New Arrangements for GMS& PMS Premises

Jim Latta

0113 2547 164

07788 416 504

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

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

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

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

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

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

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

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

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

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

Support Facilities

• NHS Estates Strategic Advisors

• NHS Estates PC Development Managers

• NHS Estates-NatPaCT partnership

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.