Local workshops and one to one support

The premises services team can deliver a number of workshops for your organisation. If you have specific training needs you would like to discuss please contact either your local adviser or drop us a line at

One to one support or mentoring for new team members can also be provided upon request.

Creating the foundation for primary care at scale

With GP practices based on sites ranging from terraced houses to shiny, purpose-built health centres the role of premises management for local commissioners can be a tricky one.

Working with CCG and NHS England local teams, PCC primary care adviser Mike Simpson considers some of the thorniest issues around the funding and use of primary care premises. This includes the likely impact of an imminent revamp of premises cost directions (PCDs) – the do’s and don’ts which govern reimbursements to practices for their premises costs. Read more

New rules will help but commissioners and practices need to keep talking about premises

In updating rules that guide the funding of GP premises, NHS England has been stretching the definition of “imminent” for more than two years.

PCC premises and finance adviser Mike Simpson argues that even if the new premises costs directions (PCD) were available, they would not resolve all the issues commissioners and primary care providers face around the funding and use of premises. Read more

PCNs need transformative approach to premises

“Primary care networks are expected to have a transformational effect on primary care services. It’s hard to imagine how they’ll pull that off unless they can also transform their premises and estates. And right now that’s one of the biggest challenges facing PCNs.” So says Mike Simpson, primary care premises and finance adviser with PCC. Read more

Premises owner-occupier legal advice – April 2021

It is becoming increasingly common for retiring GPs to maintain ownership in their former practice premises alongside the current partners. In these circumstances it would be good practice to formally document the occupancy arrangements between the contractor and the ex GPs. It has previously been agreed that for the purposes of rent reimbursement, this arrangement can be treated as being owner-occupied and be paid notional rent. Increasingly however, parties to this type of arrangement want to formalise the agreement and sign up to an actual lease. At the time that the Premises Costs Directions (PCDs) were first published, in 2004, this type of arrangement was not envisaged and a definition of owner-occupier was not included. This increasingly common situation has resulted in a lack of clarity as to what type of reimbursement should be made by the commissioner, notional rent or actual rent. NHSE/I has taken legal advice on the matter and the opinion of the lawyers is that if the parties want to formalise their occupancy arrangements by way of entering into leasehold arrangements then the contractor should be reimbursed leasehold premises rent under Direction 31. If they are happy to occupy the premises under a, less formal, occupancy agreement then the contractor should be reimbursed notional rent in accordance with Direction 41.

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