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Primary Care Trusts
How we may help recommend
a strategy for your PCTs on premises:
GPs in poor premises are often limited in expansion
due to site limitations. The Utilisation of notional
rent to the mutual benefit of the PCT & Practice
is a distinct possibility, together with a degree of
subsidy from private sector tenants.
Timescales of projects
dictate that many PCTs are having to progress rapidly
with their agenda on premises and early initiatives are
often rewarded whilst funding remains available. Resources
are scarce to develop Premises Business Plans and inevitably
a Public Private Partnership will help drive things forward
faster.
LHF has ideas for today and tomorrow and a vision
for Modernisation of Primary Care Premises. Initiatives
may give rise to opportunities to increase a range of
services for patients and help achieve the Health Secretary's
goal of patients and primary care staff feeling proud
when entering NHS premises.
The major aim is to produce
cost-effective premises, value for money and increase
morale in Primary Care.
Available Options Studies need
to be undertaken to identify if any additional services
need to be provided from the premises at the design stage & whether
refurbishment or re-build is the option.
LHF can help
the PCT plan and budget for providing temporary modular
accommodation during any re-construction phase. We can
also aid organisations with a mapping exercise of GP
services in relation to existing Community premises.
Your
organisation may need to assess the need around the existing
premises and whether a service is viable and necessarily
delivered from this site or likely to relocate or require
relocation in the future.
LHF recommends that the PCTs
begin early communication with GPs over their intention
regarding premises and potential negotiations over new
lease terms based on improved premises and including
any new initiatives and modernisations. Each Community
or GP Health Centre building needs to be surveyed to
assess its suitability for re-modelling/refurbishment/extension.
Some
will be suitable for refurbishment and extension, but
others will certainly need to be demolished and re-built.
Even dilapidated premises may be in a prime location
and the land may be a considerable asset.
How can Lunn Healthcare Facilities help?
LHF can provide Management Consultancy and aid in the
appointment of a specialist Developer to advise on the
condition and development options for each Health Centre & all
the current Community sites. This would result in the
production of a 'Premises Business Plan' for your organisation.
Early
approaches need to be made to GPs to ensure the long
term viability of notionally rented premises. Resources
from Dept. Of Health initiative on 'Modernisation of
Premises' need to be explored.
All this needs to be matched
with the desire the PCT has to own property together
with careful consideration of estates management liability.
Deprived areas should also have access to quality premises.
Encouragement of private sector involvement may also
help with rent subsidy.
Achieving The Right Balance involves
consideration being given to as many community services
as possible being delivered from the same premises as
GPs currently in the notional rent scheme. This may help
maximise efficiency or alternatively, as many GP services
as possible being delivered from the same premises as
Community Services therefore attracting a combination
of notional rent and private investment.
We could also
explore on behalf of the PCT, fully equipping these
centres with IT and equipment, furniture, fixtures and
fittings, which could potentially be on a leased basis
standardising quality across all Trust premises.
We would
aim to produce a property portfolio for your PCT
with a map of premises, estimate of Maintenance Costs,
site appraisals and recommendations based on your intentions
for service delivery. We will help develop a priority
list e.g. Cat 1 = urgent, Cat 2 = medium-term, Cat 3
= long-term.
Primary Care One-stop may be desirable based
on your organisation`s health needs assessment within
the locality.
If good community and GP premises already
exist, then expansion potential could be assessed.
'Value for Money' could be measured by a number of factors
such as 1. Length of lease 2. Potential yield if Private
Developer 3. Landlord / tenant relationship 4. Utilisation
capital assets e.g existing land could improve potential
for Primary Care in a particular area.
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