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GP Premises

GP Premises. Celina Goes 1/10/08. Who pays for GP Premises?. GPs who own their premises: Receive payment known as “nominal rent”, based on estimated value of property for allowing private building to be used for NHS purposes GPs who rent premises:

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GP Premises

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  1. GP Premises Celina Goes 1/10/08

  2. Who pays for GP Premises? • GPs who own their premises: • Receive payment known as “nominal rent”, based on estimated value of property for allowing private building to be used for NHS purposes • GPs who rent premises: • Claim reimbursement from PCO for rent as long as it is assessed as “reasonable” • Cost Rent Scheme: • GPs may build/renovate property for use as a surgery • Partners raise finance • PCO pays interest payments on loan • Improvement Grants: • Available from PCO in some circumstances

  3. Requirements • All new premises/refurbishments must meet national minimum standards • Disabled access: • Since 2004 required to take reasonable steps to tackle physical barriers e.g. steps/ narrow doorways • Health and safety: • Employers >5 people must: • carry out risk assessment and implement health and safety measures identified by this • Providing clear information and training of employees • Set up emergency procedures

  4. Survey of primary care in inner cities • Survey data shows that: • Disproportionately high number of sub-standard premises in many deprived urban areas • only 40% of primary care premises are purpose built; • almost half are either adapted residential buildings or converted shops (many have poor access) • less than 5% of GP's premises are co-located with pharmacy/ social services; • around 80% are below the recommended size

  5. What is NHS LIFT initiative? • LIFT= Local Improvement Finance Trust • Announced in Government NHS Plan July 2000 and LIFT Prospectus published July 2001 • A vehicle for improving and developing frontline primary and community care facilities • Allows PCTs to invest in new primary care premises in new locations which are high quality, and fit for purpose

  6. What is NHS LIFT initiative? • One-stop-shop principle: • Provides the patient with modern integrated health services in their locality , in Primary Care Centres that are modern, convenient, easy to access and staffed by a wide range of healthcare professionals and wherever possible social care agencies

  7. Investment targets of NHS LIFT initiative? To invest £1 billion into primary care estate To deliver substantial upgrades or replace up to 3000 primary care premises by 2004 To fund development of 500 one stop primary care centres

  8. How LIFT Projects work • Department of Health entered national joint venture with Partnerships UK to establish joint company Partnerships for Health (PfH). • NHS LIFT delivered via LIFT Companies (LIFTCo) • Shareholders LIFTco: • Local NHS • PfH • Private sector partners • LIFTCobuilds, owns, operates and maintains primary care buildings and leases them to PCTs, GPs, Local Authority Social Services, dentists, pharmacists, etc  

  9. Grimethorpe, Barnsley Opened 2008

  10. Longhill Health Centre Hull

  11. Hounslow LIFT Centre Opened 2007

  12. LIFT Centres in Derby PCT • Village Medical Centre • Cost £4.1 Million • 15 months to build • Opened February 2007 • Coleman Health Centre • In Alvaston • Cost £5.5 Million • 16 months to build • Opened May 2007

  13. Services available at Village Medical Centre • GP surgery • 6 Partners • 1 Locum doctor (2 morning surgeries/week) • 4 Practice Nurses • 2 HCA • Counsellor • Dietician • Midwife • Visiting Consultant Psychiatrist • Pharmacy

  14. PCT Services available at Village Medical Centre • District Nurses • Specialist Nurse Clinics: • COPD • Diabetes • Adult and Child Continence • Podiatry and Biomechanics (Lost 300 pts) • COPD Physiotherapist • Speech and Language Therapy

  15. PCT Services available at Village Medical Centre Dietician Phlebotomist CamTAD (Hearing aid services) Vision screening (Children 3 years old) Counsellor CMHT Psychiatric Nurse Alcohol abuse counsellor Health Bus

  16. Professor the Lord Darzi of Denham FREng, KBE, FMedSci Report June 2008: Our NHS - Secured today for future generations An NHS that gives patients and the public more information and choice, works in partnership and has quality of care at its heart

  17. Lord Dazi’s Report • Describes a vision for a “world class” NHS: • Fair: Equally available to all • Personalised: Tailored to needs and wants of each individual especially most vulnerable and in greatest need providing access to services at the time and place of their choice • Effective • Safe

  18. Steps to make care more personal Investment to bring new GP practices to local communities where they are most needed, starting with PCTS with the lowest provision New health centres in easily accessible locations should be offering all local population a range of convenient services (even if not directly registered with GP in centre) Extending GP opening hours into evenings or weekend

  19. Question/ Discussion

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