WORK on two new Accrington health centres serving 28,000 people and costing a total of £13M is expected to start within the next month.
The Hyndburn and Ribble Valley Primary Care Trust has now bought the land for the state-of-the-art centres at Paradise Street and Blackburn Road.
But so far only one doctor's practice out of a potential five has agreed to move into the Blackburn Road centre which will serve the deprived West Accrington area.
Doctors are refusing to move over fears they will not get a good price for their existing practices.
The PCT plans to buy each surgery at its "open market" value rather than its "existing use" value which would mean a lot less cash for the GPs.
David Rogers, Assistant Chief Executive of the PCT, said: "We want to buy each of the surgeries and then sell the land. For them to continue to operate as practices alongside those in the new health centre isn't practical. Accrington can only sustain a certain number of GP services and negotiations are ongoing."
Dr Manjooran of Oswald Medical Centre, Blackburn Road, has agreed to move to the new building but discussions are still continuing with King Street Medical Centre, Richmond Medical Centre, Myrtle House and Blackburn Road Medical Practice.
At the Paradise Street centre the situation is much clearer. Doctors from Accrington's largest medical centre, Peel House, will move to take advantage of the 12 consulting rooms alongside examination and nurse treatment rooms.
Both centres will have a number of extra facilities and community health services in a "joined-up approach" to health care.
They will adopt a one-stop approach to health matters and employ a "care navigator" who will direct users to the correct service or area. Each service will have a waiting area away from the main entrance.
The Blackburn Road centre will provide some hospital and specialist services such as a minor operations theatre.
The combined effort for both health services will result in the use of 200,000 facing bricks, 50 miles of cabling, 5,000 electrical sockets, 30 miles of underfloor heating pipes and 450 tonnes of structural steel.
They will take up the combined floorspace of 30 tennis courts.
The buildings will be made available for community use in the evenings and at weekends.
Mr Rogers added: "Accrington has never had a purpose-built fully-fledged health centre and now we will have two.
"Both centres will bring hospital services closer to patients with excellent facilities.
"Space is at a premium within health services and is an increasingly valuable asset. We have had positive responses from our partners about using the new centres and believe patients themselves will want to be treated in them."
PCT Chief Executive Mark Wilkinson said: "This is an unprecedented opportunity to not simply provide safe, sound and state-of-the-art premises and services but to contibute to the regeneration of a much-loved town. I am delighted that we are taking this bold step."