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We would like to thank you all for your patience, support and understanding during the change of our clinical system.  If you were an online service user we are in the process of sending you guidance to use this service again.

Latest News

  • We currently have job vacancies within the Rothschild House Group; please click here for more information


  • IMPORTANT PATEINT NOTICE - We would like to thank you all for your patience, support and understanding during the change of our clinical system.  Our final merge with Rothschild House Surgery will take place on Wednesday 8th November. Therefore, the surgery will be closed from  midday 7th November until 8th November 10am, when you will then be able to call and make appointments. During this period we will have a telephone number on our answerphone to direct any urgent queries which cannot wait until we re-open on Wednesday 8th November at 10am.  Once the final part of our merger is complete we will be able to send our existing online registered patients their log in details by email or post. Sorry for any inconvenience this merger may have caused.

  • Flu Vaccinations

    Who should have the flu jab?

    For most people, flu is an unpleasant illness, but it's not serious. If you are otherwise healthy, you will usually recover from flu within a week.

    However, certain people are more likely to develop potentially serious complications of flu, such as bronchitis and pneumonia. These people should have a flu jab each year.

    People who should have a flu jab

    The injected flu vaccine is offered free of charge on the NHS to people who are at risk to ensure that they are protected against catching flu and developing serious complications.

    You are eligible to receive a free flu jab if you: 

    • are 65 years of age or over  
    • are pregnant 
    • have certain medical conditions (see below) 
    • are living in a long-stay residential care home or other long-stay care facility 
    • receive a carer's allowance, or you are the main carer for an elderly or disabled person whose welfare may be at risk if you fall ill 
    • are a healthcare worker with direct patient contact or a social care worker (see below)

    Pregnant women and the flu jab

    If you're pregnant, you're advised to have the injectable flu vaccine, regardless of the stage of pregnancy you've reached.

    That's because there's strong evidence to suggest that pregnant women have an increased risk of developing complications if they get flu.

    If you're pregnant, you will benefit from the flu vaccine because it:

    • reduces your chance of getting serious complications of flu, such as pneumonia, particularly in the later stages of pregnancy
    • reduces your risk of having a miscarriage or your baby being born prematurely or with a low birthweight, due to flu
    • will help protect your baby because they will continue to have some immunity to flu for the first few months of their life

    It's safe to have the flu vaccine at any stage of pregnancy, from conception onwards. The vaccine doesn't carry any risks for you or your baby. Talk to your GP or midwife if you are unsure about the vaccination.

    Read more about the flu jab in pregnancy.

    Flu jab for people with medical conditions

    The injected flu vaccine is offered free of charge on the NHS to anyone with a serious long term health condition. That includes these types of illnesses:  

    This list of conditions isn't definitive. It's always an issue of clinical judgement. Your GP can assess you individually to take into account your risk of flu exacerbating any underlying illness you may have, as well as your risk of serious illness from flu itself. The vaccine should always be offered in such cases, even if you are not technically in one of the risk groups above.

    If you live with someone who has a weakened immune system, you may also be advised to have a flu vaccine. Speak to your GP about this.

    Flu vaccine for children

    The flu vaccine is recommended for:

    • children over the age of six months with a long term health condition
    • healthy children aged two and three

    Children aged between six months and two years of age who are eligible for the flu vaccine should have the flu jab.

    Children eligible for the flu vaccine aged between two and 18 will usually have the flu vaccine nasal spray.

    Read about who should have the children's flu vaccine.

    Flu jab for health and social care workers

    Outbreaks of flu can occur in health and social care settings, and, because flu is so contagious, staff, patients and residents are all at risk of infection.

    If you're a frontline health and social care worker, you are eligible for an NHS flu jab to protect yourself, your colleagues and other members of the community. It is your employer's responsibility to arrange vaccination for you. Public Health England has this advice on flu vaccination of health and social care workers.

    Your Employers or Occupational Health Department should organise this for you - you will not be able to obtain one from your GP.

    Flu jab for carers

    If you care for someone who is elderly or disabled, speak to your GP about having a flu jab along with the person you care for.

    Read more about flu jab for carers.


  • Important Information for Patients

    Our Clinical System is changing (Moving to EMIS)


    The Practice will ‘Go-live’ on a new clinical computer system on Thursday 19th October 2017. The new system (EMIS Web) is in use by most of our practice colleagues within the Herts Valleys Clinical Commissioning Group including Rothschild House Surgery. It will ensure that we are able to continue to provide a good/improved service to our Patients for years to come.


    Over the last few months, a lot of background work has taken place to enable us to plan and prepare for the implementation of this new system. Whilst we will do our very best to ensure disruption to Patients (and Staff) is kept to the minimum, we would like to prepare you for some necessary but, temporary disruption to services.


