The Government recognises the importance of strategic, value for money investments in capital projects, such as new facilities, significant upgrades, or other targeted capital investments.

In May 2025, the Government announced the schemes which integrated care boards (ICBs) nominated as eligible to benefit from the £102 million Primary Care Utilisation and Modernisation Fund to deliver upgrades to more than a thousand general practice (GP) surgeries across England this financial year. These schemes will create additional clinical space within existing building footprints to enable practices to see more patients, boost productivity, and improve patient care.

Building on this, the Government has committed £426 million of Utilisation and Modernisation funding over the next four years to continue upgrading the GP estate. This funding will also support refurbishing the existing estate to deliver Neighbourhood Health Centres over this Parliament as part of the 10-Year Health Plan commitment.

Operational capital funding allocations have been confirmed for the 2026/27 to 2029/30 period, enabling multi-year planning for ICBs and in turn supporting the delivery of the 10-Year Health Plan’s radical vision for care.

The Government has also allocated £750 million per year for estates safety from 2026/27 to 2029/30, with planning certainty for a further five years, totalling £6.75 billion.

ICBs are responsible for commissioning, which includes planning, securing, and monitoring, GP services within their health systems through delegated responsibility from NHS England. The National Health Service has a statutory duty to ensure there are sufficient medical services, including GPs, in each local area.

As part of inspection activity at GP surgeries, the Care Quality Commission will look at the quality of premises under Regulation 15, covering premises and equipment, although there is no overall rating for this aspect. The intention of this regulation is to make sure that the premises where care and treatment are delivered are clean, suitable for the intended purpose, maintained and, where required, appropriately located, and that the equipment that is used to deliver care and treatment is clean, suitable for the intended purpose, maintained, stored securely, and used properly.

There is no separate assessment of general practice (GP) premises as part of the Care Quality Commission’s (CQC) assessments of practices. The CQC’s Premises Regulations, primarily Regulation 15, mandate that care locations must be clean, suitable, secure, and properly maintained, ensuring safety for users. As of 15 January 2026, in England there are 5,520 GP surgeries rated as Good, 256 rated as Requires Improvement, and 20 rated as Inadequate. five locations have yet to be rated.

The Government recognises the importance of strategic, value for money investments in capital projects, such as new facilities, significant upgrades, or other targeted capital investments.

In May, we announced schemes which will benefit from the £102 million Primary Care Utilisation and Modernisation Fund to deliver upgrades to more than a thousand GP surgeries across England this financial year. These schemes will create additional clinical space within existing building footprints to enable practices to see more patients, boost productivity, and improve patient care.

NHS England is responsible for funding allocations to integrated care boards (ICBs). This process is independent of the Government, and NHS England takes advice on the underlying formula from the independent Advisory Committee on Resource Allocation (ACRA). The most recent allocations take into account an ACRA-recommended change specifically focused on rurality.

ICBs are responsible for commissioning, which includes planning, securing, and monitoring, GP services within their health systems through delegated responsibility from NHS England. The NHS has a statutory duty to ensure there are sufficient medical services, including general practices, in each local area. It should take account of population growth and demographic changes.

There is no separate assessment of general practice (GP) premises as part of the Care Quality Commission’s (CQC) assessments of practices. The CQC’s Premises Regulations, primarily Regulation 15, mandate that care locations must be clean, suitable, secure, and properly maintained, ensuring safety for users. As of 15 January 2026, in England there are 5,520 GP surgeries rated as Good, 256 rated as Requires Improvement, and 20 rated as Inadequate. five locations have yet to be rated.

The Government recognises the importance of strategic, value for money investments in capital projects, such as new facilities, significant upgrades, or other targeted capital investments.

In May, we announced schemes which will benefit from the £102 million Primary Care Utilisation and Modernisation Fund to deliver upgrades to more than a thousand GP surgeries across England this financial year. These schemes will create additional clinical space within existing building footprints to enable practices to see more patients, boost productivity, and improve patient care.

NHS England is responsible for funding allocations to integrated care boards (ICBs). This process is independent of the Government, and NHS England takes advice on the underlying formula from the independent Advisory Committee on Resource Allocation (ACRA). The most recent allocations take into account an ACRA-recommended change specifically focused on rurality.

ICBs are responsible for commissioning, which includes planning, securing, and monitoring, GP services within their health systems through delegated responsibility from NHS England. The NHS has a statutory duty to ensure there are sufficient medical services, including general practices, in each local area. It should take account of population growth and demographic changes.

There is no separate assessment of general practice (GP) premises as part of the Care Quality Commission’s (CQC) assessments of practices. The CQC’s Premises Regulations, primarily Regulation 15, mandate that care locations must be clean, suitable, secure, and properly maintained, ensuring safety for users. As of 15 January 2026, in England there are 5,520 GP surgeries rated as Good, 256 rated as Requires Improvement, and 20 rated as Inadequate. five locations have yet to be rated.

