GPC negotiator and premises lead Dr Peter Holden has called for practices to be guaranteed reimbursement for the removal of trade waste.
NHS England's area teams inherited varying policies on funding for removal of trade waste from PCTs. Some funded it, others did not, and while some area teams have maintained funding provided by their predecessors, LMCs say some have stopped payments for trade waste.
Dr Holden has pledged not to sign off the final premises cost directions unless they guarantee that practices will receive reimbursement for trade waste removal costs.
Interim premises cost directions were issued in April when PCTs were abolished but the final document has yet to be agreed. The final guidelines are expected to be agreed by November, NHS England said.
Asked about whether practices should be reimbursed for trade waste removal costs, Dr Holden said: ‘I am damn well demanding it.
‘The 2013 premises regulations are effectively interim ones. The costs of practice properly incurred should be completely reimbursed.'
The GPC believes NHS England lacks the manpower to finalise premises negotiations. ‘We have real trouble with premises,’ Dr Holden said. ‘We are trying to get them back round the table.
‘We kicked off in April but all hell broke loose [with NHS reforms]. They haven’t allocated it the priority it requires. It can’t go on like this.’
NHS England primary care commissioning lead Dr David Geddes said: ‘We appreciate that this is a matter of concern. NHS England and the DH are in discussion about the ongoing process to finalise the premises cost directions as quickly as possible and will be resuming discussions with the GPC.
‘NHS England will be seeking support from NHS Employers and its negotiators to facilitate this process and we hope to bring this to a speedy conclusion.’
An NHS England spokeswoman said that it would be 'inappropriate' to comment on the issue of trade waste before an agreement was reached.