Harston Surgery Job No

Harston Surgery Job No. 111637

OBC

Author: A Folan-White Checked by: S Clarke Date: July 2020 Status: For comment

OBC Harston Surgery Job No: 111637 - Date: July 2020

CONTENTS

OBC – Harston Surgery

Appendix No Document Description 1 Letter from Jan Thomas 2 Options Appraisal 3 Value for money document 4 Confirmation of Section 106 funding 5 Notional Rent Reimbursement Determination Email 26.04.2019 6 Affordability document 7 Utilisation schedule 8 Site plans and design drawings 9 Alys Turner consultation email 10 Timeline 11 Planning Approval 12 Working Group minutes 13 Confirmation of funding extension 14 Professional services fee letter

Project Appraisal Unit

Capital Investment, Property, Equipment & Digital Technology proposals

NHS England Project Appraisal Unit

£1m - £3m Business Justification Template

To be used for Capital Investment, Property & Equipment between £1m and £3m and complex schemes below £1m

Sponsors and authors of documents seeking appropriate authority to fund or proceed with a scheme or project must consider whether the content or strategy to which the document applies at this stage is sensitive or may have commercial implications. If it is considered necessary, the document should be headed and watermarked appropriately.

Document version Version No. Status Issue date Notes control (for use by Business Case sponsors)

Add rows as required.

Last entry should read: ‘Final submission for review and approval’

SCHEME DETAILS Harston Surgery Expansion 1. TITLE OF SCHEME TYPE OF SCHEME New build Yes Note. For £1m - £3m Digital Technology Business Cases, please Improvement Yes use the specific £1m - £3m Digital Technology Business Justification / Equipping Case Template. If other – specify

and explain

Scheme reference number and Reference source of number (organisation).

Please ensure the relevant unique Confirm the Organisation reference (for all Schemes) is used in Harston Surgery issuing the all correspondence and reporting D81058 using appropriate format: e.g. XXX – reference YY - XXX (Org Code – 17 – 001) number.

ANY OTHER APPLICABLE REFERENCE NUMBER

(please clarify source in light blue box on right and insert number and, where necessary, explanantion in white box).

PID reference D81058-18-001 number

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8th February 2019 (Letter from Jan Thomas of CAPCCG PID APPROVAL AND ANY Date RELATED CONDITIONS OF appendix 1) List any APPROVAL None noted conditions (Append approved PID where it will support the information provided in this Business Case). Conditions are fully met. Confirm that PID conditions have If not, which been fully complied with in this and justify Business Case. Explain which and why. why if they have not.

Details of The scheme has been developed further to demonstrate scheme accessibility and associated support spaces. change? Details of Costs for the proposed schemes are detailed in this OBC and IDENTIFY ANY SIGNIFICANT cost change? appendices 2,3,6 DEROGATION IN THIS Reason for BUSINESS CASE FROM THE APPROVED PID FOR THIS change? SCHEME. Who approved the (Significant deviation from the original change? approved PID, includes but are not Date of exclusively funding, cost, change? deliverables, procurement, client or use changes, etc.). Please provide evidence of authority to change.

DCO OFFICE

Lead Harston Surgery 2. SPONSORING NHS Sponsor 1: ORGANISATION(S) Sponsor 2: NHS England, Midlands and East (East) (or other such as GP) Sponsor 3: South Cambs District Council

3. LEAD SPONSOR AND SUPPORTING TEAM FOR THE SCHEME CONTACT DETAILS Title GP Partner Name Dr Chris Gee PROVIDE DETAILS OF LEAD Organisation Harston Surgery OFFICER FOR THE SCHEME Office tel. 01223 870250 Mobile tel. 07711 284924 e-mail [email protected]

Title Director of Finance Name Daryl Cockman PROVIDE DETAILS OF LEAD Organisation NHS England Midlands and East (East) FINANCE OFFICER FOR THE SCHEME Office tel. 0113 825 4932 Mobile tel. 07824 457 93 e-mail [email protected]

Title Head of Primary care Commissioning LEAD COMMISSIONER Name Dawn Jones

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Cambridge and Peterborough Clinical Commissioning Group Organisation (CAPCCG) Office tel. 01480 387137 Mobile tel. 07908 068861 e-mail [email protected]

Where applicable, 4. NHS ENGLAND FUNDING funding Section 106 and Premises Improvement grant STREAM initiative

Please confirm the NHS England name capital funding stream relevant to this Scheme investment e.g. BAU, etc. reference D81058-18-001 No. (Use standard NHS finance codes) Funding Where capital funding is from a stream special initiative e.g. ETTF, please use the first two rows opposite to Cost Centre denote initiative name and scheme reference number Subjective

Code

5. ANY OTHER PROPOSED A significant level of developer contributions have already been secured through SOURCE OF CAPITAL? section 106 agreements signed between South Cambridgeshire District Council In addition to NHS England capital, and the respective land owners. explain if more than one source of funding is to be accessed, explain: The contributions secured are sufficient to cover most of the cost of the extension a) How it is to be obtained and internal improvements for which approval is being sought with the additional b) Obtained from whom? monies being sought by way of a Premesies improvement Grant c) Type of funding. These monies would allow the creation of accessible toilet spaces, entrance d) Certainty of funding doors and support the installation of ventilation equipment to provide statutory air changes within the minor procedure room. e) Is any element refundable or

provided as a grant? The details of these are as follows: f) If yes to e) above, provide details g) Show amounts in table 1. below Development Planning ref Amount £ Spend

expected restriction Bayercropscience S/2308/06/O £206,499.88 May 2015 Spent May Hauxton 2020 – extension to May 2021 confirmed Cemex Barrington S/2365/14/OL £185,000 2022 10 years from receipt Station Rd S/2148/16/OL £6,000 2021 10 years Foxton from receipt Section 106 £10,000 acrued interest from Hauxton section 106 monies £407,499.88 Premises £46,126.12 Improvement grant Total £453,626.00

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a) Balance of capital cost is £46,126.12. This will be subject to a premises improvement grant application b). This will be subject to a premises improvement grant application c) Premises improvement grant funding d) Funding is guaranteed. e) Yes the £46,126.12 g) Totals are shown in Table 1 above

Table 1. CAPITAL VALUE AND PROPOSED CASH FLOW OF FUNDING: (add additional rows as required) PERIOD Current year [Please enter appropriate Financial 2021-2022 2022-2023 2023-2024 Total 2020-2021 years on right] £’000 £’000 £’000 £’000 £’000 FUNDING SOURCE NHS England (Premises £30,443.24 £46,126.12 Improvement grant) NHS Property Services

Community Health Partnerships / LIFTCo £206,499.88 Other (S106 currently held) + £10,000 £216,499.88 interest Other (S106 to be received) £6,000.00 £185,000.00 £191,000.00

Other Surgery own funding £15,682.88

Total £262,626.00 £6,000.00 £185,000.00 £453,626.00

Table 2. BASIC BREAKDOWN OF SCHEME CAPITAL COST: (add additional rows as required) PERIOD [Please enter appropriate Financial Current year 2021-2022 2022-2023 2023-2024 Total years on right] 2020-2021 £’000 £’000 £’000 £’000 ITEM (where applicable, please £’000 specify individual items below) Item 1 New consulting rooms £336,741.60

Item 2 Administration spaces £109,035.63 and toilets Item 3 Boiler replacement £7,848.77

Item 4

Item 5

Total £344,590.37 £109,035.63 £453,626.00 Table 3. GPIT CAPITAL COSTS FOR NEW BUILD/IMPROVEMENT SCHEMES: (add additional rows as required) PERIOD [Please enter appropriate Financial Current year 20[ ]-20[ ] 20[ ]-20[ ] 20[ ]-20[ ] Total years on right] 20[ ]-20[ ] £’000 £’000 £’000 £’000 ITEM ((where applicable, please £’000 specify individual items below) Item 1

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Item 2 Item 3

Total

Source of Funding

NHS England

 What is/are the principal strategic driver/s triggering the need for this 6. BRIEF SCHEME OVERVIEW business case (e.g. to enable delivery of relevant commissioning a) What is/are the principal strategic drivers requirements, to comply with NHS policy requirements). triggering the need for this business case (e.g. to enable delivery of relevant a) The principal strategic drivers are as follows: commissioning requirements, to comply with NHS policy requirements, alignment with relevant policy e.g. Five Year Forward View, • The villages served by Harston are experiencing considerable Strategic Transformation Plans and Strategic growth meaning that the surgery is no longer able to respond to Estates Plans. the demands of its patients in terms of patients per GP and the b) Summarise the key dimensions of the size of building, so the additional space will ensure that scheme in terms of both the tangible capital continued primary care services are provided asset to be delivered, and the outputs that will be enabled in service terms as a consequence of the investment. There is a commitment by the CCG, NHS England and District Council Include land and premises ownership issues, to facilitate the expansion of Harston Surgery and developer cross boundary/partnership working and contributions (section 106) have already been secured from a number of impact for service users, etc. sites to fund this.

The principal

• formalise this commitment from the CCG and NHSE with the approval of the Outline Business Case and

• secure the early release of some Section 106 funding currently held by the District Council to allow the surgery to finalise plans ahead of Full Business Case stage and

• obtain early support from NHS England for a short term financing arrangement in order to deliver the mitigation such that the section 106 funding is not lost

 Summarise the key dimensions of the scheme in terms of both the tangible capital asset to be delivered, and the outputs that will be enabled in service terms because of the investment.

b)The extension to the surgery will accommodate the current and known patient growth from the new build housing developments

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The predicted developments in the areas are:

Village Planning ref Dwellings Barrington S/2365/14/OL 220 + Foxton S/2148/16/OL 22 Hauxton S/2184/16/OL 32 +400 Orwell S/3190/15/OL 49 Shepreth S/3052/16/FL 25 Total 748

The above table does not include the recent growth in the area.

The Development sites for Barrington, Hauxton and Foxton will provide a precicted 1926 additional patients within the next 5 years. This would be in addition to the increase practice population of 9.3% in the last 5 years within the current surgery.

The extension would offer a greater range of services to the community consisting of the following: o More efficient/improved dispensary service o Improved minor illness, minor injuries and urgent medical problem service o HCA’s o Training for student nurses and Registrars o Community Services such as physiotherapy, paramedic, pharmacist, social prescriber, dementia clinic, consultant sessions, mental health sessions o Facilities to work more collaboratively with other organisations o Research participation

The internal accommodation would be an increase of GIA 107 sqm and would consist of the following: - 3 new rooflights - Proposed terrace finishes to roof of new consulting rooms (63m2 total) - New staircase - Reconfiguration of 3 no. WCs (11m2 total) - Reconfigured dispensary layout (30m2 total) - Review and improvements to existing drains

7. PURPOSE a) This is to seek approval of Section 106 monies for £397,499.88 plus a) State clearly what the business £10,000.00 acrued interest and NHS Improvement grant of £46,126.12 justification is in support of: typically to facilitate an extension at Harston Surgery to accommodate an – ‘this is to seek approval of ..... for additional 3 no consultant/examination rooms and support spaces to £ ….. on ….. in support of …..’ support the existing and growing population in relation to the local Where funding sources are, or b) housing developments may be split, such as investment by the premises owner and external b) Construction and furniture costs at 34% over the Section 106 monies funding e.g. ETTF, this must be will be met by the project/ practice. Items included in the final costs but clearly defined and explained here, which are not eligible for the Improvement Grant, will be funded 100% in the relevant subsequent sections by the Practice. and in the table above.

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STRATEGIC CASE

8. STRATEGIC CONTEXT  Provide a summary of the key strategic drivers and service requirements that a) Provide a summary in the context support the case for investment. of underpinning plans and key strategic drivers together with the • The strategic drivers that support this case are: service requirements that support the case for investment. E.g. Five • To provide continuation of primary care services to the current patients Year Forward View, GP Forward View, Sustainability & at Harston Surgery. Transformation Plan, Strategic • Provide capacity for the current patients on the waiting list and to make Estates Plan, Devolution and New provision for the future increase in waiting patients because of the Care Models, etc. imminent housing developments locally with a predicted growth of

b) Provide confirmation of the approximately 28% in the next 3 - 5 years. support of all relevant stakeholders. • To provide capacity for future community services including Diabetes

c) Confirm the extent to which the specialist nurse, midwife, dementia support clinic, pharmacist 2 scheme delivers on high priority NHS sessions, mental health service clinic, social prescribers coming on capital investment requirements, e.g. board (contract starts July 2020) and first contact physio too in the next Service transformation and related few months. Counsellor is in place. If we have room and it is clinically infrastructure requirements as beneficial we will happily consider other services using the building identified in the strategic drivers above, improving patient safety and (alcohol worker etc). the patient environment, reducing • The proposed scheme would enable the practice to develop resilience backlog maintenance (% of total); and respond to population growth and provide integrated health care enabling QIPP delivery, etc. and system for patients. other current key work streams. • There is no current PCN amalgamation but definite integration and d) Confirm the support of key common resources including pharmacist, social prescribers, physio clinicians and the way in which the and possibly physician assistants are in discussions to meet the scheme supports delivery of local estates transformation plan. We have also reviewed the space commissioning priorities. required given the COVID pandemic and it is currently unchanged as e) Confirm that any premises subject we still need to deliver consultations whether physically or virtually, we to the investment will not be have revisited the plans however to look at dividing rooms so we would disposed of within 5 years of their completion. use less space for virtual consultations and this could bring forward the community clinics of more counselling and alcohol clinics. f) Include how the investment will • The reduction in surgery visits also reduces car parking which provides deliver the aims of the programme, etc. significant environmental benefits and a reduction in the carbon emissions attributed to the running of the practice and although we have a significant elderly population, where a virtual consultation is appropriate we would use this.

 Provide confirmation of the support of all relevant stakeholders.

• The project has received support from NHS England, Huntingdon District Council and Cambridge and Peterborough CCG

 Confirm the extent to which the scheme delivers on high priority NHS capital investment requirements, e.g. improving patient safety and the patient environment, reducing backlog maintenance (% of total); enabling QIPP delivery, etc.

• The current spaces have been adapted to suit the clinical need as required but do not in the main conform to current Health Building Note (HBN) and Health Technical Memorandums (HTM’s) in terms of clinical space requirements, required environmental conditions and patient accessibility, the increase population growth dictates the need for

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additional clinical treatment/ consulting spaces and support spaces as proposed.

 Confirm the support of key clinicians and the way in which the scheme supports delivery of local commissioning priorities.

• The key clinicians and partners within the practice fully support the proposals. As set out in the NHSE approved business case incorporating DH guidance within “Health Building Note 11-01: facilities for Primary and Community Care Services” Harston Surgery should be 420 square metres in size. As Harston Surgery is in the region of 315 square metres it needs somewhere in the order of a 33% increase in floorspace to meet the recommended standards as set out by NHSE The increase in space will ensure that delivery of commissioned and future services are met.

 Confirm that any premises subject to the investment will not be disposed of within 5 years of their completion.

• The premises will not be disposed of within 5 years. The practice is committed to providing services to the local community

 Include how the investment will deliver the aims of the programme, etc.

The investment will allow the practice to provide the facilities and accommodation for the recent and imminent patient growth.

ECONOMIC CASE  Confirm other options considered to achieve the scheme’s objectives. 9. ECONOMIC CASE

a) Confirm the options considered to a) The following options have been previously considered: achieve the scheme’s objectives and provide a summary of the options Long List appraisal process that has resulted in the selection of the preferred Option 1 - Do Nothing -. This would be a retrograde step in our care for option. It is important that a range of patients and the services provided to them, in addition we would not be able to viable options are considered during meet the patient population growth. the appraisal process If the options were/are limited in number, please Option 2 - Do Minimum – even with the no patient growth the existing patient provide clear supporting rationale. services cannot be met within the current spaces as they do not meet current

b) Confirm the scheme benefits – HBN requirements for consultation rooms so this restricts the services that can including financial (cash releasing currently be offered. In addition this would still restrict the services that could and non-cash releasing) and non- be more widely offered financial (quantifiable and non- quantifiable) and how the scheme Option 3 – Purchase new larger premises – this proposal was not supported delivers value for money. Appraisal by CCG as it did not comply with their plans for the future of primary care at of options on the basis of the extent scale. to which they deliver non-financial benefits can be carried out and Option 4 – Extend existing accommodation. (Preferred Option) – The presented using a non-financial addition of 3 No. compliant consulting rooms dedicated to GP’s would meet the benefits analysis employing predicted patient requirements allowing for realistic local growth and allow for weighted benefits criteria and a wider clinical services.

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scoring system to derive non- financial benefits points. Option 5 – Purpose built new build premises – there is no funding available for this option. c) Provide supporting economic appraisal to demonstrate the value for money of the preferred option The long list was discussed with the practice and stakeholders resulting as using a recognised methodology follows: such as the Generic Economic Options 3 and 5 were discounted due to cost and programme as the current Model (GEM) as appropriate. and forecasted population growth cannot be accommodated in the timescales

required to support these options. The practice also cannot provide the Note. To allow reviewers to see and financial contribution required for these options. analyse the underpinning information, please attach supporting Option 1 The recent growth has already had a significant detrimental affect on workings in executable tables (Excel, the practice and this cannot be sustained etc. and NOT pdf or images). Option 2 again did not allow for any future growth or provision of compliant spaces and this would seriously compromise the services being offered at Harston Surgery by possibly reducing patient lists

Short List

It is felt that in this case in order to meet the current and initial known 5 year future growth the only option is Option 4 to extend the existing surgery.

 Provide supporting value for money analysis as appropriate (attach tables to show workings).

b) Please refer to Appendices 2 and 3 within this document.

FINANCIAL CASE Confirm the capital costs of the scheme and anticipated dates of capital 10. FINANCIAL CASE deployment (and any associated disposals) split between 2018/19, 2019/20 a) Confirm the capital costs of the and 2020/21 (as required). scheme and anticipated dates of capital deployment (and any a) We would anticipate the £407,499.88 spend between 2020 – 2023 to associated disposals) split across financial years (as required). be attributed as follows:

b) If a lease is proposed, confirm the 2020/2021 - £206,499.88 + £10,000.00 acrued interest whole life cost of the lease (see note 6 on the BC Selector Introduction tab 2021/2022 – £6,000.00 for more information).

c) Confirm the recurrent revenue 2022/2023 – £185,000.00 costs of the scheme. Where these are anything other than revenue + Premises improvement grant £46,126.12 neutral or revenue saving, confirm the availability and source of Funding additional revenue. A significant level of developer contributions have already been secured through Confirm and demonstrate that the d) section 106 agreements signed between the District Council and the respective recurrent revenue cost of the land owners. The details of these are as follows: scheme is affordable.

e) Confirm and where necessary Development Planning ref Amount £ Spend explain any non-recurrent (e.g. expected restriction transitional costs) of the scheme. Bayercropscience S/2308/06/O £206,499.88 With Spent May

f) Confirm the availability and source + £10,000 South 2020 - of non-recurrent funds to meet these acrued Cambs extension costs. interest Council to May 2021 confirmed

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g) Provide supporting income and Cemex Barrington S/2365/14/OL £185,000 2022 10 years expenditure analysis that sets out from clearly the recurrent and non- receipt recurrent costs of the scheme, the Station Rd Foxton S/2148/16/OL £6,000 2021 10 years sources of funds to meet these from costs, which must demonstrates receipt clearly that the scheme is affordable. £407,499.88 h) Clarify where the assets will + Premises improvement grant reside in terms of ownership. The two contributions that are still to be paid will be subject to indexation j) Provide evidence of the proposed meaning that the final sum is higher than that referenced in the section 106 efficiency measures and projected agreement. As such a figure in excess of £400,000 (and possibly up to £430,000) outcomes and how they align with is expected to be received as a result of these 3 developments alone. service improvements.

