11. Building and Resources

Abstract

Introduction 11-03 How practice premises are financed 11-03 Provided by the local authority or PCO (health centres) 11-03 Rented premises – leasehold rent reimbursement 11-04 Doctor-owned premises – notional rent and cost rent 11-05 NHS LIFT (England only) 11-05 Private finance 11-06 Improvement grants 11-06 Fundraising 11-07 Financing new premises in Wales and Scotland 11-07 Accommodation 11-07 Consulting rooms 11-07 Waiting area 11-08 Music in the waiting room 11-08 Reception area 11-08 Telephone/receptionist administration area 11-08 Practice manager and administration area 11-09 IT and telephones 11-09 Meeting rooms, coffee rooms, libraries 11-09 Toilet facilities 11-09 Disposal of waste 11-09 Storage 11-09 Prams and buggies 11-09 Parking 11-09 Other 11-10 Room sharing and hot-desking 11-10 Hot-desking 11-11 Smokefree practices 11-11 Access to practice premises for disabled people 11-11 The Equality Act 2010 11-12 Definition of disability 11-12 How does the The Equality Act 2010 apply to general practice? 11-12 What action can a disabled person take? 11-13 Building regulations and access for disabled patients 11-13 Building a new surgery 11-13 Defining the existing problems 11-13 Speaking to the PCO 11-14 Finding your architect 11-14 Briefing your architect 11-14 Feasibility 11-14 Land and building acquisition 11-15 Outline proposals 11-16 Scheme design 11-16 Planning application 11-16 Detail design 11-17 Involving staff 11-17 Involving patients 11-18 Production information 11-18 Tender action 11-19 Project planning 11-19 Operations on site 11-20 Completion 11-20 Moving premises 11-21 In advance 11-21 Moving day 11-21 Re-establishing normal service 11-22 When things are settling down 11-22 Property maintenance 11-22 The elements of maintenance 11-23 Main fabric items 11-23 Roofing 11-23 Flooring 11-24 Redecoration 11-24 Electrical 11-24 Heating, ventilation and air-conditioning 11-24 Telecommunications 11-25 Mechanical handling 11-25 Equipment 11-25 Types of maintenance 11-25 Contract maintenance 11-25 Emergency maintenance 11-26 Planned maintenance 11-26 Alterations 11-26 Fire audit 11-26 Responsibility for maintenance 11-26 The contractor 11-27 Sub-contractors 11-27 Payment 11-27 Sinking fund 11-27 Manager’s maintenance checklist 11-27 Fire safety precautions 11-28 Risk assessment 11-28 Escape routes 11-29 Fire extinguishers 11-29 Evacuation 11-29 Fire prevention 11-29 Fire alarms 11-29 Practice fire team 11-30 Fire drill 11-30 Model fire drill instructions 11-31 Practice security 11-3