1. Jim Latta Senior Policy Manager -Primary Care Building Links & Expertise Building Links & Expertise Building Links & Expertise Building Links & Expertise Links & Expertise Building Links & Expertise Links & Expertise Building Links & Expertise Links & Expertise Building Links & Expertise Links & Expertise Building Links & Expertise

2. Current Position Around 10,000 GP Premises 63% Owner-occupied 21% Health Centres 16% Private sector Landlord Estate Value of around £2.3billions Revenue Cost of £230millions pa NHS Plan Target to invest £1billion Producing Extra £100m/pa Revenue Cost

3. Sources of Capital Traditional Routes: Cost rent, notional rent, actual rent for shell buildings, Improvement Grants & PMS equivalents Third Party Developers NHS LIFT

4. Objective Improve Patient Access Integrated Services Provision Move Services From Hospital to PC Modern PC Estate to Delivery Services Better Targeted Capital Investment More Options to Occupy Premises New Revenue Resources & Better vfm

5. Direction Strategic Service Development Plans Strategic Shift NHS Plan Targets - 3,000 & 500 PC Capital Investment Strategies PCT v Individual Head Leases Hub & Spoke v All-Singing-All Dancing

6. Bagful of Tools Premises Schedule of modern Size & Building Cost Maxima, Commentary etc Surrender of Leases Year 2000 Flexibilities Framework Agreement for New GP Contract & Importance of Infrastructure 2002 Flexibilities

7. Outcomes Three As Adaptable, Modern, Interactive PC Estate Appropriate Reconfiguration to allow…….. Access to Local Primary Care Services