The surgery is aware of agreement across NHS England, the CCG and the District Council that Harston Surgery is the only surgery that is to receive the funding secured from these applications. In addition we are advised by the District Council that any developments within the locality may also be required to pay section 106 contributions that will be directed to funding any shortfall at Harston Surgery. Importantly it is the case that (based on the quotes) all of the works may be delivered within the contributions already secured and a proposed application for premises improvement grant.

However as it stands the surgery only has access to the contribution paid in relation to the Bayercropscience site at around £220k (allowing for interest having accrued over the last 3 ½ years). The remaining money will be paid over the coming year (perhaps in 3 years). As such this application also seeks to secure a premises improvement grant and complete the project over two phases as monies are released.

 If a lease is proposed, confirm the whole life cost of the lease

a) No lease is proposed as the property is mortgaged by the Partners of the practice

 Confirm the recurrent revenue costs of the scheme. Where these are anything other than revenue neutral or revenue saving, confirm the source of additional revenue.

Annual Costs Rates £7,750 Water £700 Gas £3,000 Electric £2,000 Boiler/Heating System Maintenance £350 Intruder Alarm Maintenance £150 Fire System Maintenance £300 Air Con Maintenance £800 Telephone Maintenance and Calls £3,750 Cleaning £8,800 FM £2,616 Total £ 29,416.00

The revenue impact would be an increase of 36% of the current annual cost ongoing £10,590.00

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Current rent reimbursement is £49,000 based on GF/FF accommodation and parking spaces (E-mail attached – Appendices 4 and 5).

Additional revenue @10% = £4,900

 Confirm and demonstrate that the recurrent revenue cost of the scheme is affordable.

c) The recurrent revenue cost of the scheme is affordable. Additional rent to be received will cover additional incurred costs. (Please refer to Appendix 5)

 Confirm any non-recurrent (e.g. transitional costs) of the scheme.

d) The non-recurrent costs are:

• Legal fees • Stamp duty • IT GP infrastructure • Relocation and removal costs • Design team fees/ project management costs

 Confirm the source of non-recurrent funds to meet these costs.

e) The legal fees, stamp duty, relocation and removal costs will be met by the Project costs/ Practice

IT cost will be met by GP IT The design fees and project management costs will be met by CAPCCG

 Provide supporting income and expenditure analysis that sets out clearly the recurrent and non-recurrent costs of the scheme, the sources of funds to meet these costs, and which demonstrates clearly that the scheme is affordable.

a) Please refer to Appendix 6

 Clarify where the assets will reside in terms of ownership.

b) The assets will be retained by the Practice Partnership.

 Provide evidence of the proposed efficiency measures and projected outcomes and how they align with service improvements.

j) Consultant rooms will reduce current waiting times, and will accommodate the increased patient growth arising from the local housing developments which it is anticipated will be completed in the next 5 years. Refer to Utilisation schedule Appendix 7.

COMMERCIAL CASE  Confirm the commercial arrangements for delivery of the proposed capital 11. COMMERCIAL CASE For new build and refurbishment investment, e.g. procurement approach and proposed contract type (If not projects: using NHS Procure21+ for new build or refurbishment projects explain why not)

a) Confirm the commercial arrangements for delivery of the

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proposed capital investment, e.g. a) The scheme will be self-delivered by the practice via a traditional procurement approach and proposed procurement route of full tender to the market place and a JCT form of contract type. Procure 22, LIFT contract appointment (Local Improvement Finance Trust) and RHIC (Regional Health  Confirm when any necessary full planning consent will be achieved. Infrastructure Company) are three DHSC initiatives available to the b) Planning approval has been given 9th March 2020, see appendix 11. NHS. If not used for this proposal, please explain why an alternative  Confirm status of legal documentation and what (if anything) remains to be approach to procurement has been agreed used

b) Confirm when any necessary full c) The practice does not envisage the appointment of legal advisors planning consent will be achieved.

c) Confirm status of any legal  For new build and refurbishment projects confirm: i) compliant with DH documentation or processes guidance (HBN & HTM); ii) compliant with eliminating mixed sex required for the scheme to be accommodation; iii) compliant with an approved infection control strategy; iv) in delivered in full and what (if alignment with an approved estate strategy, or equivalent; v) intention to anything) remains to be agreed, e.g. undertake BREEAM assessment and target outcome. lease documentation, land ownership (also see g) below, party d) i) The building will be fully designed to meet the requirements of the wall agreements, etc. and if not Department of Health’s, Health Building Notes and Health Technical finalised, how and when the risk will be mitigated. Memorandums ii) Will fully comply with eliminating mixed sex accommodation where d) Confirm: possible, the building existing toilet provision will be reviewed in line with i) compliant with DHSC guidance (HBN & HTM); this. ii) compliant with eliminating mixed iii) Infection control will be engaged throughout the design process and sex accommodation; the agreed strategy will be incorporated in the design and use of the iii) compliant with an approved proposed building infection control strategy; iv) Aligns with the NHS estates strategy in alignment with an approved iv) v) A BREEAM assessment is not required for this project, but estate strategy, or equivalent; v) intention to undertake BREEAM sustainability/ energy good practice will incorporated where possible. assessment and target relevant outcome (excellent for new build, very good for refurbishment).  Confirm any contribution to carbon reduction plan (if applicable).

e) Confirm any contribution to carbon e) Sustainability and carbon footprint will be reviewed and incorporated reduction plan (if applicable). within the design and use of the building where possible. f) Where appropriate, attach site plans and design drawings for the  Where appropriate, attach site plans and design drawings for the preferred preferred option. option. g) Identify the ownership of the land or premises to be modified, the risk f) Please refer to Appendix 8. this poses and how the risks are mitigated for the options. g) The land is owned by the Partners of the practice, a site plan is attached For equipping and Digital for information in Appendix 8. Technology expenditure related to building projects

(projects which are solely related to Digital Technology should use the specific Digital Technology Business h) Consultation is taking place with Alys Turner, Senior Primary care IT Justification Template). Manager. Please refer to correspondence in Appendix 9

h) Describe the scheme: specify what equipment is being purchased i) To support the new consulting rooms and support areas and for what site(s) j) GP IT funding i) Describe the strategic need for the capital investment and what measurable benefits the capital investment will provide.

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j) Indicate where funding is required to support Strategic Estate Plans. For example, if a new build has been agreed and the requirements in this business case also specifically relate to another business case which has delivered or will deliver premises development, please explain and justify the links

I Confirm the arrangements for management and delivery of the capital 12. MANAGEMENT CASE investment scheme a) Confirm the arrangements for management and delivery of the a) The scheme will be self-delivered by the practice scheme  b) Confirm the key risks to delivery Confirm the key risks to delivery and measures to mitigate and manage and measures to mitigate and these risks. manage these risks. b) Planning permission – early engagement with James Fisher of South c) Provide a simple timeline with key milestones for the procurement and Cambs district council is being met favourably delivery of the scheme. Release of Section 106 monies – The staged release of the monies could impact on the preliminary costs associated with the project and the completion times. The construction will be tendered on a phased basis to ensure the practice can meet the costs. The practice would also consider a bridging loan if there was support and assurances from the CCG that the monies would become available.

 Provide a simple timeline with key milestones for the procurement and delivery of the scheme.

c) Appendix 10

Option Appraisal 17th January 2019 Procurement Route Confirmed 8th February 2019 OBC/New Project Proposal 1st May 2020 OBC Approval/Stage 1 Approval 30th July 2020 FBC/Final Project Proposal 12th September 2020 FBC Approval/Stage 2 Approval 26th October 2020 Date of procurement 2nd November 2020 Planned start of works 30th November 2020 Estimated completion date 12th May 2021

13. KEY RISKS Risk Please provide adequate information Mitigation to enable reviewers to understand Planning Permission Granted 9th March 2020 (See the level and likelihood of risk and appendix 11) how it is to be mitigated. Support for the project There has been a lot of support for Please list any risks to delivery, for this project and the practice are keen example if the spend is dependent on to engage further with patients and estates investment etc. the wider community on this. (See appendix 12) Funding The PID has been agreed, section 106 monies have been confirmed as being available (see appendix 4). NHS England PAU. £1m to £3m Bus. Just’n. Template –V2.7 13/12/18 Page 13 of 17

If the £206,499.88 on S/2308/06/O is rescinded the practice will not be able to afford the 34% of the new balance.

ENDORSEMENTS AND APPROVALS

14. LETTERS OF APPROVAL / SUPPORT Organisation Enclosed Letter dated Note E-mail dated 25th SPONSOR ORGANISATION James Fisher – South Cambs DC Y April 2019 Letter supporting proceeding to Outline LEAD COMMISSIONER Y 8th February 2018 Business Case (OBC) from Jan Thomas of CAPCCG PROPERTY COMPANY (NHS Property Services or N Community Health Partnerships) 15. PROJECT ENDORSED BY:

Form of Signature.

Note 1. This Word based BJT is circulated electronically in an unlocked format to allow the various fields to be completed and signatures to be added by different organisations. As with any document of this nature, NHS England Information Governance policy and British Standards therefore apply to any attached signatures.

Note 2. Where an Officer uses an electronic signature on behalf of an organisation, the organisation itself is confirming that the signature is valid and the signatory has authority to sign the document in relation to the approval purpose of the signature and consents to their electronic signature on this document being transmitted to others for purposes relating solely to this particular BJT proposal and approval process.

Note 3. In the event of future enquiries by internal or external/auditors or others and to protect the signatory, use of any electronic signature must be capable of being evidenced as having been authorised by the signatory. It is the responsibility of the signatory to ensure that evidence of this authorised use of their electronic signature and the document signed is held on their files for future reference.

Note 4. Conversion of the whole BJT into PDF and inserted for each signature has been used historically by some users, however this results in documents of excessive size and is to be avoided. Subject to consideration of the requirements of notes 1 to 3 above, the responsibility for the authorised use of any signature and format must reside with the signatory, but the optional form embedded below may assist some users on this authorised signature process. The form can be copied and saved separately, quickly completed by signatory through copying and pasting a couple of relevant items from the BJT, signing it, and simply converted to pdf before inserting into the relevant signature box.

T1. Optional signature authorisatio

15. SCHEME OR PROJECT ENDORSED BY: I hereby confirm that I am satisfied the payment of capital as set out in this Business Case is necessary expenditure and offers SPONSOR ORG 1 Statement value for money. I am satisfied that the capital funding requirement set out in this Business case is not replicated in

NHS England PAU. £1m to £3m Bus. Just’n. Template –V2.7 13/12/18 Page 14 of 17

DIRECTOR/HEAD OF any other NHS capital funding request, e.g. under other parallel FINANCE or APPROPRIATE capital investment initiatives AUTHORISED OFFICER Organisation

Position

Name

Signature

Date

I hereby confirm that I am satisfied the payment of capital as set out in this Business Case is necessary expenditure and offers value for money. I am satisfied that the capital funding Statement requirement set out in this Business case is not replicated in any other NHS capital funding request, e.g. under other parallel capital investment initiatives (Where applicable) Organisation SPONSOR ORG 2

Position DIRECTOR/HEAD OF FINANCE or APPROPRIATE AUTHORISED OFFICER Name

Signature

Date

Position DIRECTOR/HEAD OF FINANCE or APPROPRIATE AUTHORISED OFFICER Name

Signature

Date

DSO OFFICE I hereby confirm that I am satisfied the payment of capital as set out in this Business Case is necessary expenditure and offers Statement value for money. I confirm that all items to be procured are capitalisable in accordance with the current NHS England NHS ENGLAND DCO OFFICE Capital Accounting Guidance DIRECTOR OF FINANCE Area

Position

NHS England PAU. £1m to £3m Bus. Just’n. Template –V2.7 13/12/18 Page 15 of 17

Name

Signature

Date

REGIONAL OFFICE I hereby confirm that I am satisfied the payment of capital as set out in this Business Case is necessary expenditure and offers value for money. I also confirm that I am satisfied with the assurance provided by the relevant local DCO office Director of Finance in this Business Case. I confirm that this capital expenditure is funded within the Regional capital budget for the Statement relevant year(s) as outlined in this Business Case. I am assured that there is a credible plan in place to order, receive and account for the capital assets in the appropriate financial year in accordance with NHS England Standard Accounting Practice. I recommend that the NHS England Chief Financial Officer approves the proposed investment of capital set out in this NHS ENGLAND REGIONAL Business Case Document. DIRECTOR OF FINANCE Region

Position NHS England Regional Director Of Finance

Name

Signature

Date

PRIORITISATION (For regional use only)

Statement (Where applicable) As appropriate ETTF OR OTHER NHS Programme ENGLAND PROGRAMME:

REGIONAL HEAD OF Position PRIMARY CARE or PROGRAMME LEAD OR DIRECTOR Name (Depending on value and fund approval arrangements) Signature

Special programme or funding Date initiatives only.

NHS ENGLAND / NHS IMPROVEMENT Joint working initiative.

Statement NHS IMPROVEMENT (Where necessary and/or As appropriate appropriate on certain schemes) Name

NHS England PAU. £1m to £3m Bus. Just’n. Template –V2.7 13/12/18 Page 16 of 17

Confirms strategic need for this investment Position

(Signature option added as joint Region working initiative details are to be agreed) Signature

Date

NHS ENGLAND CHIEF FINANCIAL OFFICER

SCHEME NAME

Statement

As appropriate

Name NHS ENGLAND CHIEF FINANCIAL OFFICER Signature

Date

Conditions of approval,

Where applicable.

NHS England PAU. £1m to £3m Bus. Just’n. Template –V2.7 13/12/18 Page 17 of 17 OBC Harston Surgery Job No: 111637 - Date: July 2020

Letter from Jan Thomas

OBC Harston Surgery Job No: 111637 - Date: July 2020

Options Appraisal

Harston Surgery Options appraisal 23-04-19 Criteria Option 1 Option 2 Option 3 Option 4 Option 5 weighting Do nothing Do minimum Purchase new larger Extend existing Purpose built new build accommodation Raw score Weighted Raw score Weighted Raw score Weighted Raw score Weighted Raw score Weighted score score score score score Generic criteria Improved primary care access 17.0 1 17.0 2 34.0 3 51.0 9 170.0 9 153.0 Increased capacity for primary care 18.0 1 18.0 4 72.0 2 36.0 10 180.0 10 180.0

Wider range of services offered 12.0 1 12.0 1 12.0 2 24.0 5 60.0 1 12.0

Increased capacity for training 9.0 1 9.0 5 45.0 9 81.0 10 90.0 9 81.0

Facilitates patient engagement 7.0 10 70.0 10 70.0 7 49.0 10 70.0 10 70.0 Consistent with local estates strategies 7.0 1 7.0 2 14.0 2 14.0 10 70.0 2 14.0

Clear identified need 12.0 1 12.0 5 60.0 5 60.0 10 120.0 10 120.0 Long term sustainability 9.0 4 36.0 5 45.0 5 45.0 10 90.0 8 72.0 Flexible to changing healthcare 9.0 1 9.0 4 36.0 6 54.0 10 90.0 8 72.0 delivery patterns Total 100.0 21 190.0 38 388.0 41 414.0 85 940.0 67 774.0

Rank 5 4 3 1 2 Weighted score as % of preferred 19% 38% 42% 100% 67% OBC Harston Surgery Job No: 111637 - Date: July 2020

Value for money document

Harston Surgery Do nothing Extend Existing surgery Year Year Discount Capital Opp costs HS NPC Capital Opp HS rev NPC No. factor costs current costs costs 0 £'000 70 453 £'000 75 £'000 Total 0 0 70 1,536 453 0 75 2,420 0 2019/20 1.000 0 0 82 0 0 0 105 453 1 2020/21 0.966 82 79 105 101 2 2021/22 0.934 82 77 105 98 3 2022/23 0.902 82 74 105 95 4 2023/24 0.871 82 71 105 91 5 2024/25 0.842 82 69 105 88 6 2025/26 0.814 82 67 105 85 7 2026/27 0.786 82 64 105 83 8 2027/28 0.759 82 62 105 80 9 2028/29 0.734 82 60 105 77 10 2029/30 0.709 82 58 105 74 11 2030/31 0.685 82 56 105 72 12 2031/32 0.662 82 54 105 70 13 2032/33 0.639 82 52 105 67 14 2033/34 0.618 82 51 105 65 15 2034/35 0.597 82 49 105 63 16 2035/36 0.577 82 47 105 61 17 2036/37 0.557 82 46 105 58 18 2037/38 0.538 82 44 105 56 19 2038/39 0.520 82 43 105 55 20 2039/40 0.503 82 41 105 53 21 2040/41 0.486 82 40 105 51 22 2041/42 0.469 82 38 105 49 23 2042/43 0.453 82 37 105 48 24 2043/44 0.438 82 36 105 46 25 2044/45 0.423 82 35 105 44 26 2045/46 0.409 82 34 105 43 27 2046/47 0.395 82 32 105 41 28 2047/48 0.382 82 31 105 40 29 2048/49 0.369 82 30 105 39 30 2049/50 0.356 82 29 105 37 31 2050/51 0.344 82 28 105 36

Notes: Capital costs = cost of buying surgery Capital costs = capital expenditure (excl VAT) Opportunity cost = value of development area HS current = cost rent, rates and other revenue costs ex VAT HS revenue = rates and FM charges (ex VAT) - not rent Lifecycle/maintenance costs included in service charge OBC Harston Surgery Job No: 111637 - Date: July 2020

Confirmation of Section 106 funding

From: Anni Folan-White To: Samantha Clarke Subject: FW: Harston Surgery Update Date: 11 April 2019 09:01:56

Confirmation of monies – I think I sent this before

Anni Folan‑White | MCIBSE CEng MSc BEng (Hons) Partner DD: 01223 965204 | M: 07834 178 514

Ingleton Wood LLP 1a Oakington Business Park Oakington Cambridge, CB24 3DQ T: 01223 965200 www.ingletonwood.co.uk

From: JONES, Dawn (NHS CAMBRIDGESHIRE AND PETERBOROUGH CCG) Sent: 19 March 2019 10:43 To: Anni Folan-White Cc: O'SHEA, Emma (NHS CAMBRIDGESHIRE AND PETERBOROUGH CCG) ; STONE, Jonathan (NHS CAMBRIDGESHIRE AND PETERBOROUGH CCG) ; UMOREN, Smith (NHS ENGLAND) ; JONES, Dawn (NHS CAMBRIDGESHIRE AND PETERBOROUGH CCG) Subject: FW: Harston Surgery Update

Hi Anni

Confirmation of Section 106 monies from South Cambs DC below.. to support the Harston proposal

Dawn Jones Head of Primary Care Commissioning Cambridgeshire & Peterborough Clinical Commissioning Group

Civic Suite, Pathfinder House, Huntingdon, Cambs PE29 3TN DD: 01480 387137 Fax: 01480 387133 Mobile: 07908068861 E: [email protected].

Head Office: Lockton House, Clarendon Road, Cambridge, CB2 8FH Switchboard: 01223 725400

********************************************************************************************************* This message may contain confidential information. If you are not the intended recipient please inform the sender that you have received the message in error before deleting it. Please do not disclose, copy or distribute information in this e-mail or take any action in reliance on its contents to do so is strictly prohibited and may be unlawful. Thank you for your co- operation.

