Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps is he taking to help address the maintenance backlog in primary care estates.

The Government recognises the importance of strategic, value for money investments in capital projects, such as new facilities, significant upgrades, or other targeted capital investments.

In May 2025, the Government announced the schemes which integrated care boards (ICBs) nominated as eligible to benefit from the £102 million Primary Care Utilisation and Modernisation Fund to deliver upgrades to more than a thousand general practice (GP) surgeries across England this financial year. These schemes will create additional clinical space within existing building footprints to enable practices to see more patients, boost productivity, and improve patient care.

Building on this, the Government has committed £426 million of Utilisation and Modernisation funding over the next four years to continue upgrading the GP estate. This funding will also support refurbishing the existing estate to deliver Neighbourhood Health Centres over this Parliament as part of the 10-Year Health Plan commitment.

Operational capital funding allocations have been confirmed for the 2026/27 to 2029/30 period, enabling multi-year planning for ICBs and in turn supporting the delivery of the 10-Year Health Plan’s radical vision for care.

The Government has also allocated £750 million per year for estates safety from 2026/27 to 2029/30, with planning certainty for a further five years, totalling £6.75 billion.

ICBs are responsible for commissioning, which includes planning, securing, and monitoring, GP services within their health systems through delegated responsibility from NHS England. The National Health Service has a statutory duty to ensure there are sufficient medical services, including GPs, in each local area.

As part of inspection activity at GP surgeries, the Care Quality Commission will look at the quality of premises under Regulation 15, covering premises and equipment, although there is no overall rating for this aspect. The intention of this regulation is to make sure that the premises where care and treatment are delivered are clean, suitable for the intended purpose, maintained and, where required, appropriately located, and that the equipment that is used to deliver care and treatment is clean, suitable for the intended purpose, maintained, stored securely, and used properly.