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50% FM subsidy announced for GPs in NHS facilities

12 August 2019

GP practices based in NHS facilities have been told they will receive a minimum 50% subsidy for their FM and service charges following an announcement by a clinical commissioning group (CCG).

According to, the statement was made by NHS Sunderland CCG, extending the subsidy it currently offers to practices based on NHS estates.

The move has been made to help address financial pressures caused by increases in NHS Property Services (NHSPS) charges.

Pulse stated that it has "long documented disputes over premises services charges" caused by changes to the NHSPS charging systems.

It provided the example of increases in fees of up to 400% and the case of the annual service charge for one practice increasing from £14,000 to £48,870.

Disputes are continuing on the level of charges, said Pulse, but stated that latest CCG announcement "might offer a solution".

Sunderland CCG has offered practices within NHSPS facilities subsidies since March last year for FM and service charges.

These have been agreed over a 10-year period and based on "a fair shares allocation" said the Pulse report.

It further stated that the Sunderland CCG had agreed to make the subsidies permanent when the 10-year period expires, according to official papers from the meeting that made the decision, while increasing the level to 50%.

Discussions over FM and service charges are continuing, mainly between the British Medical Association (BMA) and NHSPS, with former threatening to launch legal action over the high level of fee increases experienced by some GP practices.

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