From: McFarlane Lesley [mailto:[email protected]] Sent: 19 March 2019 10:39 To: JONES, Dawn (NHS CAMBRIDGESHIRE AND PETERBOROUGH CCG) Cc: O'SHEA, Emma (NHS CAMBRIDGESHIRE AND PETERBOROUGH CCG) Subject: RE: Harston Surgery Update

Hi Dawn Sincere apologies for not getting back to you yesterday .. but in answer to your question:

Development Planning ref Amount £ expected Spend restriction Bayercropscience S/2308/06/O £206,499.88 May 2015 Spent May 2020 Hauxton Cemex Barrington S/2365/14/OL £185,000 2022 10 years from receipt Station Rd S/2148/16/OL £6,000 2021 10 years from Foxton receipt

Best wishes.

Lesley McFarlane | Development Officer, Health Specialist

******************************************************************************************************************** This message may contain confidential information. If you are not the intended recipient please inform the sender that you have received the message in error before deleting it. Please do not disclose, copy or distribute information in this e-mail or take any action in relation to its contents. To do so is strictly prohibited and may be unlawful. Thank you for your co-operation. NHSmail is the secure email and directory service available for all NHS staff in England and Scotland. NHSmail is approved for exchanging patient data and other sensitive information with NHSmail and other accredited email services. For more information and to find out how you can switch, https://portal.nhs.net/help/joiningnhsmail OBC Harston Surgery Job No: 111637 - Date: July 2020

Notional Rent Reimbursement Determination Email 26.04.2019

From: Anni Folan-White To: Samantha Clarke Subject: FW: BW Healthcare Surveyors - Notional Rent Settlement - Harston Surgery Date: 29 April 2019 18:12:18 Attachments: image001.jpg image002.png image003.png image004.jpg

Anni Folan‑White | MCIBSE CEng MSc BEng (Hons) Partner DD: 01223 965204 | M: 07834 178 514

Ingleton Wood LLP 1a Oakington Business Park Oakington Cambridge, CB24 3DQ T: 01223 965200 www.ingletonwood.co.uk

From: O'LEARY, Gerry (HARSTON SURGERY) Sent: 29 April 2019 18:07 To: Anni Folan-White Subject: FW: BW Healthcare Surveyors - Notional Rent Settlement - Harston Surgery

I didn’t realise it was the notional rent, sorry! See email below I appealed a short while back and received this email this morning informing us that the appeal was successful, and our rent has been increased!

Kind regards

Gerry

From: Will Ellis [mailto:[email protected]] Sent: 26 April 2019 10:14 To: O'LEARY, Gerry (HARSTON SURGERY) Subject: BW Healthcare Surveyors - Notional Rent Settlement - Harston Surgery

Dear Gerry,

I hope you’re well.

We have some great news for the practice. We have now reached an agreement with the District Valuer for an increase in your Notional Rent reimbursement, please see details below;

Original NR: £47,800 pa Revised NR: £49,000 pa Increase: £1,200 pa WEF: 5th October 2018 Fee: £1,020 plus VAT

Please can you confirm acceptance to this agreement so we can arrange for NHS to pay the backdated rent arrears.

Should you have any questions or queries with regards this please don’t hesitate to ask.

Kind Regards

Will

Will Ellis | Director t. 0114 442 0098 e. [email protected]

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Affordability document

Current Harston extended Net increase/ Harston Surgery Total surgery (decrease)% Existing

GIA 36 Cost rent/base rent 49,000 65,050 "Development" rent 0 0 Rates 7,750 10,540 Air Con 800 1,088 Gas 3000 4,080 Water rates 700 952 Electricity 2000 2,720 Telephone 3750 5,100 FM and other service charges 2,616 3,558 Cleaning 8,800 11,968 Total costs 29,416 40,006

Funded by: NHS England Core GMS 9,250 12,580

Para 47 Sec 5 CCG Practice 20,166 27,426 Total funding 29,416 40,006 OBC Harston Surgery Job No: 111637 - Date: July 2020

Utilisation schedule

Primary Care Consulting /Examination Room, Treatment Room and support space estimator Version: May 2018 - PAU Based on Department of Health requirements / guidance HBN 11-01 For Project Initiation / pre SOC stage only

Ensure you delete data from any previous estimate before starting a new estimate

Insert your new local data in the unshaded cell to produce your space estimate for this project

Project title Harston Surgery - Existing Patient list

Provider Contact Name / email Chris Gee 01223 870250 [email protected]

Commissioner Contact Name / email D Cockman - 01138254932 [email protected]

Estimate date 23/04/2019 Completed by Anni Folan-White - Ingleton Wood

① Premises opening times Complete these tables and when inserting Opening and Closing time please insert a colon : between hours and minutes Current opening times Future opening times Open Close Open Close Day Hr : Min Day Hr : Min hr : min hr : min hr : min hr : min Example 8 : 00 18: 30 10:30 Example 8 : 00 18: 30 10:30

Monday 08:30 18:00 09:30 Monday 08:30 18:00 09:30

Tuesday 08:30 18:00 09:30 Tuesday 08:30 18:00 09:30

Wednesday 08:30 18:00 09:30 Wednesday 08:00 18:00 10:00

Thursday 08:30 18:00 09:30 Thursday 08:30 18:00 09:30

Friday 08:30 18:00 09:30 Friday 08:30 18:00 09:30

Saturday 00:00 00:00 00:00 Saturday 00:00 00:00 00:00

Sunday 00:00 00:00 00:00 Sunday 00:00 00:00 00:00

TOTAL HOURS PER WEEK 47 TOTAL HOURS PER WEEK 48

② Estimating the number of consulting/examination rooms required for general medical services

Based on Based on Ref Heading Current Future Your notes to assist external review Hours Hours A Population (local catchment area) 14,000 14,000 This proposal will service 50% of population

B Estimated list size for this proposal 6,930 6,930

Anticipated average annual contacts per patient C 6 6 per year D Total anticipated annual contacts ( BxC) 41,580 41,580

Estimated ratio of E patients using GP C&E 9 10 90% 90% rooms e.g 7 in 10

F Estimated attendances (D x E) 37,422 37,422

G Building opened (weeks a year) 52 52

H Number attendances per week (F/G) 720 720

The average for consultation is 8 minutes based on past I Appointment duration minutes 8 8 appintments Patient appointment time (hours per week) J 96 96 (HxI/60 ) Building operational hours per week (total from K 48 48 Opening Times tables above) C&E room utilisation: C&E room utilisation: How many hours p.w. How many hours p.w. L 74% 84% are C&E rooms used by 35 48 will C&E rooms used by 40 48 the GP's the GP's Consulting Rooms required (round up and down when 3 2 producing a schedule of accommodation)

③ Estimating the number of treatment rooms required for general medical services: Based on Based on Ref Heading Current Future Your notes to assist external review Hours Hours

A Catchment population 14,000 14,000 This proposal will service 50% of population

B Access rate 6,930 6,930 As 1B above Anticipated average annual contacts per patient C 6 6 As 1C above per year This is made up of the current list of 6930 and future D Total anticipated annual contacts ( BxC) 41,580 41,580 development of 1926

Estimated ratio of Nurses, trainee GP and HCA use the treatment rooms E patients using treatment 8.66 10 87% 87% inaddition to GP,s rooms e.g 7 in 10

Estimated Treatment Room attendances F 36,008 36,008 (D x E) G Building opened (weeks a year) 52 52 As 1G above

H Number attendances per week (F/G) 692 692

Treatment time is 15 minutes average base on pased I Treatment time (minutes) 15 15 appointments. Patient treatment time (hours per week) (Hx I / J 173 173 60 ) Building operational hours per week (total from K 48 48 As 1K above Opening Times tables above) Treatment room Treatment room utilisation: How many utilisation: How many L hours p.w. are 40 48 84% 105% hours p.w. are 50 48 Treatment rooms used Treatment rooms used by the clinicians? by the clinicians? Treatment Rooms required (round up and down when 4 3 producing a schedule of accommodation)

Estimating the Total GIAm2

Based on Based on # Accommodation Current Future Your notes to assist external review Hours Hours

Consulting/Examination /Treatment space GP room will not be single use , this will be shared with HCA, 1 112 96 (as above) Nurses and trainee GP's Support accommodation (WC's, admin, storage, 2 199 171 changing rooms, receptio etc) SUBTOTAL 311 267

3 Planning allowance (15%) 47 40

4 Engineering allowance (10%) 31 27

5 Circulation allowance (25%) 78 67

TOTAL ESTIMATED GIAm2 467 400 For the PID Cost Estimator use GIAm2 totals only OBC Harston Surgery Job No: 111637 - Date: July 2020

Site plans and design drawings

Harston Doctors Surgery, Church Street Transport Statement

December 2019

Harston Doctors Surgery, Church Street

LW Developments

June 2018

prepared on behalf of

South Cambridgeshire District Council

Document: Transport Statement

Project: Harsrton Doctors Surgery, Church Sreet

Client: Harston Surgery

Job Number: 18055

File Origin: Projects\18055 Harston Surgery\Word\18010-R01-CIPN Transport Assessment 191216.docx

Issue Date Status Approved

1 06.12.19 Draft KM

2 16.12.19 Final KM

Contents

1 INTRODUCTION ...... 1

Report Structure ...... 1

2 POLICY CONTEXT ...... 2

National Policy and Guidance ...... 2 Local Policy ...... 4

3 EXISTING CONDITIONS ...... 9

Site Location ...... 9 Existing Use ...... 9 Walk and Cycle Accessibility ...... 10 Bus ...... 12 Highway Network ...... 13 Accident History ...... 13

4 DEVELOPMENT PROPOSALS ...... 15

Overview of the Development ...... 15 Site Access ...... 15 Car Parking ...... 15 Cycle Parking ...... 15 Waste Strategy ...... 16

5 PARKING ASSESSMENT ...... 17

Existing Parking Demand ...... 17 Existing Car Park ...... 17 Staff Parking in Car Park ...... 18 On-street Patient Parking ...... 20 Proposed Parking Demand ...... 24

6 PARKING STRATEGY ...... 27

Workplace Travel Plan ...... 27 Car Park Variable Message Sign ...... 27

7 CONCLUSIONS ...... 28

Figures

Figure 3.1 - Site Location Figure 3.2 - 2km Walking Isochrone Figure 3.3 - Cycle Network Figure 3.4 - 5km Cycle Isochrone Figure 3.5 - Personal Injury Collisions

Appendices

Appendix A - CCC Consultation Comments Appendix B - Existing Site Plan Appendix C - Proposed Site Layout Appendix D - Site Access and Parking Beat Survey

1 Introduction

1.1 KMC is retained by South Cambridgeshire District Council (SCDC) to provide transport advice in relation to the proposed extension of the existing and operational Harston Doctors Surgery, Church Street, Harston, Cambridge. It is proposed to provide a single storey rear and first floor rear extension to the surgery (D1 use of class) as well as additional parking. This proposal will increase the staff from 13 to 16 and consulting rooms from 6 to 8.

1.2 This Transport Statement (TS) has been prepared in accordance with the Planning Practice Guidance on ‘Travel Plans, Transport Assessment and Statements’ (March 2014) as well as Cambridgeshire County Council’s ‘Transport Assessment Guidelines’ (June 2017). This TS should be read in conjunction with the other documents, plans and technical studies submitted to accompany the planning application to SCDC.

1.3 A planning application was submitted to SCDC in July 2019 (Ref: S/2511/19/FL). A TS was not prepared to support that application. Cambridgeshire County Council (CCC), as local highway authority, provided comments on the application, which are included in Appendix A. The transport related comments received on the previous application from SCDC, CCC and third parties have been considered as part of the preparation of this TS.

Report Structure

1.4 The remainder of this report is structured as follows:

• Section 2: Policy Context – this section outlines the current transport related planning policy at a national and local level. • Section 3: Existing Conditions – this section summarises the existing conditions in terms of the existing transport infrastructure by all modes of travel as well as analysis of Personal Injury Collision data. • Section 4: Development Proposals – this section summarises the development proposals from a transport perspective in terms of the site access arrangements and proposed parking provision. • Section 5: Trip Generation – this section summarises the methodology applied to derive the trip generation of development generated trips. • Section 6: Parking Strategy – this section summarises the parking strategy for the proposed development. • Section 7: Conclusions – this section provides a summary and conclusions of the assessment.

Harston Doctor Surgery Page | 1 December 2019

2 Policy Context

2.1 This section summarises the relevant national and local policy in the context of the site and the proposed development.

National Policy and Guidance

National Planning Policy Framework (NPPF)

2.2 The National Planning Policy Framework (February 2019) sets out the Government’s planning policies for England and how these are expected to be applied.

2.3 Section 9 of the newly published NPPF sets out the national policy on promoting sustainable transport.

2.4 Paragraph 102 sets out the reasons why transport issues should be considered from the earliest stages of plan-making and development proposals.

2.5 Paragraph 103 goes on set out how maximising sustainable transport solutions may vary between urban and rural locations.

“…Significant development should be focused on locations which are or can be made sustainable, through limiting the need to travel and offering a genuine choice of transport modes. This can help to reduce congestion and emissions, and improve air quality and public health. However, opportunities to maximise sustainable transport solutions will vary between urban and rural areas, and this should be taken into account in both plan-making and decision-making.”

2.6 Paragraph 108 states that it should be ensured that:

“appropriate opportunities to promote sustainable transport modes can be – or have been – taken up, given the type of development and its location;

safe and suitable access to the site can be achieved for all users; and

any significant impacts from the development on the transport network (in terms of capacity and congestion), or on highway safety, can be cost effectively mitigated to an acceptable degree.”

Harston Doctor Surgery Page | 2 December 2019

2.7 Paragraph 109 goes on to state that:

“Development should only be prevented or refused on highways grounds if there would be an unacceptable impact on highway safety, or the residual cumulative impacts on the road network would be severe.”

2.8 The framework supports the provision of Travel Plans to manage demand and the provision of sustainable facilities on site to reduce the need to travel where practical. Paragraph 111 states that:

“All developments that will generate significant amounts of movement should be required to provide a travel plan, and the application should be supported by a transport statement or transport assessment so that the likely impacts of the proposal can be assessed.”

National Planning Practice Guidance

2.9 Following the withdrawal in October 2014 of The Department for Transport (DfT) ‘Guidance on Transport Assessment’ (March 2007) , the DfT published the Planning Practice Guidance (NPPG) suite of guidance, which is continually being updated. This guidance is intended to assist all stakeholders in determining whether an assessment may be required and, if so, what level and scope that assessment should include.

2.10 The “Travel Plans, Transport Assessments and Statements” section of NPPG was last updated in March 2014 and summarises what these documents are and how they relate to each other. It goes on to summarise the key principles of a Travel Plan, Transport Assessment and Transport Statement and what should be included in them.

2.11 With regards to scope and level of detail to be included in a Transport Assessment or Statement the guidance states that this will vary from site to site, but the following should be considered when settling the scope of the proposed assessment:

• “information about the proposed development, site layout, (particularly proposed transport access and layout across all modes of transport) • information about neighbouring uses, amenity and character, existing functional classification of the nearby road network; • data about existing public transport provision, including provision/ frequency of services and proposed public transport changes; • a qualitative and quantitative description of the travel characteristics of the proposed development, including movements across all modes of transport that would result from the development and in the vicinity of the site;

Harston Doctor Surgery Page | 3 December 2019

• an assessment of trips from all directly relevant committed development in the area (i.e. development that there is a reasonable degree of certainty will proceed within the next 3 years); • data about current traffic flows on links and at junctions (including by different modes of transport and the volume and type of vehicles) within the study area and identification of critical links and junctions on the highways network; • an analysis of the injury accident records on the public highway in the vicinity of the site access for the most recent 3-year period, or 5-year period if the proposed site has been identified as within a high accident area; • an assessment of the likely associated environmental impacts of transport related to the development, particularly in relation to proximity to environmentally sensitive areas (such as air quality management areas or noise sensitive areas); • measures to improve the accessibility of the location (such as provision/enhancement of nearby footpath and cycle path linkages) where these are necessary to make the development acceptable in planning terms; • a description of parking facilities in the area and the parking strategy of the development; • ways of encouraging environmental sustainability by reducing the need to travel; and • measures to mitigate the residual impacts of development (such as improvements to the public transport network, introducing walking and cycling facilities, physical improvements to existing roads.”

Local Policy

South Cambridgeshire Local Plan

2.12 The South Cambridgeshire Local Plan (the ‘Local Plan’) and the Adopted Policies Map were adopted in September 2018. The policies in the Local Plan will guide development in the district until 2031.

2.13 Chapter 10 of the Local Plan is titled ‘Promoting and Delivering Sustainable Transport and Infrastructure’ and provides the key policies with respect to transport and infrastructure. Of particular relevance for the development are the following policies:

• Policy TI/2: Planning for Sustainable Travel; • Policy TI/3: Parking Provision; • Policy TI/8: Infrastructure and New Developments.

2.14 Policy TI/2 on Planning for Sustainable Travel states that:

Harston Doctor Surgery Page | 4 December 2019

“Development must be located and designed to reduce the need to travel, particularly by car, and promote sustainable travel appropriate to its location.

Planning permission will only be granted for development likely to give rise to increased travel demands, where the site has (or will attain) sufficient integration and accessibility by walking, cycling or public and community transport……

Developers will be required to demonstrate they will make adequate provision to mitigate the likely impacts (including cumulative impacts) of their proposal including environmental impacts (such as noise and pollution) and impact on amenity and health. This will be achieved through direct improvements and Section 106 contributions and/or the Community Infrastructure Levy (CIL), to address transport infrastructure in the wider area including across the district boundary……”

2.15 Policy TI/2 goes on to states that applications should be accompanied by a Transport Assessment or Statement and a Travel Plan, based on the thresholds provided in the policy.

2.16 Relevant aspects of Policy TI/3 on Parking Provision states that:

“Car parking provision should be provided through a design-led approach in accordance with the indicative standards set out in Figure 11. Cycle parking should be provided to at least the minimum standards set out in Figure 11.

Car parking provision will take into consideration the site location, type and mix of uses, car ownership levels, availability of local services, facilities and public transport, and highway and

user safety issues, as well as ensuring appropriate parking for people with impaired mobility.

The Council will encourage innovative solutions to car parking, including shared spaces where the location and patterns of use permit, and incorporation of measures such as car clubs and electric charging points……

…..All parking provision must be provided in a manner that accords with Policy HQ/1 and the developer must provide clear justification for the level and type of parking proposed in the Design and Access Statement and/or Travel Plan.”

2.17 In terms of parking standards for D1 clinics uses, Figure 11 in the Local Plan provides the standards which are replicated in Table 2.1 below.

Harston Doctor Surgery Page | 5 December 2019

Table 2.1 – Relevant Car and Cycle Parking Standards

Land Use Maximum Car Parking Minimum Cycle Parking Standard Standard D1: Non-residential 1 space per 2 staff plus 2 2 spaces per consulting institutions per consulting room room (health centres and clinics)

2.18 Policy TI/8 on Infrastructure and New Developments states that:

“Planning permission will only be granted for proposals that have made suitable arrangements for the improvement or provision of infrastructure necessary to make the scheme acceptable in planning terms. The nature, scale and phasing of any planning obligations and/or Community Infrastructure Levy (CIL) contributions sought will be related to the form of the development and its potential impact upon the surrounding area.

Contributions may also be required towards the future maintenance and upkeep of facilities either in the form of initial support or in perpetuity in accordance with Government guidance.”

Cambridgeshire Local Transport Plan 3 2011-2031

2.19 The third Local Transport Plan (LTP3) is a statutory document which sets out the transport objectives, policies and strategy for the Cambridgeshire. The first edition of the LTP3 was updated in 2014 to reflect new data and changing context with regard to funding and development plans, to cover the period to 2031.

• Objective 1 - Enabling people to thrive, achieve their potential and improve their quality of life. • Objective 2 - Supporting and protecting vulnerable people. • Objective 3 - Managing and delivering the growth and development of sustainable communities. • Objective 4 - Promoting improved skill levels and economic prosperity across the county, helping people into jobs and encouraging enterprise. • Objective 5 - Meeting the challenges of climate change and enhancing the natural environment.

