Sale and Leaseback QuestionnaireAccount Details123456Account DetailsPractice Name (Required)AddressTown / City (Required)Postcode (Required)CountryEmail Address (Required)Workforce ModelWorkforce Model123456Information about the workforce model and staffing structure helps us to better understand and analyse how the existing estate is meeting the practice needs. It also helps to inform recommendations for future redesign, reconfiguration, and space utilisation for future growth.Number of WTE inc. VacanciesExpected growth WTE in the next 5 yearsGP PartnersSalaried GPsAdvanced Nurse PractitionersNurse PractitionersNursing AssociatesClinical PharmacistsCare Wellbeing Co-ordinatorsMental Health PractitionersParamedicsPharmacy TechniciansHCAHealth & Wellbeing CoachesSocial PrescribersCare NavigatorsReceptionistsMedical Secretaries / AdministratorsCare Co-ordinatorsDieticiansOccupational TherapistsPodiatristsPhysiciansPersonal TrainersPractice / Business ManagersPhysiotherapistsOthersHow many GPs are partners and how many equity partners?partnersequity partnersAre you looking to increase / decrease this number in the future?Keep the sameDecreaseAre you looking to increase the number of staff over the next 5 years? If so, please provide details of expected growth in WTE by role and expected dates for recruitment.Do you support remote / home working? If so, for which roles and how is this enabled?Are remote consultations conducted on-site? (e.g. telephone / video clinics). If so, are these conducted from a consulting room?Do you envisage your workforce model changing in the near future, perhaps as a result of advancements and improvements in systems and processes made under the digital agenda?Service Provision123456Understanding the services currently provided from the premises, and exploring future growth plans, will help us to identify opportunities and shape our recommendation. We acknowledge that it’s very difficult to predict future service developments, but please provide as much information as possible to help our analysts. In addition to core general practice requirements, please provide information relating to any additional services the practice provides from the premises? i.e. minor surgery.Do you envisage delivery of more service from the premises in the future? If so please provide as much detail as possible including a desired timeline, space required and astaffing requirements.Does the practice rent any space to other providers / services? If so please provide details including provider, service, type of room and hours per week/month.If you answered YES to the above, what kind of contract / lease are they on?If you answered YES to the above, are these services accessible and open to your own registered patients?Please detail the opening hours of the premises (when the building is physically open to staff but not necessarily open to service users)Please detail the start time of the first morning clinic / session each day?Please detail the end time of the last morning clinic / session each day?Is the building utilised outside of core hours? (evenings and weekends)Do you currently deliver any services / clinics from other premises? (community, voluntary sector)Please provide details of the digital infrastructure within the practice? (broadband connection, WIFI, digital health tools used)Premises123456The answers provided to the following questions are cross referenced with the information gathered as part of the space utilisation assessment and help us to develop a picture of the challenges you are experiencing in your existing premises. What is the size of your current premises? (If you have a copy of the floor plan please attach)How far does the practice boundary extend? (Please provide a map if you have one)How long have you been in your existing premises?Are you co-located with any other practices / services?Does the practice own the premises? (Please provide a breakdown of ownership / valuation)Is the practice looking to retain a stake in the building, be it a new build / refurbishment / extension of the existing one? Has the practice considered releasing equity and leasing a building rather than owning one?What are the best features of current premises? (location / accessibility)What are the worst features of current premises?What is the impact these features are having on the practice? i.e. Patient experience, staff experience and staff wellbeing, patient care, growth, financial etc...Does the environment promote meaningful interaction between patients, their families and staff?Does the environment promote independence and orientation?How do you rate the natural light in the building? (satisfactory / unsatisfactory ) Please provide details.Does the environment promote calmness, safety and security?Are there any further reasons for looking for alternative / new premises?What have you done so far about getting new premises?Have you discussed your concerns / suggestions with the CCG / NHS EI, and are they generally supportive?Please provide name and contact details of the relevant individuals at the CGG / NHS EI that you have discussed your plans with.Has the practice building been expanded / extended at all? (If Yes, by how much and when)Have you had a recent Estates Survey on the property?Are there any issues with DDA, H&S, CQC etc?Have you received any patient complaints regarding the above?How much is the current rent? Is it Notional or Cost rent? When was your last rent review?What sort of lease would you be looking for? (TIR – Tenant Insuring & Repairing or FRI – Full Repairing & Insuring)Patient and Service User Access123456Understanding how service users access the premises is essential when considering redesign, refurbishments or new builds. How do patients travel to the surgery at present? (We will carry out a full traffic survey if applicable, but an indication would be useful)If the surgery were to relocate could there be access issues for some of the patients? (Again, this may be covered in the traffic survey, but thoughts / indications would be helpful)Have you received any feedback from patients or service users relating to the physical environment that you are able to share with us, that we relevant and pertinent to this project?Any Other Useful Information123456Although comprehensive we accept that this document may not offer you the opportunity to share all relevant information and so please provide any other useful information that you would like to share with us in the box belowAny Other Useful Information