The Government recognises the importance of strategic, value for money investments in capital projects, such as new facilities, significant upgrades, or other targeted capital investments.

In May, we announced schemes which will benefit from the £102 million Primary Care Utilisation and Modernisation Fund to deliver upgrades to more than a thousand GP surgeries across England this financial year. These schemes will create additional clinical space within existing building footprints to enable practices to see more patients, boost productivity, and improve patient care.

NHS England is responsible for funding allocations to integrated care boards (ICBs). This process is independent of the Government, and NHS England takes advice on the underlying formula from the independent Advisory Committee on Resource Allocation (ACRA). The most recent allocations take into account an ACRA-recommended change specifically focused on rurality.

ICBs are responsible for commissioning, which includes planning, securing, and monitoring, GP services within their health systems through delegated responsibility from NHS England. The NHS has a statutory duty to ensure there are sufficient medical services, including general practices, in each local area. It should take account of population growth and demographic changes.

The provision and maintenance of premises are typically the responsibility of general practice (GP) partners, who are either owner-occupiers or tenants of their surgery buildings. This includes addressing any building or maintenance issues identified after the planning and construction phases. The National Health Service reimburses partners for the recurring costs of operating in the property, for instance rent, notional rent, or mortgage costs, and funds services in the GP Contract.

GP owner-occupiers are responsible for all maintenance and repair of their property. For GPs that rent their premises, their lease agreement sets out who is responsible for maintenance. A Full Repairing and Insuring lease requires the practice to handle all repairs, while a Tenant's Internal Repairing lease means the landlord covers external and structural issues.

Commissioners may award improvement grants to GPs to fund extensions, improvements, and enhanced physical access. This can be up to 100% of a project’s value, subject to discretion and the integrated care boards available budget, under provisions of the NHS (General Medical Services) Premises Costs Directions 2024.

The £102 million Primary Care Utilisation and Modernisation Fund, announced at the 2024 Autumn Budget, is upgrading more than a thousand GP surgeries across England by April 2026.

Where facilities are an issue, it is imperative that GPs work with the local commissioner. There may be capital or revenue solutions to GP premises and facilities’ needs.

Integrated care boards (ICBs) are responsible for assessing the requirement for the physical expansion of general practice premises to manage additional patient registrations. ICBs will also undertake assessments of housing plans and develop strategic plans to manage new populations and registered patients. Under this assessment, applications may be made via the planning authority to secure capital funding to mitigate the impact of new residents and patient registrations.

Discussions about developer contributions should take place as early as possible in the planning process. Developer contributions are negotiated and agreed between planning authorities and developers on a case-by-case basis, prior to planning permission being granted. Further detail is available at the following link:

https://www.gov.uk/guidance/planning-obligations

The Department of Health and Social Care and NHS England are continuing to work with the Ministry of Housing, Communities and Local Government to assess and improve the developer contribution process, to ensure health is appropriately considered and supported.

The provision and maintenance of premises is typically the responsibility of GP partners, who are either owner-occupiers or tenants of their surgery buildings. The National Health Service reimburses partners for the recurring costs of operating in the property (rent, notional rent or mortgage cost) and funds services in the GP contract.

GP owner-occupiers are responsible for all maintenance and repair of their property. For GP practices that rent their premises, their lease agreement sets out who is responsible for maintenance. A ‘Full Repairing and Insuring’ (FRI) lease requires the practice to handle all repairs, while a ‘Tenant’s Internal Repairing’ (TIR) lease means the landlord covers external and structural issues.

Commissioners may award improvement grants to GP practices to fund extensions, improvements, and enhanced physical access. This can be up to 100% of a project’s value, subject to discretion and the integrated care board’s available budget, under provisions of the NHS (General Medical Services) Premises Costs Directions 2024.

The £102 million Primary Care Utilisation & Modernisation Fund, announced at Autumn Budget 2024, is upgrading more than a thousand GP surgeries across England by April 2026.

Where facilities are an issue, it is imperative that General Practices work with the local Commissioner. There may be capital or revenue solutions to general practice premises and facilities’ needs.

Primary care funding is formulated within NHS England allocations, which account for elements of population growth and other factors such as weighted need. The allocations process uses a statistical formula to make geographic distribution fair and objective, so that it more clearly reflects local healthcare need and helps to reduce health inequalities. Integrated care boards prioritise how the funding is used, based on local factors and determinants.

It is the responsibility of the integrated care boards (ICBs) to ensure that the National Health Service estate is fit for purpose, in order to meet the needs of the local population.

General practices (GPs) are independent contractors, which, alongside ICBs, are responsible for ensuring their premises are up to standard. Most practice premises are privately owned or leased.

