Updated: Nov 17, 2019
Our Health Director Sam McCumiskey has published a piece on LinkedIn on the subject of Primary Care Estate Planning and it is definitely worth a read.
How Can Your Estate/Property be an Enabler to a Successful Primary Care Network (PCN)?
The estate in a Primary Care Network (PCN’s) will play an integral role in delivering your clinical vision and achieving a successful and sustainable PCN.
Seven Tips for PCN’s Estates Planning
Over the last month I have spoken to various PCN Clinical Directors who are already thinking about PCN estate plans. Some are planning to rationalise into a smaller number of “fit for purpose” premises, and some are wondering how they will accommodate new staff from the PCN reimbursement scheme. Below are some tips that should help with PCN estates planning:
1. The obvious first step– you need to know what assets (property and equipment) you have in your PCN. Review your property type, condition, functionality, tenure (ownership/lease arrangements), existing capacity, the building compliance and cost, etc. You need to look beyond your current premises to other local community, Health, Council, and Voluntary assets, e.g. pharmacy’s, libraries, leisure centres, community centres, etc.
2. Review your Core Contract - Understand the details of the contract and what estate aspects are covered under the terms of the contract.
3. Plan ahead collectively – it is essential to understand the short, medium, and long-term housing growth in the borough and review the council’s regeneration plans. It is important to work in partnership with your CCG and Council to agree what the current and future needs are. It is vital to work with the CCG to be part of Council’s long-term plans, e.g. development of the Infrastructure Delivery Plan for health, responses to Planning Applications and section 106 agreements.
4. Like any other transformational / ‘change’ project, it’s all about leadership, engagement and having sufficient resource to deliver the project. Collaboration and working in partnership with local key stakeholders and organisations is key.
5. You need to know the key partners within the Council.You need a viable site or existing building (right place, right size, accessible, available, affordable and compliant). Don’t waste time and money working up a project without a viable site. Knowing how to evaluate if a site is viable is vital.
6. The approval process - You will need to produce a Project Initiation Document (PID) and comprehensive business case to ensure it meets the strategic vision and the scheme is affordable. Do you have the capital to carry out the work? Will your rent and rates be reimbursed? Will the District Valuer assessment align with your rental forecast and are the CCG going to sign off the potential increase in rent reimbursement costs?
7. The world of property and estate planning is complex - You will need some support to develop your estate/project plans and deliver the scheme. Choosing a partner that you can work with is crucial.