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 on new 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

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

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

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

18. 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