New Arrangements for GMS & PMS Premises

New Arrangements for GMS& PMS Premises

Keith Houghton

0113 2547089

0771 8030734


Keith Houghton

0113 2547 124

07718 03 07 34


• Demise of Statement of Fees & Allowances

• Replaced by easier to administer nGMS arrangements set out in Directions

• These arrangements may be used for PMS


• GMS “but not as we know it”

• Service provision to be agreed in contract

• Global sum agreed with providers


• 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


• 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

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

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

Current Estate Strategies

• Review current NHS and third party estate

• Estate audit outcomes

• Reflects investment requirements

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

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

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

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

Issues for the Future

• SSDP-led investment prioritisation

• PCT expertise

• Identifying a lead-PCT

Support Facilities

• NHS Estates Strategic Advisors

• NHS Estates PC Development Managers

• NHS Estates-NatPaCT partnership

NHS Estates Performance Team

• 5 Divisional Heads

• 20 strategic estates advisors

• 10 primary care support managers

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

New Arrangements for GMS & PMS Premises

Documents

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