ABSTRACT
This chapter summarises the main provisions for the acceptance of practice premises for reimbursement purposes, how payments are calculated, and the range of funding options that might be available to practices contemplating changes to their surgeries or relocating to new premises. A key point for any practice to remember is to ensure that they receive clear advice and guidance from their health authority (HA) on premises matters, particularly when contemplating a development scheme. Primary care arrangements underwent a significant change with the launch of primary care groups (PCGs) from 1 April 1999. Along with organisational change, there may be regulatory changes which affect the type of premises payments that apply. That said, the Department of Health has indicated that the cost rent and improvement grant schemes continue to operate and therefore remain relevant. Premises can be separate buildings or form part of a residence and can be rented or owned by the doctor.