The Department and NHS England requested that ICBs develop estates infrastructure strategies. These have been developed to create a long-term plan for future estate requirements and investment for each local area and its needs. These strategies must take existing and future GP and primary care estate into account when considering how best to deliver local services. To support them in doing this, we provide an annual capital allocation, operational capital, which ICBs are free to use as they see fit, working with healthcare providers in their area including GPs, to deliver their estates and infrastructure priorities.

At a national level, we continue to work closely with the Ministry of Housing, Communities and Local Government on the National Planning Policy Framework to ensure all new and existing developments have an adequate level of healthcare infrastructure for the community.

In Autumn 2024, the Government announced the Primary Care Utilisation and Modernisation Fund, a nationally controlled fund which will deliver upgrades this financial year to GP surgeries across England. These schemes will create additional clinical space within existing building footprints to enable practices to see more patients, boost productivity, and improve patient care. ICBs were invited to submit funding proposals that align with local integrated care system infrastructure strategies and the Primary Care Network Estates Toolkit, prioritising high-quality, fit-for-purpose estates over poorly maintained assets.

The Government is committed to delivering a National Health Service that is fit for the future, with world class infrastructure across the entire NHS estate and confronting the challenges posed by historic underinvestment in primary care.

There are 8,500 buildings that form the general practice (GP) estate nationally and we have worked with integrated care systems to develop infrastructure strategies which create a long-term plan for future estate requirements and investment for each local area and its specific needs. These strategies bring together planning for the existing and future primary care and secondary estate when considering how best to improve local service delivery.

Bath, Northeast Somerset, Swindon & Wiltshire Integrated Care Board is responsible for commissioning, planning, securing, and monitoring GP services within Wiltshire through delegated responsibility from NHS England and works with local practices to ensure that the community continues to receive world class health services.

We recently announced over 1,000 GP schemes which will benefit from this year's £102 million Primary Care Utilisation and Modernisation Fund, supporting GPs to improve the use of their existing buildings and space, boosting productivity and enabling delivery of more appointments. However, GPs are independent contractors who should routinely fund investment in maintaining their estate by utilising their own funds, borrowing, or through partnerships with third party developers.

The Government is committed to delivering a National Health Service that is fit for the future, with world class infrastructure across the entire NHS estate and confronting the challenges posed by historic underinvestment in primary care.

There are 8,500 buildings that form the general practice (GP) estate nationally and we have worked with integrated care systems to develop infrastructure strategies which create a long-term plan for future estate requirements and investment for each local area and its specific needs. These strategies bring together planning for the existing and future primary care and secondary estate when considering how best to improve local service delivery.

Bath, Northeast Somerset, Swindon & Wiltshire Integrated Care Board is responsible for commissioning, planning, securing, and monitoring GP services within Wiltshire through delegated responsibility from NHS England and works with local practices to ensure that the community continues to receive world class health services.

We recently announced over 1,000 GP schemes which will benefit from this year's £102 million Primary Care Utilisation and Modernisation Fund, supporting GPs to improve the use of their existing buildings and space, boosting productivity and enabling delivery of more appointments. However, GPs are independent contractors who should routinely fund investment in maintaining their estate by utilising their own funds, borrowing, or through partnerships with third party developers.

In England, we continue to fund the locally administered Disabled Facilities Grant (DFG) which helps eligible older and disabled people on low incomes to adapt their homes. We have provided an additional £172 million across this and the last financial year to uplift the DFG, which could provide approximately 15,600 home adaptations to give older and disabled people more independence in their homes. This brings the total funding for the DFG to £711 million in 2024/25 and 2025/26.

The Department of Health and Social Care and the Ministry of Housing, Communities and Local Government share policy responsibility for the DFG. We also work with other Government departments more widely on relevant issues.

We continue to keep all aspects of the DFG under consideration. Recently, we carried out a review of the upper limit for the DFG and are currently considering the findings.

The Primary Care Utilisation and Modernisation Fund will deliver upgrades to more than a thousand general practice surgeries across England this year. This includes nine schemes in the Bath, Northeast Somerset, Swindon and Wiltshire Integrated Care Board (BNSSW ICB), totalling a capital investment of £1.5 million. This is the first dedicated national capital fund for primary care since 2020.

The following table shows the operational capital allocated to the BNSSW ICB for the last three financial years, which was subsequently prioritised at their discretion:

This covers maintenance and other capital spend across the BNSSW ICB, and it is at local discretion whether an element is allocated to primary care.

On 6 May 2025, we announced which primary care schemes are in line to receive funding from the £102 million Primary Care Utilisation and Modernisation Fund. A full list of the schemes being prioritised for funding this year can be found at the following link:

https://www.gov.uk/government/publications/primary-care-utilisation-and-modernisation-fund-2025-to-2026

The Government is committed to delivering a National Health Service that is fit for the future and recognises the importance of strategic, value for money investments in capital projects. We have made sure that every single region across the country receives a share of the Primary Care Utilisation and Modernisation funding, so the benefits are felt nationwide.

