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Trefor. You are all barmy.
Come to the land down under and live the life of real GP.
Went whale watching today, 2 miles away, good vantage point, Saw a small group on their way past, what a thrill.
The kids enjoy swimming with the local dolphins but I prefer to sit back and watch the big fellas going past at this time of the year, with calves next to them sometimes.
Just bought a few acres next door to the national forest, paid next to nothing, and now have a large ex racehorse as my latest pet, I ride to the beach for a swim as he loves the waves, and he is a gentle as a lamb.
Nice watching the wallabies being chased way from my banana trees by the dog, as I sit on the verandah, watching the sunset in blissful weather, knowing the kids are safe, and that all is right with the world.
I have no idea why we left it so late to make this move, but now we have, I am experiencing true happiness and a lifestyle that any GP and their family deserves.
PCTS? Feck em. We have mediscare. But it is nothing, and I mean NOTHING, when you compare what it was like working and suffering the abuse, the hours, the lack of life, the huge pisstake by the entire world and his master at a UK GPs expense.
Tell em where to put it and write them a px for ky gel and then come to the land of plenty.
I promise you won't regret it


On Mon, Jun 25, 2012 at 9:32 PM, Trefor Roscoe <[log in to unmask]> wrote:
We have just had a major refurbishment of our  PCT owned second surgery. The
legal discussions on the wording of the new lease , given that they wanted
to cover the changes to the transfer to NHSPS went on for over three months
longer than anticipated and cost us nearly £10k. We used a specialist
property solicitor in Guilford who is very concerned about the implications.
Insuring and repairing leaseholds are way more expensive than the previous
arrangements and there is little safeguarding of our position in the future.
There is no guarantee that the rent reimbursement will cover future rent
rises. Our service charges have more than doubled.

One example of the changes and the risks is we contribute to the insurance
premiums for fire, flood etc. as part of our service charges. In effect we
are paying two thirds (we use about 70% of the building). During
negotiations we discovered that the insurance policy has a large excess
(thought to be about £50k, but it may be as high as £100k). This is done to
reduce the premium to the minimum.  Thus if the building burnt down we would
have to find £30-50k to help with the rebuild, and we do not own it and
would not afterwards. We could not get this clause removed. On the plus side
we have a fully redesigned and refurbished health centre to work in that has
had a £500k refit, for which we have paid about £25k in new equipment and
moving costs (plus the legal costs).

We refused to pay the stamp duty which is payable when there is a new lease.
Be warned, you may be asked to pay it and it is a proportion of the value of
the property or the annual rental and can be as much as 4%.

We have insisted on a three year break clause so we can get out, there was
talk of the contract being for 10 years initially.

This is another example of the Government thinking it knows what it is doing
and transferring risk to GPs. It is another way that will make being a
partner is uneconomic.

Trefor

-----Original Message-----
From: GP-UK [mailto:[log in to unmask]] On Behalf Of Mary Hawking
Sent: 22 June 2012 20:15
To: [log in to unmask]
Subject: NHS Property Services: what does this mean for GPs and CCGs?

Apparently there are plans for putting  NHS estates and properties under a
new company: NHS Property Services - but they don't seem to take GPs and
CCGs into consideration!

Looking a bit beyond this,
http://eoin-clarke.blogspot.co.uk/2012/06/meet-propco-set-to-oversee-52bn-se
ll.html
I found the relevant document on the DH website
http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsP
olicyAndGuidance/DH_129008
and I'm confused about the implications for general practice and CCGs.

Is the blog correct and all PCT property will be transferred to a company
owned - but not controlled - by DH - and liable to be sold off (presumably
with all the NHS assets)?

The DH document does not mention CCGs or successor organisations: does this
mean that CCGs will inherit the debts but not the surpluses of CCGs - and
now will not inherit any of the administrative offices they will need?
Presumably, administrative rents will also have to come out of the CCG
Management Allowance - of around £25 per head of registered population?

What happens to GP leases if their surgery is in a Health Centre - and will
any new Notional Rent schemes (btw, what is supposed to happen to financing
the provision of GP surgery rents or equivalents - both system and
organisation responsible?)

How will this affect us locally?


Mary Hawking
"thinking - independent thinking - is to humans as swimming is to cats: we
can do it if we really have to."  Mark Earles on Radio 4.
 don't forget patients like Fred!
http://primaryhealthinfo.wordpress.com/2012/03/11/whats-holding-fred-back/