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Markyate Surgery Expansion Update

We are delighted to announce that Rothschild House Group will be commencing expansion of the current Markyate Surgery premises from September 2019; work is expected to last for 12 months.

Whilst the building works are undertaken we will be working to keep any disruption to a minimum, we can confirm that the works will not affect provision of any of our current services but we do anticipate that there will be a number of changes to patient access to the surgery during this period and parking will be very limited.

We will ensure to keep our patients fully informed of progress throughout but we thank you for your cooperation and understanding during this time.


The Hospice of St Francis Self-referral Service

Patients are now able to refer themselves directly to our care via a confidential form on our website ( although can also be referred by a GP via the Palliative Care Referral Centre in the usual way. We can help patients recovering from cancer, with a long term progressive condition or who have a life-limiting diagnosis. We offer nurse advice sessions, various therapies (physio, creative, complementary), exercise classes and group sessions. There are many testimonials on our website about how we have been able to help people.

Announcement to Patients

Rothschild House Group and Berkhamsted Group Practice have reached an agreement to work together from October 2019. On this date, the partnership running both surgeries will merge, but patients will continue to receive care at their current surgery.

The two partnerships have agreed to this merger because of the opportunities for a large, locally-run surgery to enhance patient care and attract additional services. We will be looking after 40,000 patients and will be able to share expertise from the current group of clinicians, as well as attracting new GPs and other clinicians to join. We will be making some operational changes over time,which include recruitment of additional clinicians for the Berkhamsted sites and Berkhamsted Group Practice starting to work to the Rothschild House Group model of care.

Our patients are at the heart of our service and both partnerships are very much looking forward to working together to strengthen our commitment to excellent patient care.

We will keep our Patient Groups up to date with our progress and publish regular updates for patients on our websites and in our waiting rooms.

Pitstone Surgery Dispensary

We will reopen our dispensary at Pitstone surgery on 2nd January 2019 offering a full dispensing and repeat prescription service. We hope this will provide our Pitstone patients with efficient local access to their medications and repeat scripts. Please ask our dispensary staff for more information and details of how we can dispense to you

Find out if we can dispense to you!

If you live in these villages, we can dispense to you – the changeover is simple – please ask your doctor or one of our dispensing staff who will arrange this for you.

Tring and Pitstone Patients Markyate Patient
Aldbury Aley Green
Aston Clinton Braddens Camp
Buckland Flamstead
Buckland Common Gaddesden Row
Cheddington Kensworth
Cholesbury Pepperstock
Cow Roast Slip End
Dagnall Studham
Drayton Beauchamp Water End
Edlesborough Whipsnade
Great Missenden Woodside
Gubble Cote
Ivinghoe Aston
Long Martson
St Leonards
Weston Turville
Wigginton Bottom

Extended Access Hub at The New Surgery

Dacorum Extended Access launched on 30th June. This is a new GP service that will operate an extended hours service for evening and weekend appointments. It will be staffed by local GPs at The New Surgery in Tring and West Herts Medical Centre, Hemel Hempstead. Further additional sites will become available as the service develops.

This is an appointments based primary care service and appointments for this service can be booked through our receptionists as usual.

For more information please speak to a member of the practice team.

Extended Access

Extended Access is a government initiative that requires our Clinical Commissioning Group to offer patients appointments outside of core hours. This differs from, and is in addition to our existing hours sessions offered at two of our sites. The main difference is that it will be organised and operated by our local federation: Dacorum Healthcare Providers (DHP) who will employ clinical, administrative and reception staff to run this service.

The service will be operated as a locality (for us, this is Dacorum) and will service all 18 practices in the Dacorum area. Appointments will be offered at three different locations, known as hubs, across the locality. It is envisaged there will be two hubs in Hemel Hempstead and one in Tring at The New Surgery. The service will commence during May and all Dacorum patients will be able to book appointments via their own practice to be seen outside of core hours at one of the hubs.

This service begins at The New Surgery on Saturday 30th June – please ask at reception for more details.

Change to Allocation of Emergency Appointments

As part of an on-going review of our appointment system and in order to improve patient access we will be changing the way you can book appointments. From Tuesday 2nd January 2018 patients will be asked to ring at 8am OR 1pm when our URGENT appointments for each clinic session for that day will be releasedSame day appointments are for urgent medical problems and NOT for repeat prescriptions, sick notes or routine referrals.

Can anyone else help? Before you make an appointment please think about whether there are any other services that might be more appropriate. For example, remember that pharmacists are trained to give advice about minor health problems and answer any questions about your medicines and treatment. The NHS 111 system is also available to guide you to appropriate sources of advice.

What’s the problem? Understandably many people are reluctant to tell a receptionist about the reason that they want to see a doctor. However our reception staff are more likely to be able to guide you in the right direction if you give them a rough idea about your problem. All our staff have a responsibility to treat your information confidentially, and we take this very seriously. We also want to ensure that patients that clinically need to be seen by a GP on the same day are able to do so. By changing the way in which we allocate our urgent appointments we hope to ensure that there are appointments available in the afternoon for those who may be taken unwell later in the day.

Can’t get through? Go online. You can book routine appointments with a doctor online, as well as ordering repeat prescriptions. Online services are available 24 hours a day so you can use these services at your convenience. Using the online services also reduces demand on reception staff during the day so everybody gains. You will need to register to be able to do this and our reception staff will be happy to give you more information/ensure you get set up.

If you need to book ahead or get results please telephone after 10am. For prescription or Medication queries please contact the Dispensary office directly on 01442 892459.

If you have an ongoing problem then please try to see the same doctor for each appointment. This means that you don’t have to keep on repeating your story, and enables the doctor to build up a better picture of what is going on. If you have been for a consultation and been told that you need a follow-up appointment or to book any investigations or blood tests then try to book these before you leave the surgery.

A routine appointment is for 10 minutes. During that time the doctor needs to read up on your records, get you from the waiting room, deal with your problem(s), and write up the records. If you have more than one problem then it may not be possible to deal with it in a single appointment. Ask the receptionist if you think that you may need more time.

Please understand that the receptionists and clinical staff are trying to meet the needs of thousands of patients, each of whom is very important. Although we want to offer personal, patient-centred care, we are often stretched to the limit. Please try to be understanding if things are not completely to your satisfaction.