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Guide to repair and reinstatement obligations for GP practices

Updated 7th January 2025

Whether you are the landlord or tenant of a GP practice, understanding repair and reinstatement obligations is vital in meeting the expectations of a lease agreement and maintaining positive rental relationships.

Our guide looks at the key features of these commitments to ensure you have the necessary knowledge to manage the property responsibly. Continue reading to find out more.

Overview of repair and reinstatement obligations

Repair and reinstatement obligations are critical considerations for GPs operating in rented premises. 

These requirements are often detailed within a full repair and insure lease, where tenants are responsible for keeping the property to a specified standard. Upon the termination of the rental agreement, the tenant must restore the practice to its original state.

Understanding these obligations is essential when negotiating favourable terms and developing a cost-effective exit strategy. A building condition survey, also known as a schedule of condition, is usually conducted at the outset to help clarify the extent of repairs and prevent disputes down the line.

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Key obligations

Landlords’ expectations

The building owner will typically expect GP practices to maintain it in a condition aligned with the contract terms. This may include addressing wear and tear, ensuring fixtures are operational, and complying with any regulatory constraints for healthcare facilities.

Tenants’ responsibilities

Those occupying the property are responsible for day-to-day upkeep, such as minor repairs and cleaning. Under a full repair and insure lease, they may also need to manage significant fixes unless specific exclusions are negotiated.

Dilapidations

This term refers to breaches of lease covenants related to the practice’s condition. A dilapidations surveyor can assess these claims and quantify the cost of repairs, making sure both parties have a clear grasp of responsibilities.

Reinstatement at lease end

Reinstatement duties often involve returning the premises to their original state, which may include removing partitions, specialist installations or other modifications. It is important to adhere to the agreed-upon timelines and processes to avoid potential penalties.

Engaging a schedule of dilapidations early in the exit process can help plan for restoration effectively, and common disputes can be avoided by maintaining clear documentation of property condition changes. 

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Relevant legal framework

Healthcare-specific leases often include unique requirements due to NHS standards or local regulations. Important legal considerations include:

  • Understanding NHS property arrangements for GP practices
  • Reviewing compliance with local health and safety rules
  • Ensuring repair and reinstatement obligations align with broader healthcare legislation

These issues can be a headache for professionals in this industry, especially when you are focusing on supporting patients. We advise consulting legal experts to help navigate these complex frameworks and provide peace of mind.

Negotiating leases

A proactive approach to rental negotiations can make managing a property significantly easier and more financially viable. When entering discussions, GPs should:

  • Scrutinise clauses related to repair and reinstatement
  • Negotiate caps on liability or request detailed definitions of “repair” to limit ambiguity
  • Explore break clauses that allow early contract termination if the premises become unsuitable

Cost management strategies

It is no secret that public healthcare services are often stretched, so planning for costs related to this issue is crucial to financial management. 

Some key strategies include budgeting for repairs from the lease’s inception, reviewing insurance policies to cover unexpected major fixes, and using a building condition survey to predict potential future expenses. Negotiating shared responsibility with the landlord can also help minimise costs.

RICS-qualified surveyors

Contact our team of commercial chartered surveyors today to arrange a Schedule of Condition for your property to ensure your building's lease terms are upheld and prevent avoidable costs.

Practical tips for compliance

Being organised can make this process significantly easier when you are nearing the end of a lease agreement. Some ways to stay on top of your restorations include:

  • Regular inspections – Schedule routine inspections to make sure the property remains in compliance with the agreed-upon terms
  • Documentation – Keep records of all alterations to support future discussions or dispute resolution
  • Expert advice – Engage professionals, such as dilapidations surveyors or building consultants to assist in fulfilling obligations efficiently. Eddisons can support you through any challenges you may face. Please get in touch to speak to a specialist.

Get professional advice for repairs and reinstatement

Want a team of experts to handle your repair and reinstatement obligations, so you can focus on providing critical care to your community? We are here for you. Eddisons has 30 offices up and down the country, giving you access to national coverage with local knowledge. Our services are also highly rated, with 100% of reviewers recommending us on Reviews.IO.

Call 0800 051 2593 or fill out the form below to tell us about your challenges. We can then provide you with a quote for our healthcare property services. In the meantime, check out our news and insights articles to learn more about us and the industry.

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