Premises priorities

Q: I have always assumed that where a new building is needed, there would be an order of preference; that if GPs expressed an interest in building a surgery or finding their own developer, this would take precedence over PCT-led or LIFT alternatives. Our PCT has failed to progress a number of proposed GP premises and extensions in the time it has been in existence. These schemes were 'approved' by the previous PCTs. One of them (ours) is now urgent and, although the GPs have always led on this and wanted to organise and finance the new building, the PCT says it is its decision that the project must be a PCT-led build. What are our options?

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