Premises update September 2018

This update is applicable to practices who are leasing their premises from Community Health Partnerships (CHP) or NHS Property Services (NHSPS).

Urgent - Occupancy Agreement Letters

We are aware that NHSPS are sending practices Occupancy Agreement Letters and Occupancy Change Notices for completion and return. Please note these have not been agreed with the GPC or LMCs. These documents should be treated with extreme caution, and professional advice should be sought from an appropriately qualified legal adviser with healthcare/general practice knowledge and experience before you sign anything. You are under no obligation to sign the Agreement if you do not agree to its terms.

LMC support with premises issues

NHS England/CCGs have a duty to consult with the LMC over issues that impact general practice, including premises/estates issues. We have set up a GP Premises Liaison Group with Surrey & Sussex LMCs and Barking & Havering LMCs to meet regularly with NHS England London Region, CHP and NHSPS to discuss strategic, policy and operational issues.  We are aware that there are ongoing issues where practices need individual support and we have agreed with NHS England London/CCGs, CHP and NHSPS that they should encourage you to contact GP support for confidential assistance and advice before they take action. They may also confidentially highlight to GP support out of meetings where a practice may need urgent individual assistance; this may result in you receiving a call from one of our GP Support team. Please contact us if you have any concerns regarding this.

London policy for financial assistance with service charges and premises running costs

NHS England London region and London CCGs have developed a policy with the LMCs covering London for accessing financial support for service charges and premises running costs. Please contact GP support on for more information. Please note, there is a gateway with eligibility criteria including: full disclosure of income and expenditure on an open book and annual basis, and production of an action plan to demonstrate how you will optimise your income and reduce expenditure over the next 12 months.

Transitional funding

Such arrangements should only be entered into where you are entirely satisfied that when the transitional period ends you are not inadvertently left having to meet increased costs without the benefit of increased funding. In the view of the BMA and LLMCs, transitional arrangements should be avoided. More permanent solutions which align a practice’s funding to their costs are needed.  

Service charges

Practices should only make payments to the extent that they are both satisfied as to the legal basis upon which they are payable and their accuracy, and set aside/accrue funds while you resolve your concerns. We are aware that this issue is causing practices significant stress.  You can access support through If NHSPS take action to enforce charges against you please contact immediately; you may also wish to contact the GPC on

Last updated : 18 Sep 2018


Practice Manager Leads Forum April 2019 meeting (17 Apr 2019)

April saw Practice Manager Leads Forum come together for discussions, updates and networking at the first of their 2019 meetings. Presentations included:  Cervical screening updates and issues within the...
Read more »

Join our new Health Care Support Workers Forum (17 Apr 2019)

We are excited to announce the launch of our new Health Care Support Workers Forum (HCSW Forum) on Thursday 13 June. It is our pleasure to invite healthcare support workers, healthcare assistants,...
Read more »

Preventing type 2 opt-out codes being recorded in clinical systems (17 Apr 2019)

As we reported in our February 2019 newsletter, type 2 opt-outs have been replaced by the national data opt-out. This means that practices must not use the type 2...
Read more »

What state indemnity means for you (16 Apr 2019)

The Clinical Negligence Scheme General Practice (CNSGP) came into effect on 1 April 2019, meaning NHS Resolution will now settle most negligence claims against GPs undertaking NHS activities. GPs are...
Read more »

Tips of the month April 2019 (15 Apr 2019)

We provide weekly tips based on common queries which come through to us from London GPs and practice teams. These are shared via social media and collated for...
Read more »

Board update - April 2019 (15 Apr 2019)

Several key decisions affecting members were taken at the Londonwide LMCs Board of Directors meeting in March. These included:  Increasing the hourly honoraria rate for LMC activity by £3...
Read more »

Sessional GP subcommittee election nominations (15 Apr 2019)

Nominations for all sixteen seats of the Sessional GP subcommittee for the 2019-22 session are open until 12pm Thursday 18 April 2019. To participate in the election, please log...
Read more »

Scrutiny of NHS spending and plans (12 Apr 2019)

Earlier this month the Parliamentary Public Accounts Committee published a critical report on NHS financial sustainability and the NHS Long Term Plan, following evidence from NHS England, NHS Improvement,...
Read more »
Next Page »