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

2. New Arrangements for GMS & PMS Premises Jim Latta 0113 2547 164 07788 416 504

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 Separate element for infrastructure costs comprising three elements: –existing spend –resources to meet commitments contractually agreed by 30 September 2003 –plus weighted growth element to meet costs of developments agreed after 1 October, IGs, use of flexibilities etc

5. 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 priorities agreed collectively

6. New Arrangements for GMS & PMS Premises Premises funding an element of PCT allocations and can be topped-up Baseline determined by recent AWP exercise Significant growth funding will start to be made available from 1 April 2004

7. Role of SHA is to….  Appoint lead PCT to put in place investment prioritisation arrangements  Endorse a framework for SSDP development (to include PPF)  Be satisfied that proposed estate investments address national and local service priorities

8. Role of SHA (contd.) Establish links between Lead PCT proposals and SHA wide capital developments Be satisfied that financial accounting and governance framework in place Be satisfied premises investment underpins Modernisation Broker agreements in disputes between PCTs

9. Role of Lead PCTs  Ensure adequate arrangements for management of the premises allocations  Work with constituent PCTs to develop an agreed policy on: - arrangements to prioritise investment proposals - business case arrangements - funding use of new premises flexibilities, contingency measures etc

10. Role of Lead PCTs (contd)  Co-ordinate PCT SSDPs and estate strategies  Ensure parity of access to growth funding to address historic lack of estate investment  Link service developments to modernisation, e.g. Out of Hours, Walk in Centres  Facilitate collective expertise on estate management and procurement  Advise SHA of PCT-agreed investment strategy priorities

11. 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

12. Access to Support 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. Support Facilities NHS Estates Strategic Advisors NHS Estates PC Development Managers NHS Estates-NatPaCT partnership

15. Overall Aim Is To…. work thro’ SHAs to monitor and support PCT delivery to…. inform PC NHS capital allocations to…. target investment where most needed.