    We will be migrating/moving all information from the current clinical system to the new EMIS system between 13th – 18th October 2017; during this time we will have limited access to certain areas of the system and ask for your assistance with the following;


    Routine Repeat Prescriptions


    We will not be issuing any routine repeat prescriptions during the migration to EMIS Web. We ask that you place any requests into the surgery by Wednesday 11th October 2017. Please note, if you order your prescriptions online – this service will not be available from mid-October.


    From Monday 11th September 2017, where clinically safe to do so; patients will be issued with two months’ supply via a post-dated prescription.


    Please check your requirements in advance and order your prescriptions in plenty of time.




    Whilst clinics will continue to run throughout this time, they will not be bookable in advance and will be for urgent appointments only.  Further information will be provided soon.


    Online Patient Services


    As this is a brand new system, it will, unfortunately, be necessary for Patients to re-register to use EMIS web. Re-registration cannot take place until after ‘Go-live’. In order to minimise inconvenience we will automatically re-register existing online service patients shortly after 19th October and send out your new username and password either by email or post.


    We plan to keep the website updated with information and posters will be placed in the Practice waiting rooms. Where necessary, we may text you with updates and ask that you ensure we have the correct details for you.


    Thank you in advance for your continued patience, support and understanding.

  • NEWS FLASH!!! - Morning after pill is available on the same day from the surgery for free - just ask for a same day telephone appointment with a GP and they can issue a prescription with no charge.

  • Open Day - Saturday 8th July - Our open day at Markyate on Saturday was a tremendous success.

    It was lovely to see so many of you popping in to meet the staff and patient participation group.


    Our HCA, Zoe was kept busy all day carrying out free health checks and blood glucose monitoring.


    Thank you to all who came along, had a chat and enjoyed the refreshments.


  • Goodbye to Dr Walter - After 7 years at Markyate Surgery, Dr Walter will sadly be leaving the practice on Friday 4th August 2017.

    We wish her well for the future; she will be missed by patients and staff.

  • We are pleased to announce that from July 2017 Markyate surgery will be offering an extended hours service on Monday evenings.  All appointments will be pre-bookable, for more information please ask at reception.


  • From Thursday 1st June 2017 Dr Romit Choudhury is the named accountable GP for all patients registered at Markyate Surgery.  Please note you can continue to see any doctor as the surgery.

  • Latest News for all Patients


    Following the successful merger of Rothschild House Surgery and Markyate Surgery on 1st June 2017 we would like to keep patients informed on how this will work.


    We can reassure all patients that it will be ‘business as usual’ as far as possible. All our patients from both practices will continue to access our services in exactly the same way as they do now. You will continue to ring the same telephone numbers, see and speak to the same receptionists and attend the same practice that you have always attended.


    Although some of the GPs from Rothschild House will now be holding surgeries at Markyate they will still be available through the week with surgeries at Rothschild House Surgery. Permanent extra Doctors are coming on board over the next few months so patients can rest assured that services or appointment wait times will not be affected.


    Over the coming months we will be identifying areas across both practices that could be improved to benefit our patients. We will provide updates on all of these changes and will let you know when they are to be made. We will be actively working with our practice patient groups to help support these changes to ensure they meet the needs of all our patients


    If any patient wishes to ask questions they are welcomed to contact Rothschild House Surgery via

  • Are you a carer?  Click here for a list of FREE courses and workshops for Carers in Hertfordshire between May and October 2017.

  • 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.

  • Please note from Wednesday 1st April 2017 prescriptions charges will be £8.60

  • As from 1st October 2016, charges for non NHS work at Markyate Surgery, will increase, please ask reception for more details.
  • The Wellbeing Team delivers Improved Access to Psychological Therapies (IAPT) in Hertfordshire. The service provides psychological interventions for people with mild to moderate depression and anxiety disorders including Panic, Obsessive Compulsive Disorder, Generalised Anxiety, Post-Traumatic Stress and Health Anxiety.

    The aim of the service is to help people across the county to be able to access psychological therapy and social care support towards achieving better psychological health and well-being, enabling them to gain or remain in employment and to participate in daily living activities.


    For more information about the service and for access to a self-referral form, please go to:



  • If you need help and don't know where to turn, if you have a question or problem, you can contact HertsHelp.

    They will listen to what you need and, if you would like them to, telephone people and make arrangements on your behalf.

    Or they can put you in touch with organisations that can help. They will then call you to make sure that you have found the help you need.

    Search the Hertfordshire Directory for community and voluntary organisations

    Contact HertsHelp

    Office hours are 8am to 6pm Monday to Friday.

    Telephone: 0300 123 4044


    Text: Text hertshelp to 81025
    Fax: 0300 456 2365
    By post: HertsHelp, Hertlands House, Primett Road, Stevenage, Herts, SG1 3EE

  • Promotion of Exercise & Healthy Living Schemes - further details can be found by clicking on the link on the right hand side of the screen.



