GP Surgery Lease Negotiations: What Practice Managers Need to Know Before Signing
A GP surgery lease is one of the most significant and least well-understood financial obligations a practice carries. Most leases last 15 to 25 years. The terms negotiated — or not negotiated — at the outset determine the practice's obligations on repairs, dilapidations, rent review, break options, and assignment for the duration of that term. A poorly negotiated lease can cost a practice tens of thousands of pounds more than a well-negotiated one for the same building.
Ventilation in GP Surgeries and Dental Practices: What HTM 03-01 Requires and How to Stay Compliant
Ventilation in primary care settings is a patient safety issue, not just a comfort consideration. HTM 03-01 — the NHS Health Technical Memorandum governing heating and ventilation in healthcare buildings — specifies minimum air change rates, filtration standards, and pressure relationships for clinical environments. CQC inspectors do not verify ventilation engineering directly, but they will ask for maintenance records and ask whether the system has been validated since installation.
Equality Act Compliance for GP Surgeries: Meeting Your Disability Access Obligations
The Equality Act 2010 requires GP surgeries to make reasonable adjustments to remove physical barriers that put disabled patients at a substantial disadvantage. For many practices operating in pre-2000 buildings, the building itself is the barrier. Unlike some areas of premises compliance where failing an inspection is the immediate consequence, Equality Act breaches create direct legal exposure to individual patient claims — there is no inspection-based warning before a case is lodged at tribunal.
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