Primary Care Surveyors

Eastergate Medical Centre

Eastergate Medical Centre, formerly known as The Croft Surgery, represents the culmination of a 19-year primary care development journey. Officially opened on 26th August 2025, the new purpose-built facility provides modern, flexible accommodation designed to meet the long-term healthcare needs of the local community.

19 Years

Development Journey

August 2025

Completion Date

Modern brick office building exterior

A 19-Year Primary Care Development Journey

Project Overview

Eastergate Medical Centre, formerly known as The Croft Surgery, represents the culmination of a 19-year primary care development journey in West Sussex. Originally initiated in 2006, the project was driven by the need to create a modern, purpose-built facility that could support growing patient demand and evolving healthcare delivery. Officially completed in August 2025, the new building now provides high-quality, flexible clinical space designed for long-term use. The challenge was not just delivering a new facility, it was maintaining momentum, alignment, and viability over nearly two decades of change, supported by experienced GP Surveyors.

Key Services

Key Challenges

Over a 19-year period, the Eastergate Medical Centre project faced multiple layers of complexity that needed to be carefully managed to ensure delivery. Changes in GP partnerships, shifting market conditions, and evolving healthcare requirements all had a direct impact on the scheme’s progression, requiring input from specialist healthcare surveyors. Without structured guidance, there was a risk the development would stall or fail to meet its original objectives.

Changing GP Partnerships

As original partners retired, new governance structures and agreements were required to maintain continuity and commitment to the project.

Extended Development Timeframe

Spanning nearly two decades, the scheme had to navigate significant changes in financial conditions, NHS requirements, and the wider healthcare landscape.

Evolving Delivery Model

The initial plan for partner-led development became unviable, requiring the appointment of a specialist healthcare developer to move the project forward, with guidance from experienced GP Surveyors.

Balancing Stakeholder Priorities

The project needed to align the operational needs of the practice, NHS specifications, and the commercial objectives of the developer.

Maintaining Long-Term Viability

Ensuring the scheme remained deliverable and financially sustainable throughout its lifecycle required ongoing review and expert input from healthcare surveyors.

Changing GP Partnerships

Over such an extended timeframe, the GP partnership structure changed significantly. With original partners retiring, new arrangements were required to ensure continuity, protect the practice’s long-term interests, and maintain commitment to the development. This demanded careful negotiation of new agreements and governance structures.

Timeframe and Market Conditions

Spanning 19 years, the project had to navigate multiple shifts in the financial, regulatory, and healthcare commissioning landscape. Ensuring that the scheme remained deliverable and financially sustainable required ongoing review, renegotiation, and expert guidance at key stages.

Specialist Property Considerations

As with many primary care schemes, the project involved balancing several competing priorities:

  • The aspirations and operational needs of the practice
  • NHS requirements and specifications
  • The commercial objectives of the healthcare developer
Keeping the patient experience at the centre of decision-making, while aligning these interests, was critical to achieving a successful outcome.

Our Role – Primary Care Surveyors

Primary Care Surveyors played a pivotal role in facilitating and de-risking this long-running development, enabling the project to progress despite its complexity and lengthy gestation. Our involvement included:

  • Land acquisition advice, including negotiation of restrictive covenants and overage payments

  • Advice on funding and lease structures to support long-term viability for the practice

  • Strategic guidance to align the interests of GPs, the developer, and NHS stakeholders

  • Agreement of the detailed specification for the new medical centre to ensure it met clinical, operational, and compliance requirements

  • Monitoring of the construction process through to practical completion, ensuring that the agreed standards, specification, and programme were delivered

By combining deep sector knowledge with practical, client-focused advice, PCS helped keep the scheme on track and ensured that the new facility could finally be realised.

The Solution

Primary Care Surveyors (PCS) provided strategic and technical support throughout the development, helping to de-risk the project and maintain progress despite its complexity. The Eastergate Medical Centre project’s focus was on aligning stakeholders, ensuring financial viability, and delivering a facility that met both clinical and operational requirements. This long-term involvement was critical in turning a prolonged development into a completed scheme.

Land Acquisition and Legal Advice

Supporting negotiations around restrictive covenants and overage payments to enable the site to be developed.

Funding and Lease Structuring

Advising on financial and lease arrangements to ensure long-term sustainability for the practice, with input from specialist healthcare surveyors.

Stakeholder Alignment

Providing strategic guidance to balance the interests of GPs, the developer (PHP Primary Health Properties), and NHS stakeholders.

Specification Development

Agreeing a detailed brief to ensure the new facility met clinical, operational, and compliance standards, supported by experienced GP Surveyors.

Project and Construction Oversight

Monitoring the development through to completion, ensuring delivery aligned with agreed standards, timelines, and expectations.

The Results

After 19 years, the Eastergate Medical Centre project has successfully delivered a modern, purpose-built primary care facility that meets the needs of both patients and practitioners. The practice now operates from a high-quality environment designed to support efficient service delivery and future growth. The building provides flexible clinical and administrative space, enabling the practice to adapt as healthcare demands evolve. The successful completion of the scheme demonstrates how long-term planning, combined with specialist guidance, can overcome complexity and deliver meaningful outcomes.

Outcome

Eastergate Medical Centre is now a fully operational, future-ready healthcare facility that supports both current and long-term service delivery. Patients benefit from improved access to care in a modern environment, while the practice has a premises solution that can evolve alongside changing healthcare requirements.

Why This Matters

Primary care developments rarely follow a straight path, particularly those spanning many years. Changes in partnerships, funding, and policy can all impact delivery, often creating delays or uncertainty. This case highlights the importance of consistent, specialist advice in navigating those challenges and ensuring that long-term projects remain viable, aligned, and ultimately deliverable.

Need Support with Practice Premises?

If you’re planning a new-build medical centre or navigating a complex healthcare property project, having the right expertise from healthcare surveyors can make the difference between delay and delivery.

Conclusion

The Eastergate Medical Centre development demonstrates the resilience needed to deliver essential healthcare infrastructure in today’s property landscape. With changing partnerships, shifting financial conditions, and nearly two decades of planning, the project underscores both the challenges and the rewards of investing in primary care property.

For Primary Care Surveyors, it stands as a testament to the importance of specialist advice, long-term commitment, and the impact that well-delivered property projects can have on local healthcare provision.

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