Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what support is available to GP practices operating from newly built premises that subsequently experience (a) building and (b) maintenance problems not identified at the (i) planning and (ii) construction stage.

The provision and maintenance of premises are typically the responsibility of general practice (GP) partners, who are either owner-occupiers or tenants of their surgery buildings. This includes addressing any building or maintenance issues identified after the planning and construction phases. The National Health Service reimburses partners for the recurring costs of operating in the property, for instance rent, notional rent, or mortgage costs, and funds services in the GP Contract.

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

Commissioners may award improvement grants to GPs 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 boards available budget, under provisions of the NHS (General Medical Services) Premises Costs Directions 2024.

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

Where facilities are an issue, it is imperative that GPs work with the local commissioner. There may be capital or revenue solutions to GP premises and facilities’ needs.