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New Arrangements for GMS & PMS Premises

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

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New Arrangements for GMS & PMS Premises

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  1. New Arrangements for GMS& PMS Premises Keith Houghton 0113 2547089 0771 8030734

  2. New Arrangements for GMS& PMS Premises Keith Houghton 0113 2547 124 07718 03 07 34

  3. 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

  4. 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

  5. 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

  6. 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

  7. 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

  8. 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

  9. Current Estate Strategies • Review current NHS and third party estate • Estate audit outcomes • Reflects investment requirements

  10. 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

  11. 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 onnew leasehold premises • Mobile service delivery units

  12. 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

  13. 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

  14. Issues for the Future • SSDP-led investment prioritisation • PCT expertise • Identifying a lead-PCT

  15. Support Facilities • NHS Estates Strategic Advisors • NHS Estates PC Development Managers • NHS Estates-NatPaCT partnership

  16. NHS Estates Performance Team • 5 Divisional Heads • 20 strategic estates advisors • 10 primary care support managers

  17. 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

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