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New premises, new problems? Key checks before a GP premises move

Written by Victoria Walker | 24-Feb-2026 11:01:21

Legal and practical pitfalls when relocating or expanding your GP premises

Relocating, expanding or sharing premises can seem like a positive step for GP surgeries and Primary Care Networks (PCNs). But without careful planning, new premises can quickly bring new legal, financial and operational problems.

Here are some key issues to consider before you commit.

1. Ownership and Lease Agreements

Before signing any lease or purchase agreement, confirm exactly who owns the property and under what terms you can occupy it. Shared ownership or informal arrangements with other practices can create confusion if not properly documented. Ensure that your rights to use the space, and any shared facilities, are clearly defined in writing.

2. Financial Responsibilities

Moving or expanding premises comes with upfront and ongoing costs, including:

  • rent or mortgage payments
  • utilities and service charges
  • repairs and maintenance
  • business rates, and insurance.

Ambiguities in who pays for what can quickly lead to disputes. Written agreements specifying each practice’s contributions are essential for financial clarity and protection.

3. Regulatory Compliance

NHS property use comes with specific requirements. Ensure the premises meet all building regulations, health and safety standards, and accessibility requirements. Any shared use agreements should also address compliance responsibilities so no one practice is exposed to risk.

4. Planning for Disputes

Even well-intentioned arrangements can go wrong. Include provisions for resolving conflicts, whether over space, scheduling, or costs, so disputes can be settled fairly and efficiently without disrupting patient care.

5. Insurance and Liability

Shared premises can create shared liabilities. Confirm that your insurance policies cover all scenarios, including:

  • injury or accidents on the premises
  • damage to equipment or shared area
  • incidents involving other occupiers

Clear agreements can prevent costly gaps in coverage.

Bottom Line

Relocating or expanding GP premises can be a positive step but only if you plan carefully. Legal clarity, documented financial responsibilities, and thorough compliance checks protect your practice, your colleagues, and most importantly, your patients. The right foundations at the outset can turn a premises move into an opportunity, not risk.

Contact our Primary Care team on care@porterdodson.co.uk for any advice on this topic.