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            "text": "redevelopment is likely to involve demolition and rebuild in order to deliver facilities suitable for modern healthcare provision."
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                    "text": "Notwithstanding support in principle for modernisation and necessary improvements at Stepping Hill Hospital, all development proposals will be required to accord with the policies of this Plan. This will ensure that high standards of design are achieved and that potential impacts on neighbouring communities, particularly in relation to traffic generation and car parking, are appropriately managed.",
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                    "text": "Further details regarding healthcare facilities in Stockport can be found in the Infrastructure Delivery Plan.",
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                    "text": "Where healthcare facilities are formally declared surplus to the operational healthcare requirements of the NHS or identified as surplus as part of a published estates strategy or service transformation plan this can be considered as sufficiently demonstrating that local health care needs can still be met. Where proposals for major development may result in a shortfall in healthcare provision, this will trigger a review of nearby facilities. New or improved health facilities required to address unmet need generated by a new residential development of 10 dwellings and above will be secured through a section 106 Planning Obligation.",
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                    "text": "For primary healthcare, a deficiency in healthcare provision will be demonstrated by a deficit in the existing floorspace requirement of impacted practices in line with Health Building note 11-01 (HBN 11-01) standards. In addition, factors such as:",
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                {
                    "id": "p42.3.5",
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                    "text": "The levels of utilisation of the premises;"
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                    "text": "The clinical / non-clinical split of the accommodation; and"
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                    "text": "The extent to which changes in patient needs are likely to result in additional workload for the practices."
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                    "text": "Where relevant this will be done on a case-by-case basis to minimise adverse localised impacts of new housing on primary care services.",
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                    "text": "Formula for developer contributions for primary health care provision is provided below. Where additional primary healthcare provision is required, NHS GM ICB should be engaged with early discussions.",
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            "text": "Estimated population net gain = Total number of residential units x average household size"
        },
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            "text": "Additional primary care floorspace required = estimated population net gain x floorspace required per person in line with HBC 11-01"
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            "text": "Required developer contributions = additional primary care floorspace required x build cost"
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            "text": "[Note: Build cost dependent on the type of mitigation required, to be determined in discussion with NHS GM ICB]"
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            "text": "40",
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