1. Investing in Primary Care Premises Jim Latta Senior Policy Manager- Primary Care NHS Estates 0113 2547 164 07788 416 504

2. nGMS Contract Arrangements SFA - Statement of Fees and Allowances SFE - Statement of Financial Entitlement Directions Supported by web-based guidance:"Primary and Social Care Premises:Planning and Design Guidance" –www.primarycare.nhsestates.gov.uk

3. nGMS Contract will provide GMS, with enhanced and additional services Service provision to be agreed in Contract Global sum agreed with contractors

4. nGMS Contract will provide New, separate element for Infrastructure costs SHAs do not have vires to handle or hold revenue funding ( only capital) New funding will flow through lead PCTs PCTs will work collectively

5. nGMS Contract will provide 1. All PCTs will receive allocations of existing baseline spend 2. Plus resources to meet commitments based on SHA prioritisation of PCT SSDPs 3. Plus a further weighted allocation to pump prime, pay IGs, etc

6. nGMS Contract will provide Elements 1 and 2 allocated to all PCTs Element 3 allocated to Lead PCT Commitment: –Ready for occupation –Under construction –Contractually agreed LDPs

7. Role of the Lead PCT To work with SHAs to prioritise SSDPs To advise SHAs on premises infrastructure and procurement issues To hold unused PCT premises revenue funding for SHA re-prioritisation

8. nGMS Contract Announcement Joint MS(H)-GPC letter New Premises Flexibilities, bridging old and new contracts Revised minimum standards & Branch Surgery global sum funding

9. 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

10. New Premises Flexibilities Payment of a grant to meet mortgage deficit and 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

11. In addition.. New SFE / Directions payment mechanisms When introduced, all payments to GPs to be met from unified funding stream

12. Issues SSDP-led investment prioritisation PCT expertise Identifying a lead PCT

13. Support Facilities NHS Estates-NatPaCT Partnership NHS Estates –10 Primary Care Development Managers –5 Divisional Heads –20 Strategic Estates Advisors

14. NHS Estates team can... Work through SHAs to monitor and support PCT delivery Inform primary care NHS capital allocations Overall result is to target investment