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Practice asked to pay half a million in service charges for 'non-existent' services

Exclusive A GP practice has been asked by NHS Property Services (NHSPS) to pay £500,000 in service charges for 'non-existent' services, Pulse has learned. 

Solicitors and surveyors told Pulse that practices located in NHS-owned properties are still being faced with significant premises bills, often with a lack of clarification on what the charges relate to, or charges for services they do not use. 

This is the latest in a long-running dispute over premises charges since Pulse reported in 2016 that several practices saw their fees hiked by up to 400%, while more recently a practice's annual service charge increased from £14,000 to £48,870

As part of reforms made under the Health and Social Care Act 2012, NHSPS – a government-owned company – took over the management of NHS properties and facilities from PCTs in 2013. 

But since the takeover, GP tenants have experienced a series of issues such as significant hikes in service charges, potentially resulting in layoffs and salary cuts. 

Rosemary Jones, a partner at Invicta Surveyors, said she worked on a case where a GP practice received a bill worth £500,000 for a part of the building they owned as well as services they were not using.   

She said: 'There's one very good example where NHSPS, just before Christmas a year before last, sent a final demand to a practice for over half a million pounds for service charge costs when they were previously paying about £20,000 a year. We've recently - and that shows you how long it's taken to this point - agreed a service charge and it's probably coming down to £20,000-30,000. 

The reason for the hike, according to Ms Jones, was that: 'NHSPS were including a part of the property they didn't actually own, there's a separate lease on these promises that the GP occupies so they were trying to build service charges on a part of a property which wasn't theirs. There were also several types of costs they were trying to impose and that were non existent, things like photocopying and postage the GP didn't use.'

Ms Jones said she is currently looking at 10-15 cases, the majority being in Kent where there are about 30 ongoing cases. 

She said: 'There are several examples which are ongoing. That's the first one really where we’ve managed to conclude any negotiation because it’s just taken so long for NHSPS to deal with these issues. NHSPS still continue to send demands for costs which the practice doesn't incur. They're trying to charge for fire alarm maintenance when the fire alarm hasn't worked on this particular site for use, they've tried to charge for a caretaker when there's no caretaker on the site.

'The catalogue of errors goes on and even when we get to the point where we're satisfied about the nature of costs which NHSPS can charge the big problem is that they cannot justify the costs they are charging.'

Simlarly, Edwina Farrell, partner and property advisor to GPs at Weightmans, has worked on cases where practices were asked to pay charges for services that did not exist.

She said: 'It's fair to say that not all PCTs have ever charged GPs in their buildings in a consistent way so the real shocker to practices was that sometimes they did not pay anything and then without any explanation and background information they were suddenly sent very large invoices, when NHSPS took over the property portfolio. 

'We know of one old matter in London where NHSPS did talk to GPs very aggressively and insisted on an immediate payment of tens of thousands of costs. I recently spoke to a practice who has been a long-time client of mine and the practice manager there said “we're still getting asked for items on our invoices for services we don't have”.

She continued: 'A recent client was being asked to pay for an element of the building they already owned - not a property that belongs to NHSPS - so there are still some confusion. I think NHSPS have advanced significantly in the type of information they're providing but there are still discrepancies appearing regularly.' 

A spokesperson for NHSPS said: 'In 2015/16, the Department for Health and Social Care and NHS England agreed NHSPS should charge customers the actual running costs associated with their buildings. In some cases this led to a change in the level of funding GPs could claim for, from their commissioner.'

The BMA had previously urged practices not to sign leases unless they fully understand the terms and liabilities.

Pulse reported last week that NHS England will consider 'relieving GPs' of the worry of estate liabilities and instead bear most of the costs itself

Last month, the National Audit Office found that the NHSPS's approach to collecting lease fees does not work 'effectively', highlighting that the outstanding debst owed by tenants - including GPs - had almost tripled in five years

Readers' comments (7)

  • The usual give with the right and take with the left is what this government does at all levels. It does not pay to work or to help. Now I prefer to put my legs up and sit in the garden. The beauty is, it hardly affects your take home pay due to the tax. Far better than ending up like Dr Bawa Garba, being punished for helping.

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  • In 2013, basically, NHS England & government confiscated all the properties in which the local health economy - PCTs & predecessors - had invested & gifted them to a new, wholly owned company, with no accountability to anyone as far as I can see.
    Was this planned or a legislative/administrative blunder?
    As with Capita, something seems to have gone wrong somewhere (unless it was all part of a cunning plan) - or maybe a total success in helping to destabilise/abolish general practice.
    Too many "unintended consequences" might suggest that the original plans (if any) were not properly thought through.

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  • The large print giveth, and the small print taketh away !


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  • Surely charging for a service not given needs reporting to NHS fraud team?

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  • Also needs to be sued for fraudulent billing.

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  • Truth finder
    Sadly, Dr BG did work so hard covering so many doctors. This was used against her as she did not see the XR earlier because she was attending to other children with meningitis and sepsis, children that should have been dealt with by absent doctors.
    You don't get thank yous here in the UK, you get GNM instead.
    Why would any doctor wish to work in this insane country? Look at pensions. If you earn 1 pound more you pay 2 pounds back.
    The UK is becoming insane.
    NHSPS and Capita are examples of this madness.

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  • We are in (very slow) legal process coordinated by LMC vs NHS Propco. They are demanding manifestly unlawful charges, supported by the National Audit Office. Problem is that while arbitrary £30k/ year charges sound modest, it's been accumulating year on year during the legal process.

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