recent examples of our primary health care work
advising on a number of doctor / partner led multi-million
pound medical 'super surgeries'
Work highlights include:
- advising on five new multi-million pound medical 'super
surgeries'. The developments in Luton, High Wycombe, Milton Keynes,
Minster and Pinner took two years to complete and now provide
state-of-the-art medical care to those areas. The team was led by
Andrew Miscampbell who has particular expertise in a variety of
real estate arrangements many of which are specific to GPs. For
this particular client we acted for groups of GPs, some leasing
premises from a developer and others developing their own surgery
premises. The projects were extensive and involved negotiations
with the developer, the District Valuer and the Primary Care
Trusts, as well as pharmacies, dentists and complementary medicine
providers to whom the GPs leased part of their premises
- advising on a £12 million pound development in the West
Midlands. Two large practices joined together to develop their own
state of the art medical centre. Our work included purchasing the
land, dealing with the construction documentation and warranties,
drafting and negotiating the bank documentation and the facility
agreement, setting up the limited company to carry out the
development and very specific shareholding agreements. The project
was extensive and involved negotiations with the land owner for the
sale of the land, the contractor on the construction documents, the
lender on the form of security and the facility agreement, the
Church Commissioners to release a restrictive covenant, the
District Valuer on the level of the rent and their requirements,
and the Primary Care Trust on their specific contractual
requirements as well as the pharmacy, dentist, optician and day
care nursery to whom the GPs leased part of their premises
- advising on a £7 million pound development in North West
London. The development was led by three partners out of a larger
practice to develop their own large scale medical centre including
road and foot bridges over a river. Work included purchasing the
land, dealing with the construction documentation and warranties,
negotiating the bank documentation and partnership advice on the
holding of the finished development. The project involved
negotiations with the land owner for the sale of the land, the
contractor on the construction documents, the lender on the form of
security, the District Valuer on the level of the rent and their
requirements, and the Primary Care Trust on their specific
contractual requirements as well as the pharmacy, dentist, optician
and the Primary Care Trust to whom the GPs leased part of their
premises
- advising on a £6 million pound development in Bedfordshire. The
development was led by a two partner practice and work included
purchasing the land, dealing with the construction documentation
and warranties, negotiating the bank documentation including the
form of security and costs overrun guarantees and partnership
advice on the holding of the finished development. As in other
similar transactions, negotiations were held with all interested
parties and the third party tenants who were to occupy parts of the
property
- advising on a number of other recent doctor led developments in
Catford, Kent and Milton Keynes and new developments underway in
Birmingham and St Albans.
advising doctors on various third party developer led
schemes
Work highlights include:
- advising GPs in taking premises from a third party developer.
Work included liaising with the PCT and the District Valuer on the
type of development and the costs and issues involved and the level
of rent expected. Dealing with all issues raised by the developer
and assisting the GPs with regards to the letting documentation and
construction / warranty documentation
- advising a third party developer in the acquisition and letting
of a development to D2 medical user care home. We dealt with
negotiation on the conditional sale contract and the consequential
letting to a mental health user
- we have also undertaken and completed other recent developments
in Milton Keynes and Hampshire and are advising on a new
development underway in Richmond.
advising developers on purchasing and constructing medical
centres. Work highlights include:
- advising the developer in the acquisition and letting of their
developments to a local GP practice in Crawley. We dealt with all
the issues that arose out of the acquisition, development,
construction and letting of bespoke surgery premises on behalf of
the developer to multiple occupiers. We liaised with the District
Valuer and PCT on managing their expectations, the level of rent
and the construction requirements
- advising on a new development in Somerset for a developer led
medical centre scheme. Again we advised the developer on the
acquisition, construction and letting of their developments to a
local GP practice. Advising on bank funding for the scheme and
liaising with the District Valuer and Primary Care Trust as well as
the third party occupiers.
advising on partnership work
We have been involved in negotiating, drafting and agreeing
partnership agreements. We regular advise on associated property
ownership issues, where only some of the partners own the property
or where the partners do not wish to pass the property on. We have
provided advice on the expulsion of partners both acting for the
practice and for individual partners.
advising on the buying and selling of various medical
practices
This work includes partnership agreements and shareholder
agreements and dealing with the retirement of partners from
partnerships without infringing the rules preventing the sale of
goodwill.
other areas of expertise
This includes:
- acting for pharmacists taking leases of premises within dental
practices
- advising on employment contracts for a number of GP
surgeries
- acting on the disposal and acquisition of dental practices
including advising on the complications arising from the effective
sale of NHS contracts
- advising groups of GP practices on commercial structures to
enable them to take on APMS contracts.
Download a PDF of our recent examples of our primary health care
work
