New Arrangements for GMS

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New Arrangements for GMS PMS Premises

• Keith Houghton
• 0113 2547089
• 0771 8030734

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New Arrangements for GMS PMS Premises

• Keith Houghton
• 0113 2547 124
• 07718 03 07 34

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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

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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

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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

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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

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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

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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

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Current Estate Strategies

• Review current NHS and third party estate
• Estate audit outcomes
• Reflects investment requirements

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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

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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

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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

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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

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Issues for the Future

• SSDP-led investment prioritisation
• PCT expertise
• Identifying a lead-PCT

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Support Facilities

• NHS Estates Strategic Advisors
• NHS Estates PC Development Managers
• NHS Estates-NatPaCT partnership

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NHS Estates Performance Team

• 5 Divisional Heads
• 20 strategic estates advisors
• 10 primary care support managers

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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