SaHF DMBC Volume 1 Edition 1.1.pdf - Shaping a healthier future

Figure 8.18: Process for assessing GP practices and estimating associated capital
requirements
Survey estates
▪ Drivers Jonas Deloitte, estate
specialists, booked to survey
~160 participating practices
across 7 CCGs, of which
~120 practices are already
in the database
▪ Premises assigned ratings
for condition and disabled
access compliance (DDA)
▪ Costs to upgrade to
acceptable condition/DDA
estimated for each practice
Classify surveyed
estate based on
condition
▪ For properties rated B or
below (but that can be
upgraded), estimated total
cost to upgrade to acceptable
condition / DDA compliance
▪ For properties that we cannot
upgrade due to structural
restrictions (DX), estimated
total cost to rebuild premises
▪ Estimate total costs for
addressing GP premises in
database by combining costs
for upgrading properties and
for rebuilding DX estates
Scale up estimate to
total CCG
▪ Using list sizes, extrapolate
estimated cost to improve
premises of participating
practices to produce an
estimate of total cost to
address all GP premises
across the 7 CCGs that were
surveyed
▪ Estimate for Brent by
referencing Ealing figures
The aim of this work was to understand how primary care estates in NW London can be
used to deliver out of hospital services and how investment in the estate can be best
prioritised to improve quality and capacity. The findings of this survey are summarised in
Figure 8.19.
Figure 8.19: Condition of GP practices in NW London
Sample summary
Surveyed premises
Extrapolated premises
Total
Number of
premises
Number of
premises
surveyed
% of list
served by
premises
surveyed
Rated
condition
B or
above
Rated
below condition
B
(not Dx) 1
Rated DX
on DDA
compliance
Rated
condition
B or
above
Rated
below condition
B
(not Dx) 1
Rated DX
on DDA
compliance
Harrow
35 20 44% 5 5 10 9 9 17
Hillingdon
48 25 51% 7 9 9 13 18 17
Brent 2
n/a n/a n/a n/a n/a n/a n/a n/a n/a
Ealing
82 44 64% 18 11 15 33 21 28
Hounslow
55 22 38% 12 9 1 29 23 3
Hammersmith
and Fulham
32 11 43% 8 1 2 23 3 6
West London
55 13 31% 2 5 6 8 22 25
Central London
36 12 38% 6 3 3 18 9 9
1 Not DX on DDA compliance
2 Brent CCG conducted a similar survey of GP premises in 2012, but comparable results are not available
The investment identified by this review is of two types. Many practices can be upgraded to
meet condition and accessibility standards with relatively low capital investment in existing
buildings. However, a number of practices have significant constraints, which mean they
8c. Out of hospital estates 248