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About ZCap

This market-leading shared ownership model has been developed for GPs, PCNs or Federations.

  • Building ownership giving full operational and clinical control

  • No capital investment or personal guarantees required  to proceed

  • Works with exiting NHS/GP capital funds, reducing rent or releasing capital

  • Sale/lease-back of existing properties but maintaining ownership and control

  • Development funding underwritten by CCG and or ZCap funder

  • Investment returns and capital growth providing personal pension fund options

  • No development risk or direct development costs for GP practice

  • Fully reimbursable costs and lease payments, can be confident of DV approval

  • No negative equity risk for the GP Practice, help with any existing

  • Supporting Digitally Enhanced Primary Care, ensuring service flexibility

  • Digital Design Standard ensuring flexible and adaptable spaces maximising capacity.

  • Multidisciplinary delivery with no commercial barriers restricting building use

NHS Strategic Fit – ZCap provides accommodation solutions that will:

 

  • support the delivery of the NHS Long Term Plan and emerging models of health and social care 

  • help primary care to design and develop real service integration 

  • provide space and capability for primary care to deliver multidisciplinary services 

  • deliver flexible, fit for purpose accommodation, both in design and lease structure 

  • meet the challenge of enhanced digital delivery to secure any additional funding

  • support the government's Modern Methods of Construction agenda to improve delivery, quality and value for money 

  • meet NHS guidance on procurement and full compliance with the Treasury's '5 Case Business Model’ 

The ZCap NHS models:

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The benefits:

  • No GP/NHS capital investment required

  • Shared ownership on lease commencement

  • Full operational control – land and building

  • Health/Social Care subletting unrestricted  

  • Unique structure minimising GP/NHS risks

  • Reducing lease payments via residual value

  • No negative equity or personal guarantees

  • Supports recruitment and succession plans

  • Integrated design, delivery and build services

  • No landlord maintenance agreements

The requirements:

  • £5m minimum investment threshold  

  • 25 year minimum investment period

  • 25 year minimum ‘NHS’ FRI headlease

  • GMS holder/NHS body as health partner

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The benefits:

  • Fully amortised loan, tax efficient structure

  • 100% ownership on lease expiry for £1  

  • No GP/NHS capital investment required

  • Full operational control – land and building

  • Health/Social Care subletting unrestricted  

  • No negative equity or personal guarantees

  • Supports recruitment and succession plans

  • Integrated design, delivery and build services

  • No landlord maintenance agreements

  • Suitable for batch/leaseback projects

The requirements:

  • £15m minimum investment threshold  

  • 15 year minimum investment period

  • 15 year minimum ‘NHS’ FRI headlease

  • GMS holder/NHS body as health partner

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The benefits:

  • NHS contract and building succession offered by fellow GP colleagues

  • GMS & PMS contract ‘Succession Planning’ options:

– Immediate release from the contract obligations

– Deferred contract release, match retirement plan

– Silent partner, keep control, still allowing property sale

  • Property ‘Succession Planning’ options:

– Full equity release via property sale, or

– Retain property and leaseback to new partnership

  • ZCap funding enabling GP equity release/pension  

  • Suitable for single of multi-site practices     

  • No minimum or maximum practice size     

  • Continuity of service, no disruption or capacity loss

The requirements:

  • Contract release suitable for all GP contracts  

  • GMS/PMS contracts required for property sale

  • Initial property tranche to complete summer 2024

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