2.20 Within Figure 4.1 of LTP3, the countywide strategy to make sustainable modes of transport a viable and attractive alternative is set out. Cambridgeshire state that they will:

Harston Doctor Surgery Page | 6 December 2019

• Make sustainable modes of transport more attractive by developing walking and cycling networks. • Make it easier for people to change between modes of transport/ Work with bus operators to provide high quality bus services. • Improve the environment and safety of pedestrians, cyclists and public transport users. Focus on raising awareness of available transport choices, and the health and environmental benefits of cycling and walking. • Work with local planning authorities to ensure facilities for sustainable modes form an integral part of new development.

2.21 Other highlights from the LTP3 strategy include:

• Plans to reduce the length of the commute and the need to travel by private car through the provision of sustainable travel options for new developments; focussing on securing school, workplace and residential travel plans; and supporting and encouraging journey planning tools. • Future proofing the maintenance strategy by building new infrastructure to the latest standards for withstanding the impacts of climate change. • Improving the reliability of journey times by managing demand for road space.

Transport Strategy for Cambridge and South Cambridgeshire (TSCSC) 2013

2.22 The TSCSC provides a detailed policy framework and programme of schemes for the area, addressing current problems and consistent with the policies of the Third Cambridgeshire Local Transport Plan 2011-26 (LTP3). It supports the Cambridge and South Cambridgeshire Local Plans and takes account of committed and predicted levels of growth, detailing the transport infrastructure and services necessary to deliver growth.

2.23 The TSCSC covers the district of South Cambridgeshire and the city of Cambridge, but also considers the transport corridors beyond the district boundaries from the ring of towns around Cambridge.

2.24 Many of the measures in the TSCSC are intended to help facilitate and support new development. As such, developers will be expected to contribute to the delivery of the measures specific to a site.

2.25 The TSCSC considers all modes of transport used for local trips, including trips on the trunk road and motorway network managed by the Highways England, and the rail network managed by Network Rail.

Harston Doctor Surgery Page | 7 December 2019

Cambridgeshire Long Term Transport Strategy (LTTS) – July 2015

2.26 The Long Term Transport Strategy forms part of the Third Cambridgeshire Local Transport Plan. The strategy identifies the major infrastructure requirements that are needed to address existing problems and capacity constraints on Cambridgeshire’s transport network. This is in response to the ambitious growth targets in the area, including at Waterbeach Barracks, which is sited in the strategy as a key growth area.

2.27 The objectives of the strategy are:

• to ensure that the transport network supports sustainable growth and continued economic prosperity; • to improve accessibility to employment and key services; • to encourage sustainable alternatives to the private car, including rail, bus, guided bus, walking and cycling, car sharing and low emission vehicles; • to encourage healthy and active travel, supporting improved well-being; • to make the most efficient use of the transport network; • to reduce the need to travel; • to minimise the impact of transport on the environment; and • to prioritise investment where it can have the greatest impact.

Harston Doctor Surgery Page | 8 December 2019

3 Existing Conditions

Site Location

3.1 The doctors surgery is located in Harston, a village to the south-west of Cambridge on the A10. The surgery is located on Church Street, a single carriageway residential street, which connects Haslingfield to the A10. The site location is illustrated in Figure 3.1 below.

Figure 3.1 – Site Location

Site

Existing Use

3.2 The site is occupied by an in-use doctors surgery, currently consisting of 6 consulting rooms with 13 staff. There is also a pharmacy at the surgery. Not all of the staff are at the surgery all of the time, with the mornings being the busiest time of the day.

3.3 The surgery is currently served by 19 car parking spaces; 2 of the car park spaces are located on the street-facing side of the surgery and the remaining 17 are located at the rear of the surgery.

3.4 The existing site layout is included in Appendix B, which shows the red line boundary of the site.

Harston Doctor Surgery Page | 9 December 2019

Walk and Cycle Accessibility

3.5 The National Planning Policy Framework (NPPF) does not provide any specific guidance on walking distances. Manual for Streets (MfS) states that:

“Walkable neighbourhoods are typically characterised by having a range of facilities within 10 minutes’ (up to about 800 m) walking distance of residential areas which residents may access comfortably on foot. However, this is not an upper limit and PPG13 states that walking offers the greatest potential to replace short car trips, particularly those under 2 km.”

3.6 Analysis of National Travel Survey (NTS) data for walking as a main mode to establish actual walk distances people walk shows that the average distance of walking as a main mode (outside of London) is 1,150m and the 85th percentile distance is 1,950m. Therefore, the 85th percentile walking distance is similar to the 2km distance widely applied for walking trips as a main mode albeit 15% of people walk further than this.

3.7 Whilst the above walking distances would apply to staff, given the nature of the land use, patients are likely to be either be ill or mobility impaired, reducing the walking distances normally considered reasonable.

3.8 Figure 3.2 below provides the 2km walking isochrone from the site. Figure 2.2 shows that the site is within walking distance of all of Harston village. Whilst Figure 2.2 also shows that the southern part of Haslingfield is within walking distance of the surgery, it is considered unlikely that pedestrians would walk along this route as it is a 60mph road with no footways.

Figure 3.2 – 2km Walking Isochrone

Harston Doctor Surgery Page | 10 December 2019

3.9 There are pedestrian footways provided on both sides of Church Street, connecting the surgery with the A10 to the south and residential properties along Church Street to the north. Given the low volumes of traffic, there are no controlled pedestrian crossings along Church Street and pedestrians tend to cross in numerous places along the road.

3.10 There are footways on both sides of the A10, connecting the rest of the village with Church Street. The footway along the northern side of the A10 has recently been upgraded by CCC to provide a shared pedestrian/cycle route along the A10 through Harston.

3.11 An uncontrolled crossing with tactile paving is located across the A10 at the Church Street/A10 junction as well as a signal controlled pedestrian crossing across the A10 between the junctions of Church Street and Station Road.

3.12 With regards to cycling, there are no formal cycle facilities along Church Street, although it is conducive to cycling on road with low vehicle speeds and flows.

3.13 Figure 3.3 below, provides an extract of the Cycle Network Map and shows the shared pedestrian/cycle route along the A10, connecting Church Street with the rest of the village. This cycle route directly connects neighbouring villages such as Foxton and Hauxton, both of which do not have a local doctors surgery.

Figure 3.3 – Cycle Network

Site

Harston Doctor Surgery Page | 11 December 2019

3.14 Central Government research states that cycling has the potential to substitute for short car trips, particularly those under 5km, and to form part of a longer journey by public transport. Cycling is an attractive form of travel and it is reasonable to expect that for able-bodied people a cycle distance of 5km is readily achievable and attractive. Figure 3.4 below shows the 5km cycle isochrone from the site.

Figure 3.4 – 5km Cycle Isochrone

3.15 Figure 3.4 shows that there are numerous villages within cycle distance of the site, including Haslingfield, Foxton and Barrington, providing a wide cycle catchment of residential areas for staff and patients. As noted above some of the villages are connected via the off-road cycle route along the A10 (i.e. Foxton and Hauxton) whereas other villages would require cyclists to cycle on roads, some of which may not be conducive to cycling.

Bus

3.16 The nearest bus stops to the site are on the A10, the closest is in the vicinity of the junction with Church Street. This bus stop is a 200m walk from the site along Church Street. Table 3.1 below summarises the local bus service served by the nearest bus stops to the site.

Harston Doctor Surgery Page | 12 December 2019

Table 3.1 – Bus Services

Route Route Weekday Saturday Sunday

Number

PeakFrequency PeakFrequency PeakFrequency

First/Last Service First/Last Service First/Last Service

Route A Royston – Cambridge – 06:45 – 06:45 – St Ives – Huntingdon & 60 mins 60 mins - - 19:00 19:00 Villages

Highway Network

3.17 Access to the site is from Church Street which is a single carriageway road with a 30 mph speed limit. Church Street connects to the A10 (Royston Road) to the south of Harston Surgery via a priority junction. The A10 locally connects Cambridge to Royston, and villages in-between.

Accident History

3.18 Accident data for the most recent 5 year period (i.e. since 1st January 2014) has been obtained from the Crashmap database, which summarises the Personal Injury Collisions (PICs) for the surrounding highway network. Figure 3.5 shows the location of the PICs over the last 5 year period.

Harston Doctor Surgery Page | 13 December 2019

Figure 3.5 – Personal Injury Collisions (2014 – 2019)

Site

3.19 There have been 15 PICs in the vicinity of the site in the past 5 years, 12 of which are slight, 3 of which are serious. There have been no fatalities. The majority of PICs have occurred on the A10.

3.20 There have been no PICs recorded along Church Street, though there have been 3 PICs at the priority junction of Church Street/A10. Two of these PICs were serious, one was slight. All three cases involved cyclists impacting cars side-on, one offside and two nearside collisions. These PICs left two cyclists seriously injured and another cyclist slightly injured.

Harston Doctor Surgery Page | 14 December 2019

4 Development Proposals

Overview of the Development

4.1 It is proposed to provide a single storey rear and first floor rear extension to the surgery (D1 use of class) as well as additional parking. This proposal increases the staff from 13 to 16 and consulting rooms from 6 to 8. The proposed site layout is included as Appendix C.

4.2 Not all of the staff are at the surgery all of the time, with the mornings being the busiest time of the day. The staff are a mixture of doctors, nurses, office staff as well as staff working at the pharmacy.

Site Access

4.3 The existing site is accessed via a vehicle crossover on Church Street. A site access road runs along the western side of the surgery, which connects into the staff and patient car park to the rear of the surgery.

4.4 As part of the development there are not proposed to be any changes to the site access or site access road.

Car Parking

4.5 The surgery is currently served by 19 car parking spaces; 2 of the car park spaces are located on the street-facing side of the surgery and the remaining 17 are located at the rear of the surgery.

4.6 As part of the proposed development, the car park is to be reconfigured to provide an additional 3 car parking spaces with a total of 22 car parking spaces provided for the surgery. The proposed parking provision has been informed by the parking surveys and analysis set out in Section 6 of this report.

4.7 The existing two accessible car parking spaces to the front of the surgery are sub-standard and it is proposed to widen these spaces with the removal of some of the frontage landscaping.

Cycle Parking

4.8 It is proposed to provide a total of 16 cycle parking spaces (i.e. existing and proposed) at the surgery in accordance with the minimum cycle parking standards.

Harston Doctor Surgery Page | 15 December 2019

Waste Strategy

4.9 The bins are currently located within the car park to the rear of the surgery. Hatched out markings are provided within the existing car park to protect the turning space for a refuse vehicle. However, based on discussions with the surgery, the bins are currently wheeled to the front of the surgery before they are collected, and the refuse collection takes place from Church Street.

4.10 It is proposed to provide a new bin store to the front of the surgery to facilitate refuse collection from Church Street. All servicing will take place from Church Street and no refuse vehicles will need to enter the site.

Harston Doctor Surgery Page | 16 December 2019

5 Parking Assessment

5.1 This section summarises the vehicle trips generated by the existing surgery as well as the existing parking accumulation. It goes on to derive the parking strategy and future demand for parking for the proposed development.

Existing Parking Demand

Existing Car Park

5.2 A survey was undertaken on 18th November 2019 of the existing surgery site access between the hours of 07:00-19:00. The survey data is included at Appendix D. The existing vehicles in and out of surgery site access/car park are summarised in Table 5.1 below. This includes trips generated by both staff and patients.

Table 5.1 – Existing Car Park Accumulation (Staff and Patients)

Vehicles Car Park Percentage Time Vehicles In Out Accumulation Utilisation 07:00 0 0 0 0.0% 07:15 1 0 1 5.3% 07:30 0 0 1 5.3% 07:45 4 1 4 21.1% 08:00 4 0 8 42.1% 08:15 6 0 14 73.7% 08:30 3 2 15 78.9% 08:45 5 3 17 89.5% 09:00 5 4 18 94.7% 09:15 8 8 18 94.7% 09:30 5 6 17 89.5% 09:45 3 3 17 89.5% 10:00 5 5 17 89.5% 10:15 4 4 17 89.5% 10:30 6 3 20 105.3% 10:45 6 1 25 131.6% 11:00 7 10 22 115.8% 11:15 10 8 24 126.3% 11:30 7 8 23 121.1% 11:45 5 4 24 126.3% 12:00 5 11 18 94.7% 12:15 4 3 19 100.0% 12:30 2 4 17 89.5% 12:45 1 1 17 89.5%

Harston Doctor Surgery Page | 17 December 2019

13:00 0 3 14 73.7% 13:15 0 0 14 73.7% 13:30 2 0 16 84.2% 13:45 2 0 18 94.7% 14:00 3 9 12 63.2% 14:15 1 1 12 63.2% 14:30 2 3 11 57.9% 14:45 6 1 16 84.2% 15:00 5 6 15 78.9% 15:15 1 3 13 68.4% 15:30 5 3 15 78.9% 15:45 6 2 19 100.0% 16:00 4 5 18 94.7% 16:15 5 8 15 78.9% 16:30 4 4 15 78.9% 16:45 7 6 16 84.2% 17:00 7 5 18 94.7% 17:15 1 10 9 47.4% 17:30 2 2 9 47.4% 17:45 0 3 6 31.6% 18:00 0 6 0 0.0% 18:15 0 0 0 0.0% 18:30 0 0 0 0.0% 18:45 0 0 0 0.0%

5.3 It can be seen from Table 5.1 that the surgery car park is generally operating within or at capacity except for during the mid-late morning period. It should be noted that the survey is based on 15 minute periods and in reality there may be more capacity. It should also be noted that some patients were dropped off within the site without the car parking in the car park but these vehicles would be included in the parking accumulation.

Staff Parking in Car Park

5.4 There are currently 13 staff working at the surgery. On the day of the traffic and parking survey there were 12 staff working. The survey data for the car park has been analysed to derive a separate staff and patient parking accumulation. All staff park in the car park to the rear of the surgery. Table 5.2 summarises the existing staff parking accumulation.

Harston Doctor Surgery Page | 18 December 2019

Table 5.2 – Existing Staff Parking Accumulation (Car Park)

Parking Hour Staff cars in Staff cars out Accumulation 07:00-08:00 4 4 08:00-09:00 8 12 09:00-10:00 12 10:00-11:00 12 11:00-12:00 12 12:00-13:00 12 13:00-14:00 12 14:00-15:00 2 10 15:00-16:00 10 16:00-17:00 10 17:00-18:00 4 6 18:00-19:00 6 0 Total 12 12

5.5 It can be seen from Table 5.2 that all staff on the day of the survey travelled by car. All staff arrived at the surgery by 09:00 and left in the afternoon and early evening. Of the 19 available car parking spaces within the car park, 12 were occupied by staff parking with the remaining 7 available for patients.

Patient Parking in Car Park

5.6 The staff parking accumulation has been subtracted from the total car park accumulation to derive the existing patient parking accumulation within the car park. Table 5.3 summarises the existing patient parking accumulation for the existing surgery car park.

Harston Doctor Surgery Page | 19 December 2019

Table 5.3 – Existing Patient Parking Accumulation (Car Park)

Patient cars Patient cars Parking Hour in out Accumulation 08:00-09:00 10 5 5 09:00-10:00 21 21 5 10:00-11:00 21 13 13 11:00-12:00 29 30 12 12:00-13:00 12 19 5 13:00-14:00 4 3 6 14:00-15:00 12 12 6 15:00-16:00 17 14 9 16:00-17:00 20 23 6 17:00-18:00 10 16 0

5.7 It can be seen from Table 5.3 that the peak parking accumulation for patients was observed to be 13 cars between 10:00-11:00 and 12 cars between 11:00-12:00. At other times of the day the parking accumulation is 5 or 6 vehicles except for 15:00-16:00, which had a parking accumulation of 9 vehicles. As set out above, the parking for patients within the car park on the day of the survey was limited to 7 spaces as the remaining spaces were used by staff. It can therefore be seen that at times the parking accumulation for patients exceeded the available parking provision.

5.8 The parking accumulation is considered to go over capacity at times as a result of patients being dropped off but the vehicles not parking but also as a result of patients searching for a parking spaces in the car park and then needing to park on-street when the car park is full. This was evident at certain times in the late morning.

On-street Patient Parking

5.9 At the time of the survey, it was observed that not all patients parked in the car park and that some patients chose to park on Church Street instead. This was not always because the car park was at capacity but sometimes out of choice.

5.10 In order to estimate the total parking demand for the existing surgery, patients arriving at the doctors surgery (both for the surgery and pharmacy) were asked if they drove and if so, where did they park. This survey was undertaken from 09:00-13:00 on 18th November 2019. Table 5.4 below summarises the existing the patients/customers parking location.

Harston Doctor Surgery Page | 20 December 2019

Table 5.2 – Patient Parking Location Survey

Percentage of Surgery Car Church Total Time people using the park Street vehicles car park

09:00-10:00 21 17 38 55% 10:00-11:00 17 13 30 57% 11:00-12:00 22 20 42 52% 12:00-13:00 12 10 22 55%

5.11 Table 5.4 demonstrates that, when the surgery is at its busiest in the morning, circa 50% of patients/pharmacy customers park in the car park and circa 50% park on-street. Therefore, in order to estimate the total parking demand by patients in the morning period (i.e. between 08:30-13:00) the observed patient parking demand for the car park would need to be doubled.

5.12 It is considered that the number of patients parking on-street would reduce in the afternoon when the surgery and car park are less busy. This is borne out by the parking beat survey undertaken for Church Street on the same day as the car park survey. The parking beat survey shows the number of vehicles parking on-street every hour in the vicinity of the surgery. Table 5.5 shows the percentage utilisation of on-street parking on Church Street in the immediate vicinity of the surgery, where it was observed that most patients parked on- street.

Table 5.5 – Utilisation of On-street Parking on Church St in the vicinity of surgery

Utilisation of Average utilisation of Hour available available on-street parking parking spaces 07:00-08:00 0% Surgery closed 08:00-09:00 0% 09:00-10:00 7% 10:00-11:00 27% 16%* 11:00-12:00 19% 12:00-13:00 19% 13:00-14:00 0% Surgery closed 14:00-15:00 0% 15:00-16:00 7% 7% 16:00-17:00 4% 17:00-18:00 16% 18:00-19:00 0% Surgery closed * surgery closed from 08:00-08:30 so averaged taken over 4.5 hrs

Harston Doctor Surgery Page | 21 December 2019

5.13 The parking beat survey shows that the morning period, until the surgery closes at 13:00, has a greater usage of on-street parking than the afternoon period (i.e. average utilisation of 16% of the parking spaces in the vicinity of the surgery). In the afternoon the average utilisation of on-street parking reduces to 7%, which is circa half of that in the morning. This corresponds with the operation of the surgery, which closes for an hour at lunchtime from 13:00-14:00 and only has doctors appointments in the afternoon (i.e. no nurse or phlebotomist appointments).

5.14 Therefore, it can be concluded that when the surgery is at its busiest in the morning, the total patient parking demand would be circa double of those patients parked in the car park. However, in the afternoon period (i.e. 14:00-18:00) the total parking demand would be less.

Total Patient Parking Demand

5.15 In order to derive the total patient parking demand for the existing surgery, the patient car park demand in Table 5.3 has been multiplied by the following factors:

• 07:00-09:00: no factor as surgery closed and only staff parking in the car park and spare capacity in the car park • 09:00-13:00: multiply patient car park trips by a factor of 2 • 13:00-1400: no factor as surgery closed and only staff parking in the car park • 14:00-18:00: multiply patient car park trips by a factor of 1.5 based on the reduced level of on-street parking demand in the afternoon period • 18:00-19:00: no factor as surgery closed and only staff parking in the car park

5.16 Table 5.6 shows the estimated total patient parking demand by the existing surgery (i.e. patient cars parked in the car park and on-street) as well as the on-street parking demand, based on 7 parking spaces being provided for patients within the existing car park.

