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Row over powers for fraudbusters

We are a five-partner practice, with three additional GPs, two nurses, and support staff practising in an Edwardian semi in Muswell Hill, London.

We have thoroughly outgrown our premises which, although attractive, are unsuitable for the work we are trying to do.

We are keen to develop new services, become more involved in student teaching and so on but are unable to do so because of the lack of space. We already have GPs sharing rooms.

We teamed up with a development company which located a possible site for us, but the whole thing collapsed because Haringey PCT refused the increased rental that would have resulted from the development. Having refused this, it is not able to make any suggestion as to how we can further develop. We have planning permission for a one-room extension which is proving very difficult to actually build because of access problems, and even then would only give us one extra room. One additional room will not help much.

This is an under-doctored area with high demand from patients. We are at our wits' end in trying to move forward with this. Furthermore our development company encountered great difficulty in dealing with Haringey as it is a LIFT area and the LIFT developers try very hard to stop any other developments within the area.

Despite the constraints of our building we are forward thinking and are developing a number of new IT initiatives. But we are anxious to provide better services for our patients. We would like to hear about other practices that are in the same situation as us.

Lesley Mayo

Practice manager

London N10

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