ABSTRACT

This conclusion presents some closing thoughts on the concepts covered in the preceding chapters of this book. The book illustrates the innovative developments. It explores the complex interactions between the priorities and objectives of different professional and community stakeholders, capital procurement opportunities and restrictions and pressures to secure long-term revenue income, within an overall regulatory framework that ensures public probity and value for money. In short, innovative and imaginative primary care development is not a straightforward, linear process in which service objectives are identified, capital secured and new premises constructed. For any development involving GPs, the first source of potential funding is reimbursement through the cost rent and notional rent schemes set out in the statement of fees and allowances. The services offered by some private sector capital procurement and property development companies could offer risk transfer from GPs.