Exclusive: PCTs fail to spend £161 million on GP premises

PCTs have failed to spend an average of £50 million a year of the money they were given to deal with crumbling GP premises.

Dr Peter Holden
Dr Peter Holden

Figures from the National Audit Office show that, between 2004 and 2007, PCTs were allocated £1.4 billion to upgrade GP surgery buildings. But £161 million of this money remained unspent.

Dr Peter Holden, a GPC negotiator, said the figures were ‘outrageous'.

‘If they spent £50 million a year they could have completely renovated one in eight surgeries,' he said.

NAO figures show that the under spend has grown over time. In 2004/5, PCTs spent £370 million out of £386 million that had been allocated for building work. But in 2006/7, they spent only £437 million of an allocation of £550 million - leaving more than 20 per cent of the cash unspent.

David Stout, director of the PCT Network, which is part of the NHS Confederation, said that the under spend resulted from local factors. ‘It'll be PCTs balancing their books and making local decisions about the most appropriate investment decisions,' he said.

He added that the under spend on premises was a tiny share of funding for GP services as a whole, which stood at £7.8 billion in 2006/7.

PCTs spent far more than their allocation on other aspects of the new contract.

Between 2004 and 2007, they spent £384 million more than their budget on the quality framework, for example.

The unspent premises money is for maintenance and renovation rather than new buildings. Mr Stout noted that many of the worst surgeries ‘probably need replacing rather than tarting up. So this particular type of investment probably wouldn't help'.

He added that there was nothing to stop GPs from using practice income for this kind of work.


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