Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what support his Department has provided to GP practices operating from newly built premises with (a) building and (b) maintenance issues; and what assessment he has made of the effectiveness of that support in helping to resolve those issues with landlords.

The provision and maintenance of premises is typically the responsibility of GP partners, who are either owner-occupiers or tenants of their surgery buildings. The National Health Service reimburses partners for the recurring costs of operating in the property (rent, notional rent or mortgage cost) and funds services in the GP contract.

GP owner-occupiers are responsible for all maintenance and repair of their property. For GP practices that rent their premises, their lease agreement sets out who is responsible for maintenance. A ‘Full Repairing and Insuring’ (FRI) lease requires the practice to handle all repairs, while a ‘Tenant’s Internal Repairing’ (TIR) lease means the landlord covers external and structural issues.

Commissioners may award improvement grants to GP practices to fund extensions, improvements, and enhanced physical access. This can be up to 100% of a project’s value, subject to discretion and the integrated care board’s available budget, under provisions of the NHS (General Medical Services) Premises Costs Directions 2024.

The £102 million Primary Care Utilisation & Modernisation Fund, announced at Autumn Budget 2024, is upgrading more than a thousand GP surgeries across England by April 2026.

Where facilities are an issue, it is imperative that General Practices work with the local Commissioner. There may be capital or revenue solutions to general practice premises and facilities’ needs.