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We are pleased to announce the merger of Rothschild House Surgery and Markyate Surgery effective from 31st May 2017.

We believe this merger offers important patient benefits combining our strengths, enhancing our team and enabling us to further enhance patient experience. Whilst this merger obviously signifies change, we are committed to making the process of integrating the two practices seamless to you.

What does this mean for patients of Markyate Surgery?

Between now and the 31st of May the service provided to patients at Markyate Surgery will not change. After the 31st of May the Doctors providing surgeries will change. It is the intention for a regular Doctor from Rothschild House Surgery to provide surgeries at Markyate to replace those provided by Dr Sepai. Dr Walter’s surgeries at Markyate will not change. The existing services and staff at Markyate will continue as before. Dr Sepai will leave after 21 years, to pursue new ventures from June 2017. Rothschild House Surgery intends to extend additional services currently provided at Tring to Markyate patients in due course. The philosophy of Rothschild House Surgery is to provide personal care close to home from a consistent clinical team focused on continuity of care and this philosophy will be extended to Markyate. There are no current plans to change the catchment area for Markyate Surgery.

What about the surgery premises?

Rothschild House Surgery is aware of the history and current situation with regard to the Markyate Surgery premises and the need to improve these in the future. There are on-going negotiations with NHS England, Herts Valleys CCG and Dacorum Borough Council to develop new premises that Rothschild House Surgery has been involved in and is committed and determined to see this development happen for the benefit of patients.

What will happen next?

As any developments are made over the next few months Rothschild House Surgery and Markyate Surgery will keep patients informed of these.

Safeguarding Children and Adults

Safeguarding Children

In our society, there will always be some children who are abused and neglected. Children have a right to be kept safe from harm, and protecting children is everyone's responsibility. 

If you suspect for any reason that a child is not being treated correctly, please contact the following numbers:

  • The Police 999

  • Children, Schools & Families (including out of hours): 0300 123 4043

  • The Child Abuse Investigation Unit can be contacted on: 0845 33 00 222. This is a specialist team that is a department within the police with countywide responsibility for undertaking child protection investigations.

      For more information about the work of the Hertfordshire Safeguarding Children Board (HSCB), see the link called Hertfordshire Safeguarding.

      Useful links:

       Safeguarding Adults

      A vulnerable adult is any person aged 18 years or over who is or may be in need of community services because of mental or other illness, disability or age, and who is, or may be, unable to take care of themselves against significant harm or serious exploitation.


      Abuse is a violation of an individual's human and civil rights and may consist of a single act or repeated actions. It may be physical, sexual, financial, psychological or institutional, or may relate to neglect or discrimination.

      If you have concerns that a vulnerable adult is being abused:


      • Call us on the adult social care number: 0300 123 4042

      • If there is a danger to life, a risk of injury or a crime is taking place, call the Police by dialling 999.

      • If the vulnerable adult is living in a registered care home or receiving domiciliary (home) care services, you can contact the Care Quality Commission (CQC) on 03000 616 161

      • Alternatively if you are seeing a public service professional, such as a social worker, community nurse, GP, probation officer or district nurse, you can share your concerns with them. They have responsibilities under the county's adult protection procedure and can advise you about what to do next.

        Useful Links:


        Call 111 when you need medical help fast but it’s not a 999 emergencyNHS ChoicesThis site is brought to you by My Surgery Website