NHS England worked with all integrated care boards, including Greater Manchester, to prioritise the schemes that local health leaders identified that met their communities most urgent needs.

The Government is committed to delivering a National Health Service that is fit for the future and recognises the importance of strategic, value for money investments in capital projects. We recently announced schemes which will benefit from the £102 million Primary Care Utilisation and Modernisation Fund (PCUMF) to deliver upgrades this financial year to more than a thousand general practice surgeries across England.

We have made sure that every single region across the country receives part of the funding, so benefits are felt nationwide. Decisions were made based on the highest priority of need and where the investment would quickly create additional clinical space, specifically to deliver more appointments.

NHS England worked with all the integrated care boards (ICBs), including in Greater Manchester, to prioritise the schemes that local health leaders identified as meeting their communities’ most urgent needs.

The Greater Manchester ICB has been allocated £5.6 million from the PCUMF to be spent on physical improvements resulting in additional clinical space and increased access to appointments. Digital transformation projects were not considered to be in scope for the £102 million of funding.

The Government is committed to delivering a National Health Service that is fit for the future and recognises the importance of strategic, value for money investments in capital projects. We recently announced schemes which will benefit from the £102 million Primary Care Utilisation and Modernisation Fund (PCUMF) to deliver upgrades this financial year to more than a thousand general practice surgeries across England.

We have made sure that every single region across the country receives part of the funding, so benefits are felt nationwide. Decisions were made based on the highest priority of need and where the investment would quickly create additional clinical space, specifically to deliver more appointments.

NHS England worked with all the integrated care boards (ICBs), including in Greater Manchester, to prioritise the schemes that local health leaders identified as meeting their communities’ most urgent needs.

The Greater Manchester ICB has been allocated £5.6 million from the PCUMF to be spent on physical improvements resulting in additional clinical space and increased access to appointments. Digital transformation projects were not considered to be in scope for the £102 million of funding.

The Government is committed to delivering a National Health Service that is fit for the future and recognises the importance of strategic, value for money investments in capital projects. We recently announced schemes which will benefit from the £102 million Primary Care Utilisation and Modernisation Fund (PCUMF) to deliver upgrades this financial year to more than a thousand general practice surgeries across England.

We have made sure that every single region across the country receives part of the funding, so benefits are felt nationwide. Decisions were made based on the highest priority of need and where the investment would quickly create additional clinical space, specifically to deliver more appointments.

NHS England worked with all the integrated care boards (ICBs), including in Greater Manchester, to prioritise the schemes that local health leaders identified as meeting their communities’ most urgent needs.

The Greater Manchester ICB has been allocated £5.6 million from the PCUMF to be spent on physical improvements resulting in additional clinical space and increased access to appointments. Digital transformation projects were not considered to be in scope for the £102 million of funding.

The Government is committed to delivering a National Health Service that is fit for the future and recognises the importance of strategic, value for money investments in capital projects. We recently announced schemes which will benefit from the £102 million Primary Care Utilisation and Modernisation Fund (PCUMF) to deliver upgrades this financial year to more than a thousand general practice surgeries across England.

We have made sure that every single region across the country receives part of the funding, so benefits are felt nationwide. Decisions were made based on the highest priority of need and where the investment would quickly create additional clinical space, specifically to deliver more appointments.

NHS England worked with all the integrated care boards (ICBs), including in Greater Manchester, to prioritise the schemes that local health leaders identified as meeting their communities’ most urgent needs.

The Greater Manchester ICB has been allocated £5.6 million from the PCUMF to be spent on physical improvements resulting in additional clinical space and increased access to appointments. Digital transformation projects were not considered to be in scope for the £102 million of funding.

We recently announced schemes which will benefit from the £102 million Primary Care Utilisation and Modernisation Fund (PCUMF) to deliver upgrades this financial year to more than a thousand general practice (GP) surgeries across England.

These schemes will create additional clinical space within existing building footprints to enable practices to see more patients, boost productivity, and improve patient care. By working within existing footprints there will be no additional revenue costs associated to the work funded by the PCUMF

This will directly address the issue of staff who cannot work at full capacity due to space limitations and will enable practices to offer more appointments with their existing workforce through better use of space. The Government has already hired more than 1,500 extra GPs and announced an £889 million funding boost, the biggest for the sector in years.

To ensure good management of public money, the schemes that have been selected will of course be subject to final business case approvals and due diligence. Integrated care boards and GP federations will not be able to unilaterally realign the schemes which have already been agreed, however if an individual surgery is not able to proceed, then local leaders will select another priority scheme to utilise the funding.