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How we help make sure new communities get the health infrastructure they need.


When a new housing development is proposed, it inevitably means lots of new residents moving to the area. Whether they’re moving from down the road or further away, they will all need to be registered with a GP. But what if the practice covering the area doesn’t have enough room?  

How do you manage the increase in patients?

This is where Section 106 or the ‘Community Infrastructure Levy’ (CIL) may come into play. The schemes work in slightly different ways, but in a nutshell they involve funding or land contributions made by developers to help make sure that new communities being built have the infrastructure they need – from roads to schools, parks and primary care centres. Developers are told at the planning stage if a Section 106 or CIL will apply to their plans.

For primary care, a new housing development may sometimes be so big that it needs a brand new medical centre to serve so many patients. Other times, extending or replacing an existing GP surgery building may create the space that’s needed.  

We often work with housing developers as an expert partner to help them deliver a requirement for primary care infrastructure. Our recent development in Brixworth is a fantastic example:  

Brixworth surgery was opened in 2019 as a brand-new medical centre to accommodate the rising numbers of patients in the area from the Saxon Spires housing development. The project meant collaborating  with a number of different people and organisations: Barratt Homes, the NHS, the practice team, patients and local community representatives to ensure that everyone’s needs were met.

The development included planning permission for a new surgery as part of a request made by the local councillors who wanted to see a replacement surgery for Brixworth surgery and Pytchley Court. If your surgery is in an area of high housing growth, we’d love to help you consider your options to create the space you need.