Cost model: Primary healthcare | Features

Guideline areas for generic spaces
Room use	Comment	Room size m²
WC for the disabled, pantry, cleaners’ room or disposal holding room		4.5-5
Counselling, staff or client interview, single person office, clean utility, dirty utility room, nurses’ weighing room		9-10
Examination/consultation, treatment room, single person therapy treatment space, small group/meeting room for four to six people, two-person office		13.5-15
Treatment room, group room for six to eight people, meeting room for eight to 10 people, office for three or four people. These rooms could be connected by folding acoustic screens, to be opened up for larger group or therapy activities	Such a space could also be sub-divided to form two 9-10 m² rooms	18-20
Allowance: circulation, subdivision, voids, service ducts etc		28-30%
Source: Planning and design guidance - primary and social care facilities. Dimensions of public spaces such as waiting rooms are defined in Health Building Note HBN 40 – Common Activity Spaces.

Primary healthcare centre cost breakdown
	element cost	cost/m² gfa £	% of total cost
Substructure	56,850.00	111.47	8.97

Excavation and disposal140 m3 @ 30
Strip foundation with cavity masonry wall 150 m @ 130
150 mm thick ground floor slab with thickenings 510 m² @ 65

Roof	83,050.00	162.84	13.10

Precast concrete planks 510 m² @ 55
Single ply membrane, including insulation and labours 510 m² @ 90
Allowance for roof inlets Item @ 2,500
Aluminium rainwater down pipes 30 m @ 60
Sunpipes 8 @ 600

External walls	33,600.00	65.88	5.30

Brick cavity wall, facing brick outer skin with cavity, insulation,
140 mm inner blockwork leaf 240 m² @ 140

Windows and external doors	49,650.00	97.35	7.83

Aluminium double-glazed windows 60 m² @ 350
Single aluminium doors 3 @ 1,400
Double aluminium framed glazed doors and screens to entrance 22 m² @ 500
Single steel door to plant room Item @ 1,300
Fixed metal grilles to windows Item @ 5,000
Electrical roller shutter to glazed entrance screens, including controls 22 m² @ 325

Internal walls	18,400.00	36.08	2.90

100 blockwork 470 m² @ 35
Stud partition Item @ 450
Security counter grille to reception desk Item @ 1,500

Internal doors	28,750.00	56.37	4.53

Internal doors, wood veneer, stainless steel ironmongery 20 @ 900
Internal doors and screen, inner door to lobby 5m²@ 500
Wrot softwood storage cupboard door, stainless steel ironmongery 3 @ 450
Fire-rated doors, stainless steel ironmongery 5 @ 1,100
Double internal fire rated doors, stainless steel ironmongery Item @ 1,400

Wall finishes	16,800.00	32.94	2.65

Plaster and one mist coat, three coats of emulsion paint 900 m² @ 15
Ceramic wall tiles 60 m² @ 55

Floor finishes	23,850.00	46.76	3.76

Screed 510m² @ 15
Carpet tiles to reception area, staff areas 145 m² @ 25
Vinyl to WC areas and practical areas, including skirtings 320 m² @ 30
Heavy duty vinyl to entrance area, dirty areas 40 m² @ 40
Entrance matting with aluminium matwell 5 m² @ 275

Ceiling finishes	17,575	34.46	2.77

Mineral fibre suspended ceilings 80 m² @ 30
Plasterboard ceiling, plaster skim and emulsion paint finish 405 m² @ 35
Moisture resistance plasterboard ceiling, plaster skim and emulsion finish 25 m² @ 40

Fittings and fixings	32,700	64.12	5.16

Supply and install group one medical equipment (fixed furniture)
Fit only group two and three medical equipment (loose equipment)
Reception area, desks and fixed furniture item @ 8,000
Waiting room item @ 5,000
Consulting rooms 6 @ 1,600
Treatment rooms 2 @ 1,100
Nurse rooms, including health visitor 4 @ 1,100
Records store Item @ 500
Admin rooms 2 @ 600
Multipurpose/interview rooms 2 @ 900

Sanitary fittings	14,280	28.00	2.25

WCs 6 @ 300
Hand basins 6 @ 180
Medical handwash basins 12 @ 500
Disabled toilet, including WC, wash hand basin, grab rails and other fittings 2 @ 1,200
Cleaners sink, 510 × 380 2 @ 700
Baby changing unit Item @ 400
Sink and slop hopper Item @ 1,200

Disposal installations	4,080	8.00	0.64

Waste, soil and vent installation; PVCu pipework and fittings 510 m² @ 8.00

Water installations	13,300	26.08	2.10

Cold water system 28 @ 250
Hot water system 21 @ 300

Space heating and air treatment	40,800	80.00	6.44

Space heating, all costs associated with the supply and installation of the heating system,
temperature control and distribution pipework 510 m² @ 80

Ventilation installations	19,500	38.24	3.08

Extract ventilation to clean areas Item @ 12,000
Extract ventilation to dirty areas Item @ 5,000
Extract ventilation to toilet areas Item @ 2,500

Electrical installations	45,900	90.00	7.24

Mains and sub-mains installation 510 m² @ 20
Small power installation 510 m² @ 30
Lighting and general luminaires; emergency lighting 510 m² @ 40

Gas installation	1,500	2.94	0.24

Lightning protection installation	2,000	3.92	0.32

Communications installation	25,400	49.80	4.01

Fire alarm installation; smoke detectors; call points 510 m² @ 15
Telephone and data wireways; internal telephone system 510 m² @ 5
Patient call and induction loop systems Item @ 5,000
Security installation; intruder detection, panic buttons, disabled toilet alarm,
CCTV 510 m² @ 20

Building management system installation	5,000	9.80	0.79

Builder’s work in connection	4,500	8.82	0.71

Preliminaries and contingencies	96,515	189.25	15.22

Preliminaries allow 15% Item 80,400
Contingencies allow 3% Item 16,115

Total construction cost – building only	634,000.00	1,243.14	100.00

Alternative specifications	£/m² change based on gifa

Option 1: Provide access door controls to single door	1.50
Option 2: Automatic sliding door to entrance	45.00
Option 3: Anti bacterial wipe-down paint to consulting, nurses and treatment rooms	12.00
Option 4: Replace flat roof with pitched roof and concrete tiles	–38.00
Option 5: Replace facing brick cavity wall with rendered blockwork cavity wall	–8.50
Option 6: Enhanced security, roller shutters to windows	65.00
Option 7: Sliding folding partition to divide large room	12.00
Option 8: Replacing vinyl tiles with rubber tiles	15.00
Option 9: Sound-absorbent walling to waiting room	10.50
Option 10: Add shower for staff	6.50

Location factors
Inner London	1.09
Outer London	1.03
South-west	0.97
East Midlands	0.93
West Midlands	0.93
East Anglia	0.97
Wales	0.91
Yorkshire and Humberside	0.95
North-west	0.94
North	0.94
Scotland	0.92
Northern Ireland	0.75