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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.

NEW : Private Physiotherapy service at Markyate Surgery from September 2015, every Friday afternoon.

Asthma, COPD(Chronic Lung Disease management):

All doctors  have a good understanding of the modern management of respiratory diseases. Advice is available for assisting newly diagnosed asthmatics and patients with COPD and the review of patients. 

You must have your regular checks when necessary but, atleast annually.

Diabetes management

There are appointments available for all  Diabetic patients who are not followed up by the Hospital. Dr Sepai will see you for your annual Diabetic Review and follow up by monitoring your Diabetes every few months. We would urge you to attend  for your annual review.

Family Planning/Contraception

A full range of contraceptive care is provided by appointment including advice, prescription of different types of pills and injectable contraceptives .

Minor Surgery

These procedures  include Excision of warts, sebaceous cysts, warty lesions, joint, shoulder injections and are carried out by appointment with Dr.Sepai.

 In-House Smoking Cessation Clinic.

Our healthcare assistant and the doctors can provide practical advice and support as well as helping you  to quit smoking.

If you prefer, you can also ring the Herts ‘STOP SMOKING’ Freephone Helpline on :

0800 389 3998

Other services offered include :

  • Coronary Heart Disease management
  • Stroke
  • Atrial Fibrillation
  • Hypertension
  • Depression
  • Mental Health
  • Cancer 
  • Epilepsy
  • Dementia

Patients suffering the above or any other chronic complaints are expected to consult the doctor or practice nurse at least once annually  or when they are advised to make an appointment, to discuss the progress and benefits of the treatment.

 If you have been  invited for any of the above chronic conditions, we urge you to make an appointment to see the most appropriate Healthcare Professional. Our team of receptionists will be happy to help and guide you to the right clinician.

In-House Counselling:

Our Counsellor, Mrs. Bianco, has her clinics on Fridays between 2.00 P.M. and 6.30 P.M at the surgery,  strictly by appointment only. 

Cognitive Behavioural Therapy

 (CBT ) is also available by an in-house referral (Mr Charlie. Wykes).


 Osteopathy (private only) is offered in the practice on Tuesday & Thursdays (2:00 – 8:00 P.M.) by Mr David. Leach who can be  contacted on Tel : 07931 511797.


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