Harston Doctor Surgery Page | 22 December 2019

Table 5.6 – Total Patient Parking Accumulation (Car Park and On-street)

Patient cars Parking On-street Hour Patient cars in out Accumulation parking demand 08:00 1 0 1 0 08:15 4 0 6 0 08:30 6 4 8 1 08:45 6 6 8 1 09:00 10 8 10 3 09:15 16 16 10 3 09:30 10 12 8 1 09:45 6 6 8 1 10:00 10 10 8 1 10:15 8 8 8 1 10:30 12 6 14 7 10:45 12 2 24 17 11:00 14 20 18 11 11:15 20 16 22 15 11:30 14 16 20 13 11:45 10 8 22 15 12:00 10 22 10 3 12:15 8 6 12 5 12:30 4 8 8 1 12:45 2 2 8 1 13:00 0 3 5 0 13:15 0 0 5 0 13:30 2 0 7 0 13:45 2 0 9 2 14:00 5 11 3 0 14:15 2 2 3 0 14:30 3 5 1 0 14:45 9 2 9 2 15:00 8 9 7 0 15:15 2 5 4 0 15:30 8 5 7 0 15:45 9 3 13 6 16:00 6 8 12 5 16:15 8 12 7 0 16:30 6 6 7 0 16:45 11 9 9 2 17:00 11 5 15 8 17:15 2 15 1 0 17:30 3 0 4 0 17:45 0 5 0 0

Harston Doctor Surgery Page | 23 December 2019

5.17 It should be noted that it was observed that the length of stay of vehicles both in the car park and on-street was short given that appointments are only up to 10 minutes long and pharmacy related trips tend to be to collect medicine. It should also be noted that there may be an element of double counting in the numbers given that some patients/customers were observed to go into the car park but not park there and then park on-street.

5.18 It can be seen from Table 5.6 that throughout the day the on-street parking demand was relatively low (i.e. between 0 and 8 cars). However, for just over 1 hour during the mid-late morning the on-street parking demand ranged between 11 and 17 cars.

Proposed Parking Demand

Staff Parking

5.19 At the time of the parking survey, 12 of the 19 parking spaces were observed to be utilised by staff. In accordance with the parking standards, staff parking should be 50% of total staff. Therefore, only 6-7 of the existing spaces should be utilised by staff.

5.20 There are proposed to be 16 staff as part of the proposed development and therefore staff parking should be limited to 8 spaces in line with the parking standards.

5.21 Rather than factor existing staff parking accumulation by the proposed uplift in staff, this assessment has capped staff parking at 8 spaces.

Patient Parking

5.22 In order to estimate the proposed patient parking demand once the proposed development is operational, the total patient parking demand in Table 5.6 (i.e. car park and on-street) has been factored by the increase in staff from 13 to 16 staff (i.e. uplift of 23%).

5.23 It is proposed to provide 22 parking spaces within the surgery, of which 8 would be staff parking and 14 spaces available for patients. This is a 100% uplift of patient parking compared to the existing provision.

5.24 Table 5.7 summarises the proposed total patient parking demand as well as the on-street parking demand, assuming there are 14 parking spaces provided for patients within the proposed car park.

Harston Doctor Surgery Page | 24 December 2019

Table 5.7 – Total Proposed Patient Parking Demand (car park and on-street)

Patient cars Patient cars Parking On-street Hour in out Accumulation parking demand

08:00 2 0 2 0 08:15 5 0 7 0 08:30 7 5 9 0 08:45 7 7 9 0 09:00 12 10 12 0 09:15 20 20 12 0 09:30 12 15 9 0 09:45 7 7 9 0 10:00 12 12 9 0 10:15 10 10 9 0 10:30 15 7 17 3 10:45 15 2 29 15 11:00 17 25 22 8 11:15 25 20 27 13 11:30 17 20 24 10 11:45 12 10 27 13 12:00 12 27 12 0 12:15 10 7 14 0 12:30 5 10 9 0 12:45 2 2 9 0 13:00 0 4 6 0 13:15 0 0 6 0 13:30 2 0 8 0 13:45 2 0 11 0 14:00 6 13 3 0 14:15 2 2 3 0 14:30 4 6 1 0 14:45 11 2 11 0 15:00 9 11 9 0 15:15 2 6 5 0 15:30 9 6 9 0 15:45 11 4 16 2 16:00 7 9 14 0 16:15 9 15 9 0 16:30 7 7 9 0 16:45 13 11 11 0 17:00 13 6 18 4 17:15 2 18 1 0 17:30 4 0 5 0 17:45 0 6 0 0

Harston Doctor Surgery Page | 25 December 2019

5.25 It can be seen from Table 5.7 that throughout the day the on-street parking demand for the proposed development would be low (i.e. between 0 and 4 cars). For 1 hour during the mid- late morning the on-street parking demand for patients would be between 10 and 15 cars, which is less the existing situation.

5.26 Therefore, it can be concluded from the parking assessment that the proposed extension of the surgery would provide 100% uplift in on-site parking provision for patients and would not result in any additional pressure on on-street parking.

Harston Doctor Surgery Page | 26 December 2019

6 Parking Strategy

6.1 This section summarises the measures that are proposed to manage car parking as part of the proposed extension of the surgery.

Workplace Travel Plan

6.2 It is proposed to prepare and implement a Workplace Travel Plan as part of the proposed development which would seek to manage staff travel to work and parking. Parking allocated to staff would be capped at 8 spaces in line with the parking standards and measures would be put in place to encourage travel to/from the surgery by non-car modes and car sharing.

Car Park Variable Message Sign

6.3 During the surveys, it was observed that not all patients parked in the car park and that some patients chose to park on Church Street instead. This was not always because the car park was at capacity but sometimes out of choice. Some of the patients were asked why they chose to park on-street rather than in the car park and the reason provided was that there is limited visibility of the rear car park and the parking spaces available so in order to prevent going into the car park and needing to come out again they park on-street if there is an available space near to the surgery.

6.4 It is therefore proposed to install a variable message sign (VMS) at the site access to inform patients of the available parking spaces in the car park to the rear of the surgery. This will encourage patients to use the car park and reduce the impact on on-street parking on Church Street.

Harston Doctor Surgery Page | 27 December 2019

7 Conclusions

7.1 KMC is retained by SCDC to provide transport advice in relation to the proposed extension of Harston Doctors Surgery. It is proposed to provide a single storey rear and first floor rear extension to the surgery (D1 use of class) as well as additional parking. This proposal will increase the staff from 13 to 16 and consulting rooms from 6 to 8.

7.2 There are currently 19 parking spaces provided within the surgery car park. Surveys undertaken in November 2019 demonstrated that 12 of the 19 parking spaces were used by staff and 7 spaces were available for patients. Patients parked within the car park as well as on Church Street in the vicinity of the surgery.

7.3 As part of the development, the following travel/parking measures are proposed:

• 22 car parking spaces for the surgery, of which 8 will be allocated to staff in accordance with the parking standards and 14 will be available for patients; • A Workplace Travel Plan will be prepared and implemented as part of the proposed development to manage staff travel to/from the surgery; • A VMS sign will be installed at the site entrance to inform patients of the available parking spaces in the car park to the rear of the surgery. This will encourage patients to use the car park and reduce the impact on on-street parking on Church Street.

7.4 It can be concluded from the parking assessment that the proposed extension of the surgery would provide a 100% uplift in on-site parking provision for patients and would not result in any additional pressure on on-street parking.

7.5 In summary, there are no transportation reasons why the proposals for Harston surgery should not receive planning consent.

Harston Doctor Surgery Page | 28 December 2019

APPENDIX A

PLANNING CONSULTATION RESPONSE

To: South Cambridgeshire District Council Place and Economy Planning Team Highway Development Management Infrastructure and Growth For the attention of Katie Christodoulides Highways Division Stirling Way Witchford CB6 3NR App Reference: S/2511/19/FL Contact: Sue Parsons Date: 13th August 2019

Harston Doctors Surgery, 11, Church Street, Harston Single storey rear and first floor rear extension and rearrangement of parking spaces

When comparing the existing/proposed parking arrangements this proposal increases the staff from 17 to 21 and consulting rooms from 12 to 16, therefore it is inevitable that there will be an increased demand for parking. Whilst the existing parking was light with 19 spaces for a required 21 we now have 19 spaces for a proposed 28.

In addition to this the car park has lost the ability for a refuse or delivery vehicle to turn within the site which will result in reversing out onto the highway.

The Planning Authority should be satisfied that this is acceptable to them.

Please add the following condition to any permission that the Planning Authority is minded to issue in regard to this proposal requiring that:

No demolition or construction works shall commence on site until a traffic management plan has been agreed with the Local Planning Authority in consultation with the Highway Authority. The principle areas of concern that should be addressed are:

(i) Movements and control of muck away Lorries (all loading and unloading shall be undertaken off the adopted highway) (ii) Contractor parking, for both phases all such parking shall be within the curtilage of the site and not on the street. (iii) Movements and control of all deliveries (all loading and unloading shall be undertaken off the adopted public highway. (iv) Control of dust, mud and debris, in relationship to the functioning of the adopted public highway.

Reason: in the interests of highway safety

Sue Parsons Development Management Engineer

Appendix B Existing fence line fence Existing N 11 10 12 13 14 15 16 17 P1 Revision: 0050 park Existing car car Existing Planning 4 3 2 1 Purpose of Issue: KEY Line Boundary HDS-IWM-ZZ-00-DR-A- 4 no. cycles 4 no. 56789 S2 Status: Title: Drawing Number: Drawing Existing 2 no. cycle stands - stands cycle 2 no. Existing area refuse refuse Existing Existing Existing Existing landscape Harston Surgery Street Church Harston Cambridge Harston Surgery Existing Site Plan Project: Client: Existing footpathExisting JKA 19/05/19 1 : 200 1 : Scale @ A3: @ Scale Position of existing Position ofexisting collection waste hazard 20000 Existing main entrance 200125 Existing drainage connection into existing main sewer within adopted highway adopted within sewer main existing into connection drainage Existing Project No: Project P1 for Planning Issued Updated. 13/12/19 PG Rev Comment Date Drawn 18 Existing speed Existing bump 19 Existing non-standard non-standard Existing for spaces parking users WA

10000 CHURCH STREET CHURCH Existing access Existing 0 mm 1:200 Ingleton Wood LLP shall have no liability to the Employer arising out of any unauthorised unauthorised any of out arising Employer the to no liability have Wood shall LLP Ingleton modification or amendment to, or transmission, any copy or use of or the proprietary any material, party. third other any or Member, Team Project Other Employer, the by therein, work contained to prior Contractor Main the by on-site verified and checked be to are dimensions All commencement; discrepancies any are to be reported to the Contract Administrator. specifications. and drawings relevant other all with conjunction in read be to is drawing This Scale Not Do Wood LLP Ingleton ©

Appendix C KEY

Boundary Line

Proposed secure refuse and 1 3 7 storage area

2 4 6 8

Two-tier cycle rack (14 spaces) 5 Turning Head Proposed timber clad refuse collection Access route to cycle enclosure with store and rear exit sliding door access (route runs below projecting eaves) Gravel 9 14 Cycle stand (2 spaces)

10 15

Edge of proposed extension Bollards 11 16

Church Street Church Proposed car park layout 12 17 Location of proposed VMS (indicates available parking) 21 22 13 18 Existing accessible parking spaces retained and upgraded

Existing access Existing speed Footpath 19 retained bump adapted to suit proposed layout

1:200

0 10000 20000 mm

Appendix D DATE : 18TH NOVEMBER 2019.

DAY : MONDAY.

LOCATION: HARSTON SURGERY, HARSTON.

CAR PARK ACCUMULATION MOVEMENT 1 MOVEMENT 2

FROM CHURCH STREET FROM HARSTON SURGERY PARKED SPACES % CAR INTO OUT TO VEHICLES AVAILABLE PARK HARSTON SURGERY CHURCH STREET (approx) (approx) STRESS CAR HGV BUS MCY PCY TOTAL CAR HGV BUS MCY PCY TOTAL 07:00 0 19 0.0% 0700-0715 0 0 0 0 0 0 0 0 0 0 0 0 07:15 0 19 0.0% 0715-0730 1 0 0 0 0 1 0 0 0 0 0 0 07:30 1 18 5.3% 0730-0745 0 0 0 0 0 0 0 0 0 0 0 0 07:45 1 18 5.3% 0745-0800 4 0 0 0 0 4 1 0 0 0 0 1 08:00 4 15 21.1% 0800-0815 4 0 0 0 0 4 0 0 0 0 0 0 08:15 8 11 42.1% 0815-0830 6 0 0 0 0 6 0 0 0 0 0 0 08:30 14 5 73.7% 0830-0845 3 0 0 0 0 3 2 0 0 0 0 2 08:45 15 4 78.9% 0845-0900 5 0 0 0 1 6 3 0 0 0 0 3 09:00 18 1 94.7% 0900-0915 5 0 0 0 0 5 4 0 0 0 0 4 09:15 19 0 100.0% 0915-0930 8 0 0 0 0 8 8 0 0 0 1 9 09:30 18 1 94.7% 0930-0945 5 0 0 0 0 5 6 0 0 0 0 6 09:45 17 2 89.5% 0945-1000 3 0 0 0 0 3 3 0 0 0 0 3 10:00 17 2 89.5% 1000-1015 5 0 0 0 0 5 5 0 0 0 0 5 10:15 17 2 89.5% 1015-1030 4 0 0 0 0 4 4 0 0 0 0 4 10:30 17 2 89.5% 1030-1045 6 0 0 0 0 6 3 0 0 0 0 3 10:45 20 -1 105.3% 1045-1100 6 0 0 0 0 6 1 0 0 0 0 1 11:00 25 -6 131.6% 1100-1115 7 0 0 0 0 7 10 0 0 0 0 10 11:15 22 -3 115.8% 1115-1130 10 0 0 0 0 10 8 0 0 0 0 8 11:30 24 -5 126.3% 1130-1145 7 0 0 0 0 7 8 0 0 0 0 8 11:45 23 -4 121.1% 1145-1200 5 0 0 0 0 5 4 0 0 0 0 4 12:00 24 -5 126.3% 1200-1215 5 0 0 0 0 5 11 0 0 0 0 11 12:15 18 1 94.7% 1215-1230 4 0 0 0 0 4 3 0 0 0 0 3 12:30 19 0 100.0% 1230-1245 2 0 0 0 0 2 4 0 0 0 0 4 12:45 17 2 89.5% 1245-1300 1 0 0 0 0 1 1 0 0 0 0 1 13:00 17 2 89.5% 1300-1315 0 0 0 0 0 0 3 0 0 0 0 3 13:15 14 5 73.7% 1315-1330 0 0 0 0 0 0 0 0 0 0 0 0 13:30 14 5 73.7% 1330-1345 2 0 0 0 0 2 0 0 0 0 0 0 13:45 16 3 84.2% 1345-1400 2 0 0 0 0 2 0 0 0 0 0 0 14:00 18 1 94.7% 1400-1415 3 0 0 0 0 3 9 0 0 0 0 9 14:15 12 7 63.2% 1415-1430 1 0 0 0 0 1 1 0 0 0 0 1 14:30 12 7 63.2% 1430-1445 2 0 0 0 0 2 3 0 0 0 0 3 14:45 11 8 57.9% 1445-1500 6 0 0 0 0 6 1 0 0 0 0 1 15:00 16 3 84.2% 1500-1515 5 0 0 0 0 5 6 0 0 0 0 6 15:15 15 4 78.9% 1515-1530 1 0 0 0 0 1 3 0 0 0 0 3 15:30 13 6 68.4% 1530-1545 5 0 0 0 0 5 3 0 0 0 0 3 15:45 15 4 78.9% 1545-1600 6 0 0 0 0 6 2 0 0 0 0 2 16:00 19 0 100.0% 1600-1615 4 0 0 1 0 5 5 0 0 0 0 5 16:15 19 0 100.0% 1615-1630 5 0 0 0 0 5 8 0 0 1 0 9 16:30 15 4 78.9% 1630-1645 4 0 0 0 0 4 4 0 0 0 0 4 16:45 15 4 78.9% 1645-1700 7 0 0 0 1 8 6 0 0 0 0 6 17:00 17 2 89.5% 1700-1715 7 0 0 0 0 7 5 0 0 0 0 5 17:15 19 0 100.0% 1715-1730 1 0 0 0 0 1 10 0 0 0 1 11 17:30 9 10 47.4% 1730-1745 2 0 0 0 0 2 2 0 0 0 0 2 17:45 9 10 47.4% 1745-1800 0 0 0 0 0 0 3 0 0 0 0 3 18:00 6 13 31.6% 1800-1815 0 0 0 0 0 0 6 0 0 0 0 6 18:15 0 19 0.0% 1815-1830 0 0 0 0 0 0 0 0 0 0 0 0 18:30 0 19 0.0% 1830-1845 0 0 0 0 0 0 0 0 0 0 0 0 18:45 0 19 0.0% 1845-1900 0 0 0 0 0 0 0 0 0 0 0 0 19:00 0 19 0.0% 0700-1900 169 0 0 1 2 172 169 0 0 1 2 172 DATE : 18TH NOVEMBER 2019.

DAY : MONDAY.

LOCATION: HARSTON SURGERY, HARSTON.

