procurement issues
• To work with other PCTs to agree investment priorities
Strategic Service Development Plans
• PCTs will need to develop a service vision to drive investment
• Plans need to reflect whole system approaches to service delivery
• Collective Plans to be used to inform priorities
Current Estate Strategies
• Review current NHS and third party estate
• Estate audit outcomes
• Reflects investment requirements
New Premises Arrangements Include…..
• Joint MS(H)-GPC Letter
• New premises flexibilities to attract capital investment and allow moves to modern premises
• Revised minimum standards & branch surgery global sum funding
Existing Premises Flexibilities
• HA joint venture interest in land• Deprivation or needs factor for current market
rents• Fund the re-conversion of owner occupied
premises• Guarantee minimum price for sale of redundant
premises• Extend scheme to reconvert registered social
landlord properties• Reimburse equipment leasing costs on new
leasehold premises• Mobile service delivery units
New Premises Flexibilities
Payment of a grant to meet mortgage deficit and mortgage redemption costs
Payment of a grant to meet mortgage redemption costs
PCO option to purchase land Reimbursement of legal and other professional
fees for modern leasehold premises Direct reimbursement of service charges,
utilities, repair & maintenance and insurance Introduce index-linked leases
In addition……...
• New Primary and Social Care Planning and Design Guidance
• Web-based with links to supporting sites and search facilities
• www.primarycare.nhsestates.gov.uk
Issues for the Future
• SSDP-led investment prioritisation
• PCT expertise
• Identifying a lead-PCT
Support Facilities
• NHS Estates Strategic Advisors
• NHS Estates PC Development Managers
• NHS Estates-NatPaCT partnership
NHS Estates Performance Team
• 5 Divisional Heads
• 20 strategic estates advisors
• 10 primary care support managers
NHS Estates Team Will….
• Will work thro’ SHAs to monitor and support PCT delivery
• Inform PC NHS capital allocations
• Overall aim is to target investment where most needed