ABSTRACT
A doctor must have health authority (HA) approval to build new premises. Several factors can affect their decision, for example, present premises and patient list size; but now HA budgets. The procedures for 'new build' are slightly different from that for extension developments. The surgery design must be in accordance with the general notes issued by the HA and the cost rent scheme. Floor areas should be shown in schedules. Patient flow and confidentiality must be considered. The design must be submitted to the HA, who may consult the medical advisor. They approve, in principle, the scheme in terms of the floor areas, room sizes and general layout. Following HA approval, budget costs must be prepared and submitted to the HA. Value added tax (VAT) is payable on the building costs and professional fees at the prevailing rate. As works proceed, advise the HA of any change or variations immediately; they may well approve abnormal costs if problems are encountered.
