The Future Shape and Structure of Primary Care Property

Session 1

Understanding the service provider models and practice issues: implications for practice revenues, partnership structures and the incomes of equity partners

• How has primary care changed in recent years?
• Can the partnership model survive? Is the partnership agreement robust or flawed? 
• Retirement of GPs 
• Recruitment & succession planning 
• Composition of partnerships 
• Impact of Primary Care Networks 
• ICS/ICBs 
• Premises Directions 

Presenters:
Adam Thompson, Director, Primary Care Surveyors
Dr Mark Gaffney, Senior Partner, Chairman of the Victoria Medical Centre and Clinical Director of the Victoria PCN 

Session 2

Review of premises 

• What is the primary care estate like? 
• Is the current estate fit for purpose – fit for the increasing role of technology and digital? Fit for a post-COVID-19 world? 
• What has changed? 
• Confidentiality 
• Infection control – lessons from COVID-19 
• New build opportunities – balancing patient and staff experience through design and specification 
• Footfall 
• Patients’ acceptance of new ways 

Presenters:
Adam Thompson, Director, Primary Care Surveyors
Gareth Jenkins, Director and Architect, studio four architects ltd

Session 3

Development and redevelopment opportunities and site values 

• Requirement for new premises 
• What size? 
• How much does a new medical centre cost? 
• NHS approval process 
• Methods of ownership of premises 
• Lease or own – third party landlord; where partners own the freehold of the practice premises 
• What lease terms 
• Asset versus liability 
• Creating space for long-term value 
• Investor appetite – deals recently done – returns – outlook and opportunities 
• How major investors react to shocks like COVID-19 and the attack on Ukraine. Lessons from past events 
• Banking appetite for the primary care sector 
• Alternative use values and opportunities
• Anticipating the future
• Interest rates and inflation

Presenters:
Adam Thompson, Director, Primary Care Surveyors
Jon Webb, Development Director, Assura PLC