HOURLY TOTALS

MOVEMENT 1 MOVEMENT 2 FROM CHURCH STREET FROM HARSTON SURGERY INTO OUT TO HARSTON SURGERY CHURCH STREET BUS BUS CAR CAR HGV HGV PCYCLE PCYCLE TOTAL TOTAL MCYCLE MCYCLE 0700-0800 5 0 0 0 0 5 1 0 0 0 0 1 0715-0815 9 0 0 0 0 9 1 0 0 0 0 1 0730-0830 14 0 0 0 0 14 1 0 0 0 0 1 0745-0845 17 0 0 0 0 17 3 0 0 0 0 3 0800-0900 18 0 0 0 1 19 5 0 0 0 0 5 0815-0915 19 0 0 0 1 20 9 0 0 0 0 9 0830-0930 21 0 0 0 1 22 17 0 0 0 1 18 0845-0945 23 0 0 0 1 24 21 0 0 0 1 22 0900-1000 21 0 0 0 0 21 21 0 0 0 1 22 0915-1015 21 0 0 0 0 21 22 0 0 0 1 23 0930-1030 17 0 0 0 0 17 18 0 0 0 0 18 0945-1045 18 0 0 0 0 18 15 0 0 0 0 15 1000-1100 21 0 0 0 0 21 13 0 0 0 0 13 1015-1115 23 0 0 0 0 23 18 0 0 0 0 18 1030-1130 29 0 0 0 0 29 22 0 0 0 0 22 1045-1145 30 0 0 0 0 30 27 0 0 0 0 27 1100-1200 29 0 0 0 0 29 30 0 0 0 0 30 1115-1215 27 0 0 0 0 27 31 0 0 0 0 31 1130-1230 21 0 0 0 0 21 26 0 0 0 0 26 1145-1245 16 0 0 0 0 16 22 0 0 0 0 22 1200-1300 12 0 0 0 0 12 19 0 0 0 0 19 1215-1315 7 0 0 0 0 7 11 0 0 0 0 11 1230-1330 3 0 0 0 0 3 8 0 0 0 0 8 1245-1345 3 0 0 0 0 3 4 0 0 0 0 4 1300-1400 4 0 0 0 0 4 3 0 0 0 0 3 1315-1415 7 0 0 0 0 7 9 0 0 0 0 9 1330-1430 8 0 0 0 0 8 10 0 0 0 0 10 1345-1445 8 0 0 0 0 8 13 0 0 0 0 13 1400-1500 12 0 0 0 0 12 14 0 0 0 0 14 1415-1515 14 0 0 0 0 14 11 0 0 0 0 11 1430-1530 14 0 0 0 0 14 13 0 0 0 0 13 1445-1545 17 0 0 0 0 17 13 0 0 0 0 13 1500-1600 17 0 0 0 0 17 14 0 0 0 0 14 1515-1615 16 0 0 1 0 17 13 0 0 0 0 13 1530-1630 20 0 0 1 0 21 18 0 0 1 0 19 1545-1645 19 0 0 1 0 20 19 0 0 1 0 20 1600-1700 20 0 0 1 1 22 23 0 0 1 0 24 1615-1715 23 0 0 0 1 24 23 0 0 1 0 24 1630-1730 19 0 0 0 1 20 25 0 0 0 1 26 1645-1745 17 0 0 0 1 18 23 0 0 0 1 24 1700-1800 10 0 0 0 0 10 20 0 0 0 1 21 1715-1815 3 0 0 0 0 3 21 0 0 0 1 22 1730-1830 2 0 0 0 0 2 11 0 0 0 0 11 1745-1845 0 0 0 0 0 0 9 0 0 0 0 9 1800-1900 0 0 0 0 0 0 6 0 0 0 0 6 1

2 8

7 3 4 5

6 12.6 90.3 15.7 14.9 14 5.9 9.6 12.2 7.3 7.3 4.6 7.8 50.6 4.9 3.6 6.1 13.8 11.1 6.1 5.5 6.3 13.6 10.8 17.3 4.7 15.5 16.5 9.1 9.7 12.6 9.9 22.6 4.2 4.5 6.1 7.2 21.2 8.7 38.7 13.1 9 10.3 8.1 KEY OF RESTRICTIONS 13.9

= DROPPED KERB 12.1 9.2 10.3

= BUS STOP 4.3 4.6 9.5 60.1 = LAY BY UNRESTRICTED 4.8 42.1 39.2 14.7 7.7 4.4 = TOO NARROW UNRESTRICTED 2.8 17.4 44.8 5.2 56.5 9.2 = UNRESTRICTED BUT WOULD NOT PARK 10.3 15.6 6.7 7.6 12.8 14.6 9 14.6 BLANK = UNRESTRICTED DATE : 18TH NOVEMBER 2019.

DAY : MONDAY.

LOCATION: HARSTON SURGERY, HARSTON. MONDAY 18TH NOVEMBER 2019

TIME : 0700 TIME : 0800 TIME : 0900 TIME : 1000 TIME : 1100 TIME : 1200

5 ROAD NAME ZONE RESTRICTION METRES METRES= STRESS STRESS STRESS STRESS STRESS STRESS SPACES SPACES SPACES SPACES SPACES SPACES 1 BAY PARKED PARKED PARKED PARKED PARKED PARKED OBSERVED OBSERVED OBSERVED OBSERVED OBSERVED OBSERVED OBSERVED %RESTRICTION %RESTRICTION %RESTRICTION %RESTRICTION %RESTRICTION %RESTRICTION TOO NARROW - UNRESTRICTED 179.7 1 DROPPED KERB 40.6 TOO NARROW - UNRESTRICTED 144.5 2 DROPPED KERB 28.9 CHURCH ST TOO NARROW - UNRESTRICTED 14.5 3 DROPPED KERB 2.8 LAY BY - UNRESTRICTED 39.2 7 4 2 66.7% 4 2 66.7% 4 2 66.7% 6 0 100.0% 6 0 100.0% 5 1 83.3% TOO NARROW - UNRESTRICTED 42.1 4 DROPPED KERB 5 UNRESTRICTED - BUT WOULD NOT PARK 6.5 5 BUS STOP 44.8 ROYSTON RD DROPPED KERB 5.2 UNRESTRICTED - BUT WOULD NOT PARK 52.4 6 DROPPED KERB 38.8 DROPPED KERB 26.5 1 7 UNRESTRICTED 34.5 5 6 0 100.0% 6 0 100.0% 3 3 50.0% 2 4 33.3% 2 4 33.3% 4 2 66.7% CHURCH ST 8 UNRESTRICTED 12.1 2 0 2 0.0% 0 2 0.0% 0 2 0.0% 0 2 0.0% 0 2 0.0% 0 2 0.0% UNRESTRICTED 172.7 27 0 27 0.0% 0 27 0.0% 2 25 7.4% 7 19 26.9% 5 21 19.2% 5 22 18.5% 9 DROPPED KERB 109.4

MONDAY 18TH NOVEMBER 2019

TIME : 1300 TIME : 1400 TIME : 1500 TIME : 1600 TIME : 1700 TIME : 1800 TIME : 1900

5 ROAD NAME ZONE RESTRICTION METRES METRES= SPACES SPACES SPACES SPACES SPACES SPACES SPACES PARKED PARKED PARKED PARKED 1 BAY PARKED PARKED PARKED ON STRESS ON STRESS ON STRESS ON STRESS ON STRESS ON STRESS ON STRESS OBSERVED OBSERVED OBSERVED OBSERVED OBSERVED OBSERVED OBSERVED OBSERVED OBSERVED %RESTRICTI %RESTRICTI %RESTRICTI %RESTRICTI %RESTRICTI %RESTRICTI %RESTRICTI TOO NARROW - UNRESTRICTED 179.7 1 DROPPED KERB 40.6 TOO NARROW - UNRESTRICTED 144.5 1 2 DROPPED KERB 28.9 CHURCH ST TOO NARROW - UNRESTRICTED 14.5 3 DROPPED KERB 2.8 LAY BY - UNRESTRICTED 39.2 7 4 2 66.7% 4 2 66.7% 4 2 66.7% 5 1 83.3% 4 2 66.7% 5 1 83.3% 4 2 66.7% TOO NARROW - UNRESTRICTED 42.1 4 DROPPED KERB 5 UNRESTRICTED - BUT WOULD NOT PARK 6.5 5 BUS STOP 44.8 ROYSTON RD DROPPED KERB 5.2 UNRESTRICTED - BUT WOULD NOT PARK 52.4 6 DROPPED KERB 38.8 DROPPED KERB 26.5 7 UNRESTRICTED 34.5 5 2 4 33.3% 1 5 16.7% 2 4 33.3% 3 3 50.0% 5 1 83.3% 4 2 66.7% 4 2 66.7% CHURCH ST 8 UNRESTRICTED 12.1 2 0 2 0.0% 0 2 0.0% 0 2 0.0% 0 2 0.0% 0 2 0.0% 0 2 0.0% 0 2 0.0% UNRESTRICTED 172.7 27 0 27 0.0% 0 27 0.0% 2 25 7.4% 1 26 3.7% 4 21 16.0% 0 27 0.0% 0 27 0.0% 9 DROPPED KERB 109.4 12.6 90.3 15.7 14.9 14 5.9 9.6 12.2 7.3 7.3 4.6 7.8 50.6 4.9 3.6 6.1 13.8 11.1 6.1 5.5 6.3 13.6 10.8 17.3 4.7 15.5 16.5 9.1 9.7 12.6 9.9 22.6 4.2 4.5 6.1 7.2 21.2 8.7 38.7 13.1 9 10.3 8.1 13.9 TIME - 07:00 12.1 9.2 KEY OF RESTRICTIONS 10.3

4.3 4.6 60.1 = PARKED VEHICLE 9.5 4.8 42.1 39.2 = OBSERVED SPACE 14.7 7.7 4.4 44.8 2.8 17.4 5 5.2 9.2 = DROPPED KERB 6.5 10.3 15.6 6.7 7.6 12.8 14.6 = YELLOW LINES 9 14.6 12.6 90.3 15.7 14.9 14 5.9 9.6 12.2 7.3 7.3 4.6 7.8 50.6 4.9 3.6 6.1 13.8 11.1 6.1 5.5 6.3 13.6 10.8 17.3 4.7 15.5 16.5 9.1 9.7 12.6 9.9 22.6 4.2 4.5 6.1 7.2 21.2 8.7 38.7 13.1 9 10.3 8.1 13.9 TIME - 08:00 12.1 9.2 KEY OF RESTRICTIONS 10.3

TIME - 13:00 13.9 12.1 9.2 KEY OF RESTRICTIONS 10.3

TIME - 14:00 13.9 12.1 9.2 KEY OF RESTRICTIONS 10.3

TIME - 15:00 13.9 12.1 9.2 KEY OF RESTRICTIONS 10.3

TIME - 16:00 13.9 12.1 9.2 KEY OF RESTRICTIONS 10.3

4.3 4.6 60.1 = PARKED VEHICLE 9.5 4.8 42.1 39.2 = OBSERVED SPACE 14.7 7.7 4.4 44.8 2.8 17.4 5 5.2 9.2 = DROPPED KERB 6.5 10.3 15.6 6.7 7.6 12.8 14.6 = YELLOW LINES 9 14.6 12.6 90.3 15.7 14.9 14 5.9 9.6 12.2 7.3 7.3 4.6 7.8 50.6 4.9 3.6 6.1 13.8 11.1 6.1 5.5 6.3 13.6 10.8 17.3 4.7 15.5 16.5 9.1 9.7 12.6 9.9 22.6 4.2 4.5 6.1 7.2 21.2 8.7 38.7 13.1 9 10.3 8.1 TIME - 17:00 13.9 12.1 9.2 KEY OF RESTRICTIONS 10.3

TIME - 18:00 13.9 12.1 9.2 KEY OF RESTRICTIONS 10.3

TIME - 19:00 13.9 12.1 9.2 KEY OF RESTRICTIONS 10.3

4.3 4.6 60.1 = PARKED VEHICLE 9.5 4.8 42.1 39.2 = OBSERVED SPACE 14.7 7.7 4.4 44.8 2.8 17.4 5 5.2 9.2 = DROPPED KERB 6.5 10.3 15.6 6.7 7.6 12.8 14.6 = YELLOW LINES 9 14.6 DESIGN AND ACCESS STATEMENT: HARSTON SURGERY

HARSTON SURGERY HARSTON CAMBRIDGE CB22 7NP

PROPOSED TWO STOREY REAR EXTENSION & SINGLE STOREY GROUND FLOOR EXTENSION TO EXISTING SURGERY

DESIGN AND ACCESS STATEMENT

DECEMBER 2019

DESIGN AND ACCESS STATEMENT: HARSTON SURGERY

CONTENTS

1:00 Location

2:00 Use

3:00 Scale

4:00 Landscape

5:00 Access

6:00 Materials

7:00 Photographs

8:00 List of Submitted Drawings

Section 1: Location

• Harston surgery is located off Church Street, the new double storey extension will be located to the south of the existing building in an area of existing car parking. The new single storey extension will be located to east of the site.

• Harston surgery has asphalt hardstanding accessed directly from the main road and asphalt car park to the north and south side of the building.

• There is an area of landscaping to the rear of the building. The boundary to the south, east and west is generally of timber fence with shrub planting.

Section 2: Use

• The proposed extension is double storey and will provide the existing surgery with three much needed additional ground floor consulting/examination rooms with associated administration space to the first floor.

• The smaller single storey extension to the east of the site will provide the surgery with new confidential office space, staff WC and shower facilities and additional file storage space.

• Car parking numbers have been increased by 3 no. from 19 to 22 spaces.

DESIGN AND ACCESS STATEMENT: HARSTON SURGERY

Section 3: Scale

• The new double storey extension is 54m² gross internal ground floor area. 41.6m² gross internal first floor area and 30m² covered terraced area.

• The extension is to the rear of the existing building to minimise visual impact from Church Street. The existing roof ridge height shall remain the same on the extension.

• The smaller single storey extension to the east of the building is 24.6m² gross internal floor area. As a single-storey element it will have minimal impact to neighbouring buildings to the east and to views from Church Street.

Section 4: Landscape

• All boundary planting will be retained.

• There is a small area of shrubbery/gravel to be removed from the rear of the existing building to allow space for the extension. Please refer to photograph Two.

• The proposal will result in the loss of a gravelled area to the rear of the existing surgery. In place it is proposed to include a smaller gravelled strip with bollards to act as a barrier between parking bays 5-9 and the proposed extension.

Section 5: Access

• Vehicle and pedestrian access to the site is currently off Church Street, this will remain unchanged in the proposed scheme.

• Several car park layouts were tested during design development to maximise available parking space following the creation of the extension. A Transport Statement, included with this submission, has also been prepared to assess surgery parking and as a result the proposed layout was selected.

• A Variable Message Sign (VMS) is proposed at the vehicle entrance to the site to inform patients that spaces are available for parking.

• Improved and additional Wheelchair Accessible parking spaces are proposed adjacent to the entrance to the surgery.

• 16 cycle parking spaces are provided, and the proposed showers will encourage cycle to work options.

DESIGN AND ACCESS STATEMENT: HARSTON SURGERY

Section 6: Materials

• New walls will be buff facing brickwork to closely match the existing. • New Velfac style timber/aluminium composite windows to providing clear sight lines and maximising daylight and views. • Roof to proposed double storey extension to the rear to be slate tile to match existing. • Aluminium flashing to wrap the proposed south elevation unifying ground and first floor. • High Pressure Laminate cladding panels are to be used on the ground floor of the south elevation. • First floor of the extension is to be timber clad with timber balustrades and timber slats are to be visible within the roof overhang of the proposed terrace. • New single ply flat roof with UPVC black rainwater goods to single storey extension to the east.

DESIGN AND ACCESS STATEMENT: HARSTON SURGERY

Section 7: Photographs

1. View of the location of the new double height extension from the existing car park

2. View of the existing north elevation and the area of gravel/shrubbery that will be removed to allow for the proposed extension

DESIGN AND ACCESS STATEMENT: HARSTON SURGERY

3. View of the location of the single storey extension to the east elevation

Section 8: Submitted Drawings

HDS-IWM-ZZ-00-DR-A-0010 - Location Plan HDS-IWM-ZZ-00-DR-A-0050 – Existing Site Plan HDS-IWM-ZZ-00-DR-A-0060 – Proposed Site Plan HDS-IWM-ZZ-00-DR-A-0110 – Existing Ground Floor GA Plan HDS-IWM-ZZ-01-DR-A-0111 – Existing First Floor GA Plan HDS-IWM-ZZ-RF-DR-A-0112 – Existing Roof Plan HDS-IWM-ZZ-00-DR-A-0150 – Proposed Ground Floor GA Plan HDS-IWM-ZZ-01-DR-A-0153 – Proposed First Floor GA Plan HDS-IWM-ZZ-RF-DR-A-0154 - Proposed Roof Plan HDS-IWM-ZZ-ZZ-DR-A-0200 – Existing Elevations – Sheet One HDS-IWM-ZZ-ZZ-DR-A-0201 - Existing Elevations – Sheet Two HDS-IWM-ZZ-ZZ-DR-A-0210 – Proposed Elevations – Sheet One HDS-IWM-ZZ-ZZ-DR-A-0211 - Proposed Elevations – Sheet Two

KEY LINE BOUNDARY Revision: 0010 Planning Purpose of Issue: HDS-IWM-ZZ-00-DR-A- S2 Location Plan Location Status: Title: Drawing Number: Drawing 1A 40 2 42

W 1 48 O

S ' D

L A L O

E R The Queens (PH) Head

R N

R O

U T S

H Y

O R

H 16 C 7

R Harston Surgery Street Church Harston Cambridge Harston Surgery Project: Client: U 9 H

C JKA 2 1 19/05/19 22 50 15 1 : 11000 : Scale @ A3: @ Scale 100000 200125 Project No: Project Rev Comment Date Drawn 50000 0 mm 1:1000 N Ingleton Wood LLP shall have no liability to the Employer arising out of any unauthorised unauthorised any of out arising Employer the to no liability have Wood shall LLP Ingleton modification or amendment to, or transmission, any copy or use of or the proprietary any material, party. third other any or Member, Team Project Other Employer, the by therein, work contained to prior Contractor Main the by on-site verified and checked be to are dimensions All commencement; discrepancies any are to be reported to the Contract Administrator. specifications. and drawings relevant other all with conjunction in read be to is drawing This Scale Not Do Wood LLP Ingleton © Existing fence line fence Existing N 11 10 12 13 14 15 16 17 P1 Revision: 0050 park Existing car car Existing Planning 4 3 2 1 Purpose of Issue: KEY Line Boundary HDS-IWM-ZZ-00-DR-A- 4 no. cycles 4 no. 56789 S2 Status: Title: Drawing Number: Drawing Existing 2 no. cycle stands - stands cycle 2 no. Existing area refuse refuse Existing Existing Existing Existing landscape Harston Surgery Street Church Harston Cambridge Harston Surgery Existing Site Plan Project: Client: Existing footpathExisting JKA 19/05/19 1 : 200 1 : Scale @ A3: @ Scale Position of existing Position ofexisting collection waste hazard 20000 Existing main entrance 200125 Existing drainage connection into existing main sewer within adopted highway adopted within sewer main existing into connection drainage Existing Project No: Project P1 for Planning Issued Updated. 13/12/19 PG Rev Comment Date Drawn 18 Existing speed Existing bump 19 Existing non-standard non-standard Existing for spaces parking users WA

Boundary Line

Proposed secure refuse and 1 3 7 storage area

2 4 6 8

10 15

Edge of proposed extension Bollards 11 16

Church Street Church Proposed car park layout 12 17 Location of proposed VMS (indicates available parking) 21 22 13 18 Existing accessible parking spaces retained and upgraded

Existing access Existing speed Footpath 19 retained bump adapted to suit proposed layout

1:200

0 10000 20000 mm

Existing drainage connection into existing main sewer within adopted highway

Existing air handling Existing refuse store units

Position of existing hazardous 1 waste collection point Boiler Room 2 m² 8 Medical Lab 4 5 m² 14 Office Consulting Room 4 8 m² 7 13 m² 2 Treatment Room Store 20 m² 2 m²

3 6 Dispensary 5 Records 25 m² Kitchen 24 m² 6 m² UP

10 Cleaners St. 1 m² 15 11 Nurses Room 13 12 m² WC WC 2 m² 22 3 m² Existing air handling Prescriptions units 4 m² 19 Waiting Room 12 42 m² Store 1 m²

9 Corridor 21 30 m² Lobby 3 m²

16 Consulting Room 3 18 15 m² Consulting Room 1 17 20 12 m² Consulting Room 2 WC 12 m² 3 m²

1:100

0 5000 10000 mm

Existing walls

Proposed construction

Proposed hazardous waste holding area Proposed Rooflights Proposed air Replace existing handling unit with larger window Proposed drainage connection

Existing drainage connection into existing main sewer within adopted 25 Proposed air highway WC handling units 3 m²

Boiler Room 5 m²

SHower C

2 15 Store 3 7 26 Consulting Room 3 2 m² Dispensary Consulting Room 6 Corridor 16 m² 33 m² 20 m² UP 5 m² 14

Consulting Room 1

r o w n C o p y r ig h t A D B 2 0 . 4 Proposed refuse 6 16 m² ©C collection enclosure 5 Records ©Crown CpyightADB20.4 Kitchen 24 m² 27 with sliding door 6 m² Cl. Cup'd

access 1 m²

16 Consulting Room 4 16 m² 10 22 WC 11 Prescriptions 4 m² WC 4 m² 4 m² 12 Store

Baby change 9 facility Corridor 27 m² 21 ©Crown CpyightADB20.4 Lobby 3 m² 19 Waiting Room 40 m² 13 28 Consulting Room 2 Consulting Room 5 15 m² 16 m² 18 (as existing) Consulting Room 7 17 20 12 m² Consulting Room 8 WC 12 m² 4 m² (as existing)