    All organisations that provide NHS services, or publicly funded adult social care must have fully implemented and conformed to the Accessible Information Standard (1605) by 31st July 2016. This means we would like to record your preferred method of contact so that you can receive your health information in a format you can understand.


    For most of us our preferred method of contact is our home number or mobile number but for example, if you suffer from hard of hearing or blindness that may not be suitable for you. If you or someone you are caring for wishes us to contact you in another way, please do let us know by informing our reception teamat the surgery.   We will then record your needs by highlighting it on your medical records.

  • Friends & Family Test  - From 1st December 2014 the government seeks feedback from patients on their opinion of GP surgeries. They call it ‘The Friends & Family Test’. This involved asking how likely are you to recommend our GP Practice to friends & family? The responses for December 2014 to September 2017are so far

    Extremely Likely 215

    Likely 76

    Neither Likely nor Unlikely 6

    Unlikely 2

    Extremely Likely 0

    Don't know 2

    We are very pleased with the results and thank everyone for taking part. You can still complete the survey by clicking on the friends and family link.

  • Meningococcal ACWY Vaccine

    Students going to university for the first time are advised to have a vaccination to prevent meningitis W disease.

    The Men ACWY vaccine is given by a single injection into the upper arm and protects against four different causes of meningitis and septicaemia  meningococcal (Men) A, C, W and Y diseases.

    All patients born between 1st September 1997 and 31st August 1998 will be invited to attend the surgery for the vaccine.

    For more information please click here.

  • Did you know that over ordering or wasting prescription medicines costs the NHS in this part of Hertfordshire £3 million each year?

    There are some simple things we can all do to prevent waste:

    Check which medicines you have before ordering more

    Order your prescription using our online ordering service - it's quick and easy - Please bring proof of identity and ask at reception for your username and password


    On your latest repeat prescription request slip provided by the practice:

    Only tick the medicines you need

    Please put a line through the items that you do not need

    You will still be able to order these in the future.

    Keeping excessive stocks of medicine at home could be dangerous for you and others. It is not safe to take a medicine that hasn’t been prescribed for you or that is out-of-date.

    The money that is wasted on prescribed medicines that are not used could be spent on employing more nurses, running additional ambulances and other vital health services.


  • Hertfordshire Health Walks -Hertfordshire Health Walks is a countywide initiative of free, led walks and is coordinated by Countryside Management Service. It aims to help promote walking and encourage more people of all ages, backgrounds and abilities to get outdoors, get more active and reap the benefits.A long established scheme with a good variety of start points throughout the borough including Markyate, Tring, Berkhamsted, Bovingdon, Potten End, Hemel Hempstead and Kings Langley. From each starting point, there are a variety of routes for the leader to choose from, which take walkers through parks and countryside and more often than not end in a local café or pub for a well earned cup of tea and a chat. for more information please click here to visit the Hertfordshire Health Walks website.



  • NEW Patient Access to Medical Records Online

In addition to booking and cancelling appointments online, patients can now view information about their repeat medications, allergies and any adverse reactions and see test results.


If you are not already signed up for Patient Access, please bring a form of ID to the reception team at the surgery. A receptionist will then complete the registration on our clinical system and give you a letter containing your username and password to enable you to login to Systmonline. You will then be able to view your records and book or cancel GP appointments online 24 hours a day, 7 days a week.


There is also an IPhone app; to get this just login to your app store and search for Systmonline, this will allow you to use the service on the move.


Please note that online requests for repeat medication can be accessed in the usual way selecting the "prescriptions" tab on our website.


We ensure that your personal medical information is kept secure whilst it is on our computer system, however, please understand that when you access medical information online, it becomes your responsibility therefore if you know or suspect that your record has been accessed by someone that you have not agreed should see it, then you should change your password immediately.


The Practice has the right to remove online access to services for anyone that does not use them responsibly.


  • are offering men between the ages 18 and 60 with a BMI over 30 a FREE 12 week weight management programme.  If you would like to be referred please contact the surgery to make an appointment.


  • Weight Management on Referral: Slimming World and Weight Watchers

    Patients with a BMI > 30 or BMI > 28 with co - morbidities (e.g. high blood pressure, diabetes, arthritis etc) can be referred for group weight loss support.

    This service is funded by Public Health at Hertfordshire County Council to help clients in Hertfordshire kick start their weight loss attempt. After the initial 12 weeks funded by Hertfordshire County Council, clients will then need to continue to lose weight independently or self-fund further attendance to the commercial weight management provider. To check if you qualify for a free referral to Weight Watchers or Slimming World click on this link Do_I_qualify_for_FREE_Weight_Watchers_or_Slimming_World_on_Referral[2].pdf  If you qualify and would like to be referred simply make an appointment with a doctor or nurse at the Markyate Surgery



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