This website uses cookies to function correctly.
You may delete cookies at any time but doing so may result in some parts of the site not working correctly.


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.




The NHS Prescription Charge is £8.60 for each item dispensed from 1st April 2017

Some items may have more than one charge; for example elastic hosiery, the dispensary team will explain to you if this is the case.

The NHS prescription charge is a contribution to the NHS; it is not a payment to the surgery or its dispensary and it is not related to the cost of your medicine(s).

If you need 4 or more prescriptions in three months or 13 or more prescriptions a year, you could save money with a Prescription Prepayment Certificate.


Prescriptions are free for some people; ask a member of the dispensary team for advice or visit


Latest news for patients using the Surgery Dispensary -25th August 2015.

NHS England is in the process of validating the Surgery's list of dispensing patients, you may have received a letter asking you to use local pharmacies in your area and not the surgery anymore unless you have 'serious difficulty' in obtaining medicines and or for any other valid reason.

If you have not had a letter from NHS England about this, then you are allowed to continue to use our dispensary.

If you have not received an application form on how to apply for the ‘serious difficulty rule’ please inform the dispenser and we can send it to you by email and also help you to fill the form.

We urge you to contact the Surgery or bring this letter so we can help you to apply to NHS England to continue to be eligible for dispensing services at the Surgery.

This change was made unilaterally by NHS England in accordance with strict national criteria, and the Surgery was not consulted. We are concerned that it could potentially affect the Surgery dispensary viability in the future.


Please contact the Surgery dispensers or ask to speak with the Manager for further details.






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