Replace existing Proposed pocket door with larger window to extended WC 1:100

0 5000 10000 mm

Ingleton Wood LLP shall have no liability to the Employer arising out of any unauthorised Project: Title: modification or amendment to, or any transmission, copy or use of the material, or any proprietary Harston Surgery Proposed Ground Floor GA Plan work contained therein, by the Employer, Other Project Team Member, or any other third party. Church Street All dimensions are to be checked and verified on-site by the Main Contractor prior to Harston Drawing Number: commencement; any discrepancies are to be reported to the Contract Administrator. P1 Updated. Issued for Planning 13/12/19 PG Cambridge HDS-IWM-ZZ-00-DR-A- 0150 This drawing is to be read in conjunction with all other relevant drawings and specifications. Rev Comment Date Drawn Client: Status: Purpose of Issue: Revision: Do Not Scale © Ingleton Wood LLP Project No: 200125 Scale @ A3: 1 : 100 19/05/19 JKA Harston Surgery S2 Planning P1 24 1 m² Store Revision: Revision: 0111 23 33 m² Admin Planning Purpose of Issue: Purposeof HDS-IWM-ZZ-01-DR-A- HDS-IWM-ZZ-01-DR-A- S2 Existing First Floor GA Plan GA First Floor Existing Status: Status: PurposeofIssue: Title: Title: Drawing Number: Drawing Drawing Number: 25 1 m² Store Harston Surgery Harston Harston SurgerySurgery Harston Street Church Harston Cambridge Surgery Harston Plan GA First Floor Existing Project: Client: JKA Date Drawn 19/05/19 1 : 100 100 : 1 : Scale @ A3: Scale Scale @A3: Scale 10000 200125 ProjectNo: Project No: Rev Comment © Ingleton Wood Ingleton © LLP © Ingleton Wood Ingleton © LLP 5000 to the Contract Administrator. Contract the to ect Team Member, or any other third party. third other any or Member, Team ect copy or use of the material, or any proprietary proprietary any or material, the of use copyor ployer arising out of any unauthorised unauthorised out any of arising ployer to Contractor prior Main the by te other relevant drawings andspecifications. drawings relevant other 0 0 mm 1:100

Existing walls

Proposed construction

Proposed Rooflights

29 Proposed Admin Space kitchen 75 m² 32 area Terrace 16.6m² Proposed Rooflights over

31 Store 1 m²

1:100

0 5000 10000 mm

Ingleton Wood LLP shall have no liability to the Employer arising out of any unauthorised Project: Title: modification or amendment to, or any transmission, copy or use of the material, or any proprietary Harston Surgery Proposed First Floor GA Plan work contained therein, by the Employer, Other Project Team Member, or any other third party. Church Street All dimensions are to be checked and verified on-site by the Main Contractor prior to Harston Drawing Number: commencement; any discrepancies are to be reported to the Contract Administrator. P1 Updated. Issued for Planning 13/12/19 PG Cambridge HDS-IWM-ZZ-01-DR-A- 0153 This drawing is to be read in conjunction with all other relevant drawings and specifications. Rev Comment Date Drawn Client: Status: Purpose of Issue: Revision: Do Not Scale © Ingleton Wood LLP Project No: 200125 Scale @ A3: 1 : 100 19/05/19 JKA Harston Surgery S2 Planning P1 Revision: 0112 Planning Purpose of Issue: Purposeof HDS-IWM-ZZ-RF-DR-A- S2 Existing Roof Plan Roof Existing Status: Title: Drawing Number: Drawing Harston Surgery Harston Street Church Harston Cambridge Harston Surgery Harston Project: Client: JKA Date Drawn 19/05/19 1 : 100 : 1 Scale @ A3: Scale 10000 200125 ProjectNo: Rev Comment © Ingleton Wood Ingleton © LLP 5000 to the Contract Administrator. Contract the to ect Team Member, or any other third party. third other any or Member, Team ect copy or use of the material, or any proprietary proprietary any or material, the of use copyor ployer arising out of any unauthorised unauthorised out any of arising ployer to Contractor prior Main the by te other relevant drawings andspecifications. drawings relevant other 0 0 mm 1:100

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Proposed Velfac Proposed air Replace existing Proposed Velfac Proposed flat roof Proposed brickwork to Proposed corner East Elevation windows handling units with larger window windows match existing window Proposed timber-clad refuse store with sliding door access

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1:100

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OBC Harston Surgery Job No: 111637 - Date: July 2020

Alys Turner consultation email

From: Anni Folan-White To: Samantha Clarke Subject: FW: Harston Surgery Extension Date: 29 April 2019 11:57:06

IT consultation

Anni Folan‑White | MCIBSE CEng MSc BEng (Hons) Partner DD: 01223 965204 | M: 07834 178 514

Ingleton Wood LLP 1a Oakington Business Park Oakington Cambridge, CB24 3DQ T: 01223 965200 www.ingletonwood.co.uk

From: GEE, Chris (HARSTON SURGERY) Sent: 24 April 2019 17:40 To: PrimaryCareIT (NHS CAMBRIDGESHIRE AND PETERBOROUGH CCG) Cc: Anni Folan-White Subject: RE: Harston Surgery Extension

Hi Alys

Thanks for a speedy helpful reply!

S106 from hauxton and Barrington together should cover the build – but of course availability of 1 runs out before the next is available so Anni is conjouring up a phased plan to work out how things might work. Any temp loan from the CCG so we can just get on and sort it seems to be impossible.

Comms cabinet we would envisage can remain where it is, undisturbed; and plans are currently being finalised so we’ll send something when available.

Thanks for the info about the touchscreen- it was an opportunistic question and is unrelated to the build!

Best wishes Chris

From: PrimaryCareIT (NHS CAMBRIDGESHIRE AND PETERBOROUGH CCG) Sent: 24 April 2019 15:52 To: GEE, Chris (HARSTON SURGERY) Cc: Anni Folan-White Subject: RE: Harston Surgery Extension

Hi Chris

As this is at OBC stage we won’t yet provide any IT costing for capital monies, as that is not required until Full Business Case stage.

Btw….I am part of the premises group hence am aware of the PID, etc…..but am sorry for the silence last year.

The outline you describe below, and I recall you telling me about (probably when I last visited a while ago!)

Your developer would need to include any cabling work for the additional rooms/spaces/reconfigured spaces, and link into the current infrastructure so there is end to end setup and tested cabling.

Is the s106 money likely to cover the build, or are you requesting additional capital as well?

Do you current proposed buliding plans available that you can send?

Will the current comms cabinet etc upstairs remain in the same location and be undisturbed by the build?

Re: touchscreens – unless you are talking about an additional screen for the build, then touchscreens replacements is a separate project we are just starting work on, as all practices will need to have W10 touchscreens in place. Will have a spearate conversation with you about that one. I wouldn’t tie that into the build project.

Hope that all helps….?

Kind regards Alys

Sent on behalf of Primary Care IT at Cambridgeshire & Peterborough CCG

Alys Turner Senior Primary Care IT Manager Cambridgeshire and Peterborough Clinical Commissioning Group Lockton House, Clarendon Road, Cambridge. CB2 8FH [email protected] www.cambridgeshireandpeterboroughccg.nhs.uk

This message may contain confidential and privileged information. If you are not the intended recipient please accept our apologies. Please do not disclose copy or distribute information in this email or take any action in reliance on its contents: to do so is strictly prohibited and may be unlawful. Please inform us that this message has gone astray before deleting it. Thank you for your co-operation.

From: GEE, Chris (HARSTON SURGERY) Sent: 24 April 2019 15:34 To: TURNER, Alys (NHS CAMBRIDGESHIRE AND PETERBOROUGH CCG) Cc: PrimaryCareIT (NHS CAMBRIDGESHIRE AND PETERBOROUGH CCG) ; Anni Folan-White Subject: Harston Surgery Extension

Hi Alys/Steve

The email trail below started last year but I never received any response; your message that we needed to involve the IT dept early for any planned surgery improvements had sunk in!

We are now at OBC stage and do need your input; I have copied in Anni who is managing the project and needs to submit the OBC for a May 1st deadline.

The main extension envisaged is an extra 3 consulting rooms (on the garden to meet the carpark) on ground floor, and the upstairs enlarges over this.

Another enlargement at the back of reception relocates the PM office.

So could you please advise whether this might be permissible? Time to access the s106 money to build is tight; so anticipated build date starts in 12 months…

As below – some recabling (access unlikely to be difficult) and 3-4 more pcs are envisaged. If you have any other funding for infrastructure that would be fabulous- are check in screens ever funded by CCG IT?

Best wishes

Chris

From: GEE, Chris (HARSTON SURGERY) Sent: 04 July 2018 15:06 To: PrimaryCareIT (NHS CAMBRIDGESHIRE AND PETERBOROUGH CCG) Subject: FW: IT Funding for extension

Hi Alys/Steve

Can you help please?

BW Chris

From: GEE, Chris (HARSTON SURGERY) Sent: 20 June 2018 17:11 To: TURNER, Alys (NHS CAMBRIDGESHIRE AND PETERBOROUGH CCG) Subject: IT Funding for extension

Hi Alys

A quick question about IT funding and how things work if we were to extend the Surgery?

The PID asks for details of costs and who funds IT infrastructure and GP IT equipment…

The basic plan would be to extend out onto the carpark. We’d lose the smaller nurse room to provide access to 2 GP rooms and a replacement nurse room; net gain of 2 consulting rooms. Upstairs we would need some recabling and probably another PC

So some cabling for 4 areas and 3 pcs – do you need more details or can you offer an estimate and advise whether you have the funds available?

How does this stuff work?!

Best wishes

Chris

Dr Chris Gee GP

Harston Surgery T 01223 870250 F01223 872741 www.harstonsurgery.co.uk

Timeline

ID Task Task Name Duration Start Finish Predecessors 2nd Quarter 3rd Quarter 4th Quarter 1st Quarter Mode Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar 1 Option Appraisal 1 day Thu 17/01/19Thu 17/01/19 2 Procurement Route 1 day Fri 08/02/19 Fri 08/02/19 Confirmed 3 OBC/New Project 8 days Tue Thu Proposal 21/04/20 30/04/20 4 OBC Approval/Stage 66 days Thu Thu 1 Approval 30/04/20 30/07/20 5 FBC/Final Project 32 days Thu Fri 11/09/20 Proposal 30/07/20 6 FBC Approval/Stage 32 days Fri 11/09/20 Mon 2 Approval 26/10/20 7 Date of procurement 6 days Mon 26/10/2Mon 02/11/2 8 Planned start of works0 days Mon 30/11/2Mon 30/11/2 30/11 9 Estimated 118 days Mon Wed completion date 30/11/20 12/05/21

Task Summary Inactive Milestone Duration-only Start-only External Milestone Manual Progress Project: Timeline Date: Wed 22/07/20 Split Project Summary Inactive Summary Manual Summary Rollup Finish-only Deadline Milestone Inactive Task Manual Task Manual Summary External Tasks Progress

Page 1 OBC Harston Surgery Job No: 111637 - Date: July 2020

Planning Approval

Our Ref: S/4520/19/FL Portal Ref: PP-08367591

9 March 2020

Mr Peter Griffiths South Cambridgeshire Hall Ingleton Wood Martindales Cambourne Business Park Unit 1A, Oakington Business Park, Cambourne Dry Drayton Road, Cambridge Oakington,, CB23 6EA Cambridge, Cambridgeshire, CB24 3DQ www.scambs.gov.uk | www.cambridge.gov.uk

Dear Mr Griffiths

SOUTH CAMBRIDGESHIRE DISTRICT COUNCIL Application for Planning Permission

Proposal: Two storey rear extension single storey side extension and rearrangment of parking spaces

Site address: 11 Church Street Harston Cambridge CB22 7NP

Your client: Chris Gee / Fraser Allen

Further in the above matter, please find enclosed our formal decision notice relating to your client’s application for planning permission. Please be sure to remind your client that the scheme should be carried out in line with the approved plans. This will avoid the need for any enforcement action.

Making changes to the approved plans

In the event that you wish to change your proposal, please contact your case officer who will advise you on whether the change can be dealt with as a “non-material” or “material” amendment. In either case you will have to complete a form and provide fresh drawings.

Important information regarding conditions

If you have been granted Planning Permission / Listed Building Consent / Advertisement Consent you may wish to get started immediately, however it is always important to carefully read the decision notice in full before any work begins.

The majority of planning decisions have conditions attached. Some conditions request further information that requires approval by the Local Planning Authority before any development takes place (‘pre-commencement’). All conditions are set out on the decision notice.

Greater Cambridge Shared Planning: a strategic partnership between Cambridge City and South Cambridgeshire District Councils Under Section 7 of the Planning (Listed Buildings and Conservation Areas) Act 1990, it is a criminal offence to carry out unauthorised works to a listed building. Under Section 9 of the Act, a person shall be guilty of an offence should they fail to comply with any condition attached to the consent.

How do I discharge the conditions

Please note that the process takes up to eight weeks from the date the Local Planning Authority receives a valid application. Therefore it important to plan ahead and allow plenty of time before work is due to commence.

You need to fill in a form to submit your request to discharge conditions, and accompany the relevant details/samples. You can download the necessary form by using the following link: https://www.greatercambridgeplanning.org

Alternatively you can submit an application to discharge the conditions through the Government’s Planning Portal website: https://www.planningportal.co.uk/applications. Please note, The Planning Portal refers to it as ‘Approval of details reserved by a condition’.

When the required information has been submitted you will receive a reference and an acknowledgement letter. Once the Local Planning Authority is satisfied that the requirement of the condition have been met you will receive a formal notification that the conditions have been discharged.

Appeals against conditions

You should also be aware that the applicant has the right to appeal against any conditions attached to this Notice, please see https://www.gov.uk/planning-inspectorate for details. If you are concerned about any condition you should contact the case officer in the first instance for advice.

We value your feedback

We value your feedback and would like to know your views about the planning process you experienced, including the service you received from us. Your views are important to us and they will help us improve the experience we can offer you. The link below takes you to a survey which will take a couple of minutes to complete. https://forms.scambs.gov.uk/PLANNINGFEEDBACKFORM/launch

Yours sincerely

SJ Kelly Joint Director For Planning & Economic Development For Cambridge & South Cambridgeshire South Cambridgeshire District Council Town & Country Planning Act 1990

Notice of Planning Permission Subject to conditions

Reference S/4520/19/FL Date of Decision 9 March 2020

Mr Peter Griffiths Ingleton Wood Martindales Unit 1A, Oakington Business Park, Dry Drayton Road, Oakington,, Cambridge, Cambridgeshire, CB24 3DQ

The Council hereby GRANTS Planning Permission for:

Two storey rear extension single storey side extension and rearrangment of parking spaces at

11 Church Street Harston Cambridge CB22 7NP

In accordance with your application received on 23 December 2019 and the plans, drawings and documents which form part of the application subject to the conditions set out below.

Conditions

1 The works to which this consent relates shall be started not later than the expiration of three years beginning with the date of this decision notice. (Reason - To ensure that consideration of any future application for works will not be prejudiced by listed building consents which have not been acted upon).

2 The development hereby permitted shall be carried out in accordance with the following approved plans: DS-IWM-ZZ-00-DR-A-0010, HDS-IWM-ZZ-00-DR-A-0060 Rev P1 (Not including the location of the proposed Variable Message Sign (VMS), DS-IWM-ZZ-00-DR-A-0210 Rev P1, DS-IWM-ZZ-00-DR-A-211 Rev P1, DS-IWM- ZZ-00-DR-A-0150 Rev P1, DS-IWM-ZZ-00-DR-A-0153 Rev P1 & DS-IWM-ZZ-00- DR-A-0154 Rev P1. (Reason - To facilitate any future application to the Local Planning Authority under Section 73 of the Town and Country Planning Act 1990).

3 All new and matching materials shall be approved on site by the Local Planning Authority. (Reason - To ensure the use of matching materials).

4 No demolition or construction works shall commence on site until a traffic management plan has been agreed with the Local Planning Authority in consultation with the Highway Authority. The principle areas of concern that should be addressed are:

S/4520/19/FL Page 3 of 8 (i) Movements and control of muck away lorries (all loading and unloading shall be undertaken off the adopted highway) (ii) Contractor parking, for both phases all such parking shall be within the curtilage of the site and not on the street. (iii) Movements and control of all deliveries (all loading and unloading shall be undertaken off the adopted public highway. (iv) Control of dust, mud and debris, in relationship to the functioning of the adopted public highway.

(Reason: In the interests of highway safety in accordance with Policy HQ/1 of the South Cambridgeshire Local Plan 2018 and the Nationall Planning Policy Framework.)

5 Prior to occupation of the development a Travel Plan which shall include monitoring and enforceable implications shall be submitted to and approved in writing by the Local Planning Authority. The provision of the Travel Plan shall be adhered to at all times unless otherwise approved in writing by the Local Planning Authority (Reason: In the interests of sustainable development in accordance with Policy TI/2 of the South Cambridgeshire Local Plan 2018.)

6 Prior to the first use of the air handling units hereby permitted, full details of any cooling plant equipment, ventilation, air conditioning, refrigeration or mechanical extractor systems to be installed as part of the approved development, shall be submitted to and approved in writing by the Local Planning Authority. The submitted details shall include noise measurements and assessments made in accordance to BS4142:2014 and specify measures to control noise from the equipment where relevant. The use of the equipment hereby permitted shall not be commenced until such time as the equipment has been installed in full accordance with the approved details (unless otherwise agreed in writing by the Local Planning Authority). The equipment shall be maintained in accordance with the approved details thereafter. Reason: To ensure nuisance is not caused to local residents in accordance with Policy SC/10 of the South Cambridgeshire Local Plan 2018.)

Plans and drawings

This decision notice relates to the following drawings:

Reference/Document/Drawing Title Date Received

It is important the development is carried out fully in accordance with these plans. If you are an agent, please ensure that your client has a copy of them and that they are also passed to the contractor carrying out the development. A copy of the approved plan(s) is/are kept on the planning application file.

Authorisation Authorised by:

SJ Kelly Joint Director For Planning & Economic Development For Cambridge & South Cambridgeshire

South Cambridgeshire Hall Cambourne Business Park Cambourne Cambridge CB23 6EA

Date the decision was made: 9 March 2020

S/4520/19/FL Page 5 of 8 Working with the applicant

The LPA positively encourages pre-application discussions. Details of this advice service can be found at https://www.greatercambridgeplanning.org. If a proposed development requires revisions to make it acceptable the LPA will provide an opinion as to how this might be achieved. The LPA will work with the applicant to advise on what information is necessary for the submission of an application and what additional information might help to minimise the need for planning conditions. When an application is acceptable, but requires further details, conditions will be used to make a development acceptable. Joint Listed Building and Planning decisions will be issued together. Where applications are refused clear reasons for refusal will identify why a development is unacceptable and will help the applicant to determine whether and how the proposal might be revised to make it acceptable.

In relation to this application, it was considered and the process managed in accordance with paragraphs 186 and 187 of the National Planning Policy Framework.

General Notes

This decision notice does not convey any approval or consent which may be required under any enactment, bye-law, order or regulation other than Section 57 of the Town and Country Planning Act 1990.

