A Guide to Improving GP Premises: A New Collaborative Report

James Paget Orthopaedic Outpatient Centre at Great Yarmouth. Internal image of a clinical area for patient treatment. Light coloured floor and ceiling. Grey padded bed for patient treatment. Blue privacy curtains. In the corner of the room is a desk area with a couple of chairs and a computer.

Practice managers and general practice leadership across the country face daily challenges with buildings that are not fit for purpose. Inappropriate and inaccessible accommodation for service provision poses serious challenges to care delivery, affecting both patient and staff experiences. Additionally, the increasing demand for services, evolving healthcare needs, and regulatory requirements add to the complexity of managing primary care estates.

The Breaking Point: So Many Patients, Too Few GPs, and Not Enough Space…

A waiting room in a medical centre. The photo shows lots of people sat in chairs with their backs to the camera.

As of April 2025, general practice in England is facing unprecedented pressure. With 63.77 million patients registered and only 28,249 full-time equivalent (FTE) fully qualified GPs, each GP is now responsible for an average of 2,257 patients. This ratio is not just a number – it’s a reflection of the growing strain on a system that is struggling to meet demand.

Spotlight: Interview with Stephanie Hassanali, General Practice Nurse

Header image with icon of stethoscope and Stephanie's headshot, bearing the title "Spotlight: Interview with a GP Nurse"

As a general practice nurse in a Primary Care Network (PCN) Stephanie Hassanali has a rare insight into the challenges facing GPs.

She has been a nurse for 12 years and in general practice for the last eight of those, working across 11 practices as part of two PCNs in London.

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