Posts Tagged ‘primary care trusts’

PCT’s community services plans “CIC’d” into touch

Friday, February 10th, 2012

NHS Gloucestershire’s plans to transfer its community services to a newly formed community interest company (CIC) have been shelved following a judicial review challenge.

The challenge was brought by a local resident who claimed that the primary care trust (PCT) had not followed a proper process before deciding to award the community services contract (reportedly worth about £80 million a year) to the CIC.

A settlement was reached yesterday at the High Court under which the PCT agreed, without accepting that there was any merit in the claim, that it would not implement its decision to award a contract to the CIC at this time. The PCT will now start a new process to explore the best option for providing community services in Gloucestershire, which will include advertising for expressions of interest.

The case (and the costs and delays resulting from it) highlights the importance of ensuring, particularly in the current climate, that procurement processes are as watertight as possible.

Posted by Jonathan Hayden, specialising in: advising health and social care clients including clinical commissioning groups, primary and secondary care contracting, commercial contracts, joint ventures, statutory powers/duties and governance.

Jonathan  Hayden

Jonathan Hayden
0121 237 4551
jhayden@brownejacobson.com

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NHS Commissioning Board structure up for approval

Monday, January 30th, 2012

The future structure and operation of the NHS Commissioning Board is set to be discussed at its board meeting this week.

Its board will consider a 63-page document outlining the NHS Commissioning Board’s future structure. It will have an “hour glass” shape – an 800-strong central office, four commissioning sectors (based on SHA cluster locations) and, at least initially, 50 local offices (covering PCT cluster areas). Each commissioning sector and local office is expected to have about 50 staff.

Whilst there is logic behind the structure, some might question how lean this structure really is. However, it seems that the NHS Commissioning Board’s budget represents a reduction of about 50% compared to the running costs of the functions transferring to it.

The board will also be asked to approve and adopt Clinical Commissioning Group guidance that has been in circulation (some in draft form) for a few months. Don’t ignore the board papers accompanying each item either, as they also contain some useful information.

Posted by Jonathan Hayden, specialising in: advising health and social care clients including clinical commissioning groups, primary and secondary care contracting, commercial contracts, joint ventures, statutory powers/duties and governance.

Jonathan  Hayden

Jonathan Hayden
0121 237 4551
jhayden@brownejacobson.com

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Lansley confirms NHS property company details

Thursday, January 26th, 2012

Last week we commented on proposals for a new national property company (“PropCo”) to be set up to manage the primary care trust (PCT) estate. The Secretary of State for Health has now confirmed the details.

PropCo is to be a government-owned limited company, NHS Property Services Limited. It will be wholly owned by the Department of Health and its role will be to own and manage that part of the PCT estate not required by community care providers. Property that is needed for clinical services, and mainly occupied by providers for that purpose, will be transferred to them. Support for the PCT estate will continue to be provided through existing contractual arrangements in place with service providers that already deliver and maintain NHS properties.

Now that the principle of a single management company for the estate has been established, there is real opportunity for structured management of the entire portfolio and long called for clarity on the future of the estate.

Posted by Stewart Gregory, specialising in: property law, particularly its application within the healthcare sector; advises the commercial and residential sector on site acquisitions and completed development disposals.

Stewart Gregory

Stewart Gregory
0115 976 6299
sgregory@brownejacobson.com

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PropCo” to take over the PCT Estate?

Wednesday, January 18th, 2012

A new national property company “PropCo” could be set up to manage the primary care trust (PCT) estate.

According to media reports the Department of Health is considering plans that the PCT estate will be better managed by a single management organisation, rather than by numerous successors to the individual PCT’s. There are suggestions that the PropCo could be devolved into regional subsidiaries with regional arms, but at this stage nothing is concrete.

Early opinion appears to be mixed. However, key questions remain, such as what effect this will have on the day-to-day management and dealings with individual NHS properties. It could be suggested such an approach may create uniformity in managing the PCT retained estate “across the board”. However, will such centralisation slow down the delivery of patient services and the placing of new providers into those properties?

There will be a need to carefully review these proposals as they emerge, but guidance on future property holding arrangements will be welcome news for PCTs.

Posted by Mick Suggett, who specialises in commercial freehold and leasehold property within the public health and local authority sectors; preparation of reports on title for lenders and public bodies.

Mick Suggett

Mick suggett
0115 908 4885
msuggett@brownejacobson.com

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PCT estate – at last some answers?

Friday, August 5th, 2011

The Department of Health yesterday issued the first part of the long awaited guidance on the future ownership and management of the existing PCT estate.

The guidance specifies five core principles underpinning the final arrangements of where the estate is to go:

  • Protecting assets and maintaining future flexibility
  • Ensuring efficiency
  • Supporting the provision of safe, fit for purpose buildings
  • Ensuring value for money
  • Observing effective estate management

The specific guidance deals with those premises providing community services (community properties). These may transfer to aspirant community foundation trusts, other NHS trusts and foundation trusts (recipient trusts) who occupy more than 50% of the lettable area of a property. We will have to wait for further guidance on surplus land, administrative premises and, perhaps most interestingly, LIFT and PFI premises.

The timetable in the guidance seems extremely tight. PCTs must review and provisionally agree lists of transferring properties with affected recipient trusts by 14 September 2011. Whilst the work carried out for the transforming community services transfers earlier this year will assist, this is still a lot of work and negotiation - particularly as the recipient trusts have to be ‘willing’ recipients.

Posted by Thomas Howard, who specialises in commercial property with extensive experience of advising health clients on all property related matters and advising commercial clients on site acquisitions and disposals.

Thomas Howard

Thomas Howard
0121 237 3951
thoward@brownejacobson.com

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Foundation trusts to acquire PCT estates

Thursday, February 3rd, 2011

The Department of Health has confirmed that aspirant community foundation trusts (CFTs) will soon have an opportunity to acquire the primary care trust (PCT) property they work from.
All acquisitions of freehold interests, or capitalised leasehold interests, will be financed by the public dividend capital and therefore subject to an overage provision which states that 50% of any profit made on future disposal will be payable back to the Secretary of State for Health (SoSH). There are also to be provisions for the SoSH to buy back the asset in the event that the CFT no longer requires it.
Whilst all transfers of legal interests must be signed off by the strategic health authority, there is no detailed guidance at present or precedent documentation to guide PCTs and aspirant CFTs through this process.

This will be a complex process and whilst placing these provisions in freehold transfers will be tricky enough, we anticipate this will be considerably more so where properties are leasehold due to the existence of third party landlords.

Posted by Mick Suggett, who specialises in commercial freehold and leasehold property within the public health and local authority sectors; preparation of reports on title for lenders and public bodies.

Mick Suggett

Mick suggett
0115 908 4885
msuggett@brownejacobson.com

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