Your attention is specifically drawn to the requirements of the Equality Act 2010 and the Equality Act (Disability) regulations 2010, the British Standards Institution BS8300:2009 “Design of Buildings and their approaches to meet the needs of disabled people – Code of Practice” and to Approved Document ‘M’ “Access to and use of buildings”, volumes 1 and 2 of the Building Regulations 2010 and to Approved Document ‘B’ “Fire Safety”, volumes 1 and 2 of the Building Regulations 2010, in request of guidance on means of escape for disabled people. The development should comply with these requirements as applicable

It is an offence under Section 171 of the Highways Act 1980 to temporarily deposit building materials, rubbish or other things on the public highway or make a temporary excavation on it without the written consent of the Highway Authority. The Highway Authority may give its consent subject to such conditions as it thinks fit.

The applicant is reminded that under the Wildlife and Countryside Act 1981(Section 1) (as amended) it is an offence to take, damage or destroy the nest of any wild bird while that nest is in use or being built. Trees and scrub are likely to contain nesting birds between 1 March and 31 August. Trees within the application should be assumed to contain nesting birds between the above dates unless a survey has shown it is absolutely certain that nesting birds are not present.

Appeals to the Secretary of State

The applicant has a right to appeal to the Secretary of State against any conditions of this planning permission, under Section 78 of the Town & Country Planning Act 1990. The appeal must be made on a form which may be obtained from:

The Planning Inspectorate, Temple Quay House, 2 The Square, Temple Quay, Bristol. BS1 6PN Telephone 0303 444 5000 or visit https://www.gov.uk/planning-inspectorate

If an enforcement notice is or has been served relating to the same or substantially the same land and development as in your application and if you want to appeal against your local planning authority’s decision on your application, then you must do so within: 28 days of the date of service of the enforcement notice, OR within 6 months (12 weeks in the case of a householder or minor commercial appeal) of the date of this notice, whichever period expires earlier.

The Secretary of State can allow a longer period for giving notice of an appeal, but he will not normally be prepared to use this power unless there are special circumstances which excuse the delay in giving notice of appeal.

The Secretary of State need not consider an appeal if it seems to him that the Local Planning Authority could not have granted planning permission for the proposed development or could not have granted it without the conditions they imposed, having regard to the statutory requirements, to the provisions of any development order and to any directions given under a development order.

In practice, the Secretary of State does not refuse to consider appeals solely because the Local Planning Authority based their decision on a direction given by him.

Purchase Notices

If the Local Planning Authority or the Secretary of State grants permission subject to conditions the owner may claim that he/she can neither put the land to a reasonably beneficial use in its existing state nor render the land capable of a reasonably beneficial use by the carrying out of any development which has been or would be permitted. In these circumstances the owner may serve a purchase notice on the Council to purchase his interest in the land in accordance with the provisions of Part VI of the Town and Country Planning Act 1990.

Before starting work

It is important that all conditions, particularly pre-commencement conditions, are fully complied with, and where appropriate, discharged prior to the implementation of the development. Failure to discharge such conditions may invalidate the planning permission granted. The development must be carried out fully in accordance with the requirements of any details approved by condition.

Street Naming and Numbering

In order to obtain an official postal address, any new buildings should be formally registered with South Cambridgeshire District Council. Unregistered addresses cannot be passed to Royal Mail for allocation of postcodes.

Applicants can find additional information, a scale of charges and an application form at www.scambs.gov.uk/snn. Alternatively, applicants can contact the Address Management Team: call 08450 450 500 or email [email protected].

Please note new addresses cannot be assigned by the Council until the footings of any new buildings are in place. _ Third Party Rights to challenge a planning decision

Currently there are no third party rights of appeal through the planning system against a decision of a Local Planning Authority. Therefore, if you have concerns about a planning application and permission is granted, you cannot appeal that decision.

Any challenge under current legislation would have to be made outside the planning system through a process called Judicial Review.

A ‘claim for judicial review’ includes a claim to review the lawfulness of a decision, action or failure to act in relation to the exercise of a public function, in this case, a planning decision. The court’s permission to proceed is required in a claim for Judicial Review. A claim for Judicial Review is dealt with by the Administrative Court and if leave to judicially review a planning decision is granted, the Judicial Review will be decided by a judge at the High Court.

S/4520/19/FL Page 7 of 8 An application to Judicial Review a decision must be made within 6 weeks of the decision about which you have a grievance being made. For further information on judicial review and the contact details for the Administrative Courts, please go to http://www.justice.gov.uk/

OBC Harston Surgery Job No: 111637 - Date: July 2020

Working Group minutes

UPDATE ON HEALTH PROVISION INITIATIVE A Working Group had been set up following the meeting in April at which 12 villages agreed there was a need for better health provision in the South Cambs/A10 area served by the Harston and Melbourn practices.

Barrington Parish Council had agreed to seek assistance from our M.P. and so Heidi Allen had been contacted, and asked to take the lead. She managed to arrange a meeting with Jan Thomas, Acting Interim Chief Officer at the CCG and Rob Murphy (Acting Director of Planning and Primary Care CCG)) on June 15th. (Jan was apparently the fourth chief Exec in a year!) Other attendees were:- a. County Cllr Sebastian Kindersley b. District Cllr Aidan Van de Weyer c. Parish Cllr Ray Kemp (Barrington) – in place of Cllr R Rhodes-Kemp who was unable to attend. d. Parish Cllr Tony Bearpark (Fowlmere) e. Dr Chris Gee (Harston Practice) f. Valerie Tookey (Clerk to Barrington P.C.) 2. Discussion around:- a. Waiting times to see a G.P.. b. G.P. Recruitment problems c. How to deal with the growth in population d. How to deal with the “ageing” population stretching services e. £42m deficit in the NHS f. Reluctance of the NHS to ask for contributions from S106 funding g. And when do ask for contribution there is difficulty accessing it h. NHS are working through a review of how to meet needs in the long term. i. Agreed need practical support now

Jan Thomas said that a 3 – 5 year strategy needs to be in place. Decisions need to be made about what is being provided that is not needed? A debate needed to be had with local communities. Chris Gee took the view that this should be a national decision similar to the directive that GPs do not prescribe over the counter medicines. Sebastian Kindersley reminded meeting that S106 money is time limited and does seem to disappear because the NHS/CCG do not plan to spend it. Chris Gee confirmed that the Hauxton development money was about to run out, but could now be allocated to be used other than at the Shelford practice. He also said there were a 1000 new patients from Hauxton to add to an already heavily subscribed list. Harston practice could expand, he had plans but could not take out loans to build a health centre. When asked, Chris Gee said he could find G.P.s. Heidi Allen asked who made the decision about the Hauxton monies?. Rob Murphy and Jan Thomas asked to be allowed to look into this.

Heidi Allen summed up meeting:- i) CCG needed blank piece of paper to see what area needs (and when and how could be provided). ii) Be clear where there are pots of 106 money, and if there are any about to expire (need better control and management of this). iii) CCG and NHS need to be better at getting 106 money (similar to the schools formula used). iv) And when they do get funding to have a structure that is as streamlined as possible. v) CCG and NHS need to look at workforce careers.

V Tookey Barrington Parish Council June 2018 OBC Harston Surgery Job No: 111637 - Date: July 2020

Confirmation of funding extension

From: McFarlane Lesley Sent: 22 July 2020 08:56 To: Peter Griffiths ; PARKE, David (NHS CAMBRIDGESHIRE AND PETERBOROUGH CCG) Subject: FW: Harston surgery

CAUTION: This email originated from outside of the business. Do not click links or open attachments unless you recognise the sender and know the content is safe.

Hi Peter, David Firstly great news that Redrow have agreed to extend the S106 agreement by 12 months. I’ve spoken to our planning department to ascertain what needs to be arranged our side to avoid any further delays as the project progresses. The next step will be to submit it a discharge of conditions application. See the email below listing each of them, Katie suggests that to avoid any delay you should submit an application for conditions 3 and 4 straight away.

I hope this is helpful.

Thanks Lesley

OBC Harston Surgery Job No: 111637 - Date: July 2020

Professional services fee letter

Dr Chris Gee Harston Surgery 11 Church Street Harston Cambridge CB22 7NP

Our ref: ME1080a/AFW

23rd April 2020

Dear Chris,

RE: Harston Surgery – Proposed Extension

Thank you for the opportunity to quote the above project; we take pleasure in providing our fee proposal below.

1.0 Project

We understand the scheme to be initially the outline business case documentation for the proposed extension at Harston Surgery.

The works will include:

• Review of the existing PID • Provision of spacial estimation • Provision of cost estimate • Spacial layout proposals including general arrangement and elevations

2.0 Fee

Our fee for the overall works will be based on a percentage of the total works. We understand this to currently be £453,626.00 for the PID process and also for the OBC and FBC. Our fees for each discipline and stage are set out in the table below.

Architecture OBC FBC RIBA 5-7 TOTAL % 6.45% £ £8,772.84 £10,243.96 £10,243.96 £29,260.76

Mechanical and Electrical OBC FBC RIBA 5-7 TOTAL % 1.83% £ £2,495.33 £2,903.51 £2,903.51 £8,302.36

Structural OBC FBC RIBA 5-7 TOTAL % 0.82% £ £739.50 £2,957.98 £3,697.48

Cost Estimation OBC FBC RIBA 5-7 TOTAL % 0.90% £ £924.20 £3,149.97 £4,074.16

Project Management OBC FBC RIBA 5-7 TOTAL % 0.90% £ £3,149.97 £924.20 £4,074.16

Principal Designer OBC FBC RIBA 5-7 TOTAL % 1.25% £ £1,417.58 £1,417.58 £2,835.16 £5,670.33

£55,079

Additional Services

Additional Services not covered by any of the above descriptions can be pre-costed where possible and an approximate or fixed fee given or alternatively where relevant, carried out on a time involved basis, for which current time charge rates are:

Page 2 of 3

Position £ / Hour Director/Associate £ 95/hour Senior £ 85/hour Intermediate £ 75/hour Graduate £ 65/hour CAD £ 45/hour

Clarifications

1. VAT is excluded from our Time Charge Rates 2. Our Standard Terms and Conditions would apply to any appointment (enclosed for information) 3. All travel costs and material charges will be invoiced in addition to the above 4. In line with our environmental policy we will issue digital copies only of our documents, hard copies will only be issued by absolute exception

Ingleton Wood is regulated by an integrated practice management system in accordance with RIBA guidelines. In the event that you are unhappy with the services we provide; a copy of the complaints handling procedure is available upon request.

Should you require any further information or any clarification on the above, please do not hesitate to contact us.

I look forward to hearing from you in due course.

Yours sincerely

Anni Folan-White, MSc, BEng (Hons) CEng, CIBSE Partner Ingleton Wood LLP E: [email protected]

Enc: Ingleton Wood Terms of Business

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Ingleton Wood LLP: Terms of Business Date: 11/2016

1. Ingleton Wood Obligations Ingleton Wood LLP is unable to appoint asbestos consultants or asbestos contractors Ingleton Wood LLP shall provide the services with reasonable skill and care. Ingleton Wood as subcontractors and such specialists must be employed direct. LLP shall use all reasonable endeavours to meet any performance dates agreed, but any Owners of residential properties where asbestos contamination is a possibility (i.e. with such dates shall be estimates only and time shall not be of the essence in the performance an original construction date prior to 1980) will be required to obtain an asbestos of any services. survey and report prior to our commencement of work 2. Identities of Contracting Parties 12. LIMITATION OF LIABILITY: THE EMPLOYER'S ATTENTION IS You (“the employer”) are entering into a contract with Ingleton Wood LLP (also referred to as PARTICULARLY DRAWN TO THIS CLAUSE “we” and “us”). Apart from the liability of Ingleton Wood LLP as a firm, no personal Nothing in these conditions shall limit or exclude Ingleton Wood's liability for: responsibility is accepted by any of the partners or staff of the firm and no personal duty of (a) death or personal injury caused by its negligence, or the negligence of its care or other personal contractual obligation is accepted. employees, agents or subcontractors; (b) fraud or fraudulent misrepresentation; or 3. Assignment (c) breach of the terms implied by section 2 of the Supply of Goods and Services Act Neither party shall assign the whole or any part of this agreement without the consent of the 1982 (title and quiet possession). other in writing. Such consent shall not be unreasonably withheld. Subject to the above: 4. Services and Fees (a) Ingleton Wood LLP shall under no circumstances whatever be liable to the Services to be undertaken by Ingleton Wood LLP shall be described in the correspondence employer, whether in contract, tort (including negligence), breach of passing between Ingleton Wood LLP and the employer. statutory duty, or otherwise, for any loss of profit, or any indirect or All fees quoted or otherwise payable are exclusive of Value Added Tax (VAT) which will be consequential loss arising under or in connection with the contract; and added in accordance with current legislation. (b) (b) Ingleton Wood's total liability to the employer in respect of all other The fees payable to Ingleton Wood LLP shall be the amount stated in correspondence losses arising under or in connection with the contract, whether in contract, passing between Ingleton Wood LLP and the employer. tort (including negligence), breach of statutory duty, or otherwise, shall in no circumstances exceed £250,000 or 10 times the fee for the project The fees payable on project work unless agreed otherwise become payable to Ingleton whichever is greater (subject always to a maximum in any event of Wood LLP as follows:- £1,000,000). 60% by equal payments throughout the pre-construction phase 37.5% by equal payments throughout the construction phase Our liability shall exclude any claim arising out of or in connection with terrorism, toxic 2.5% or the balance outstanding paid upon completion of the health & safety file. mould, pollution or contamination or those arising directly or indirectly from asbestos or If Ingleton Wood LLP is requested by the employer to undertake additional services, or materials containing asbestos. As well as virus and war risks. Unless otherwise agreed additional works have to be completed, the fees payable to Ingleton Wood LLP for such in writing the period of liability of Ingleton Wood LLP shall be limited to 3 years from additional services shall be calculated on a time charge basis or pro-rata the agreed fee; Practical Completion or completion of the Project. whichever is the most appropriate. 13. Collateral Warranty 5. Costs and Disbursements (Expenses) Where we are asked to enter collateral warranty agreements benefiting one third party, will endeavour to provide you with an update of the costs for which you are liable on a not a party to the contract to which this document refers, we will do so, subject to our regular basis, no less frequently than once every six months. insurer’s approval. Our agreement to accept a Collateral Warranty will be subject to Ingleton Wood LLP will only make an application on the employer’s behalf that involves negotiation of the terms and to the payment of our additional fee of £1,000 per warranty payment of a fee if we are in funds or a cheque to the payee is made available to us prior to to cover our additional costs and expenses. making the application. 14. Employers Obligations Fees are inclusive of reasonable levels of postage but Ingleton Wood LLP reserve the right The employer shall ensure that there shall be made available to Ingleton Wood LLP to charge for additional costs for special delivery, courier or similar at the cost to us. such information and assistance as is required by Ingleton Wood LLP, including from 6. Payment of Ingleton Wood LLP Fee Accounts other parties involved with the project, to enable Ingleton Wood LLP to perform the When settling our fee account, payments made by BACS should be sent to our Office services in an efficient and economical manner. Account at Barclays Bank Plc, Sort Code 20-12-39 Account Number is 40516368 (quoting 15. Intellectual Property Rights the appropriate invoice number). Please forward any cheques to: Ingleton Wood LLP, 10 All Intellectual Property Rights in or arising out of or in connection with the services Lake Meadows Business Park, Billericay, CM12 0EQ made payable to Ingleton Wood LLP. shall be owned by Ingleton Wood LLP but the employer shall have a royalty free non- Any fee account, which we issue, should be paid within one month, failing which we reserve exclusive license to use any documents for the purpose for which they were prepared the right to charge interest at the rate payable from time to time on judgement debts. If you providing all fees properly due have been paid. are a business then interest and penalties will be applied as per the Late Payment of 16. Suspension and Termination Commercial Debts (Interest) Act 1998 and subsequent Regulations. If the employer sells suspends or abandons the project to which the services for our commission relate after engaging Ingleton Wood LLP, then Ingleton Wood LLP’s The employer shall pay all amounts due under the contract in full without any set-off, appointment may be suspended or terminated on the expiry of not less than 28 days counterclaim, deduction or withholding (except for any deduction or withholding required by written notice. Upon such suspension or termination, Ingleton Wood LLP will be law). Ingleton Wood LLP may at any time, without limiting its other rights or remedies, set off entitled to a payment in respect of the services that have been rendered up to the time any amount owing to it by the employer against any amount payable by Ingleton Wood LLP that the said notice expires on a pro rata or quantum meruit basis at Ingleton Wood to the employer. LLP’s option. In addition to the above, Ingleton Wood LLP will be entitled to be We reserve the right to cease working on a particular instruction or instructions for a client reimbursed for all expenses and disbursements incurred or to be incurred or whose account remains unpaid for more than one month. obligations entered into or to be entered into in connection with the performance of the 7. Storage of Files and Documents services and to a further payment representing loss of profit to Ingleton Wood LLP on We reserve the right to make a charge for retrieving any archived file or documents from our the balance of the services due to have been performed under the contract. archive system, and we reserve the right to charge a reasonable fee for any delivery costs Ingleton Wood LLP shall be entitled to terminate its obligations to perform the services we incur, for any photocopying costs or for any work we do in addition to the retrieval of the by giving written notice to the employer should the employer default in its obligations. If items in question. the appointment of Ingleton Wood LLP is terminated pursuant to this condition Ingleton You consent to our destroying any files and documents if at some future date we convert Wood LLP shall be entitled to a payment from the employer calculated on the basis set those items into some appropriate electronic form. We will in any event destroy files once 12 out in the paragraph above. Termination shall be without prejudice to any other rights years have passed since the completion of the contract. and remedies of the parties. 8. Data Protection Act 17. Disputes We may contact you in the future in relation to the services, which we offer. Unless we hear If a dispute arises out of any appointment relating to these terms and conditions the from you to the contrary, we will assume that you have no objection to this. Employer and Ingleton Wood LLP shall attempt to agree a settlement in good faith. 9. Complaints Procedure If any dispute is not resolved either the employer or Ingleton Wood LLP may at any We operate a formal complaints procedure in order to ensure that everything possible is time give notice to the other in writing that they wish to refer the dispute to an done to meet any concerns that you may have. Copies of the procedure are available on adjudicator, provided the contract is in writing and/or is not with a residential occupier. request from our offices. The person who is to act as the adjudicator shall be agreed between the employer and 10. Members of the LLP Ingleton Wood LLP within 2 days of such notice having been given or, failing The members of the LLP are known as partners. agreement, be appointed by the President or Vice President of the Royal Institution of 11. Asbestos Chartered Surveyors (RICS) or Royal Institution of British Architects (RIBA) within 5 Ingleton Wood LLP is not qualified to comment on or make recommendations in respect of days of such notice having been given. The referring party shall refer the dispute in Asbestos. writing to the adjudicator within 7 days of such notice having been given. It is incumbent upon owners of non-domestic premises under the Control of Asbestos The adjudication shall be conducted in accordance with the Construction Industry Regulations 2012 to have manage any asbestos within their premises. Ingleton Wood LLP Council model Adjudication Procedures current at the time of the engagement of requires to be provided with a copy of an asbestos report or other asbestos records before Ingleton Wood LLP. commencing work on any non-domestic premises. In the event that no asbestos survey 18. English Law exists, Ingleton Wood LLP requires that a survey is carried out and that a copy of the The terms of the agreement between the employer and Ingleton Wood LLP shall be resultant report is provided before commencing work. governed by the Law of England and Wales. For reasons of insurance Ingleton Wood LLP are not able to make recommendations in Ingleton Wood LLP registered no 0C306572 Registered office: 1 Alie Street, London, respect of asbestos consultants or asbestos contractors. Ingleton Wood LLP can, on E1 8DE which is the address for delivery of all notices. request, provide lists of specialist asbestos consultants and asbestos contractors but the list is provided without any actual or implied recommendation.

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