Page 28 - P4304.1-V112_PS Magazine - August 25 (print) (1)
P. 28

Set-up costs                                               Practice operations
                Set-up costs are not cheap. Before a                       Once the ground is broken, the biggest
                spade entered the ground in Malpas, more                   challenge is maintaining practice
                than £113,000 was spent, with no form of                   operations to minimise any impact
                reimbursement at that time.                                on patients’ care and experience.
                                                                           As Practice Manager, Edward spent

                By the end of the project, professional fees               approximately two days per week on
                increased to £174,833 (almost 10% of the                   top of the normal full-time day job to
                total contract value).                                     manage the project.


                Top tip 5: Shop around, agree fixed                        Use of space in the practice
                consultancy fees where possible, and save                  was regularly amended to allow
                money in advance for set-up fees.                          simultaneous building works and
                                                                           practice operations. The noise and dust
                                                                           were horrendous! At one point during the
                            £15,010           £30,000                      works, Malpas lost the reception desk,
                                                                           the dispensary desk and the waiting
                                Structural   Architects
                                Engineers                                  room; utilising consulting rooms for all
                                                                           three spaces.

                  £2,373    Ecology   Total of   Mechanical   £7,737
                                              Electrical
                            surveys  £113,448   Design
                                      after
                                     planning                              The dispensary was left until the final
                                                                           phase of work while security and
                            Topographic      Quantity
                             surveys         surveyor                      ambient temperature control was
                                     Project
                    £2,125         Management          £9,914              sorted, to ensure the continuation of a
                                                                           safe and effective dispensing operation.
                                     £23,466
                                                                           One of the most important tasks
                                                                           undertaken during the project was
                                                                           patient engagement. The surgery put
                                                                           out regular communications on social
                                                                           media, via text messages, newsletters
                                                                           and the website to keep patients
                                                                           informed of progress and changes to
                                                                           operations (there were at least three
                                                                           different entrances to the practice in
                                                                           12 months). Where local residents were
                                                                           potentially affected, they were engaged
                                                                           on a personal level, invited to meetings
                                                                           with the contract team. As a result, not
                                                                           a single complaint was received related
                                                                           to the disruption of the works.

                                                                           Top tip 6: Find your advocates;
                                                                           patients and local officials who can
                                                                           spread positive news and help reach
                                                                           groups that aren’t so readily heard.















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         P4304.1-V112_PS Magazine - August 25 (print).indd   28
                                                                                                                 16/07/2025   12:12:20
         P4304.1-V112_PS Magazine - August 25 (print).indd   28                                                  16/07/2025   12:12:20
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