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The LIFT model (Local Improvement Finance Trust) is a hybrid that took the best from traditional Private Finance Initiatives (PFIs) and Public Private Partnerships (PPPs) and what was the existing Primary Care model. The result is a form of PPP that provides long term contracts for the refurbishment, construction, maintenance and management of large bundles of GP and Primary Care facilities. Property development opportunities make the deals even more attractive to the private sector. The quid pro quo for the Primary Care Trust (PCT) is a true partnership with the private sector throughout the 20 year contract in which the key public sector stakeholders take a 40% stake.
It is this marketplace for which Primary Plus was created and we are currently working in six LIFTCo areas in order to bring a wider and more diverse health and social care service deeper into the community, providing better buildings for the services and at the same time regenerating deprived areas. Hand in hand with this development strategy is our locally implemented Corporate Responsibility community programme called ‘HelpURself’, which is designed to be a catalyst to enable communities to help themselves and together with the new infrastructure be a lasting legacy of Primary Plus’s positive contribution to the neighbourhood renewal.
In July 2000 the UK Government published the NHS Plan which included a major commitment to a new programme of investment in primary and community healthcare facilities, to be known as NHS LIFT (Local Improvement Finance Trust). Primary Care had seen extremely low levels of investment for many years and the NHS Plan committed to delivering 500 one-stop centres and substantially improve 3,000 General Practice (GP) surgeries. There have been four waves of projects to date, with 42 schemes completed and a fifth wave of 8 projects is under way.