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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.


Dr Tehmton Sepai (m)
GP Principal - M.B.ChB, M.F.Hom, D.C.H.

Dr Sepai has over 30 years experience in conventional and complementary medicine.
He graduated in 1983 from Sheffield University School of Medicine, studying homeopathy alongside conventional treatments comparing and assessing the benefits of both schools of medicine.He took his membership examination, a post-graduate qualification in homeopathy at the Royal London Homeopathic Hospital in 1987.
The first five years after graduating were spent practicing homeopathy in India as a school doctor to children, teachers, parents and the poor around the vicinity of the school.

His main focus of treatment is on the constitution of the patient, identifying the imbalance in health that leads to disease;addressing the imbalance behind the disease may lead to its eradication and a positive sense of being restored to health.
Music, natural philosophies, cosmology, keeping fit and cookery are the recreational pursuits that provide the work-life balance and keeps him orientated towards medicine. 

Dr Elizabeth Walter (f)

Salaried doctor- M.B.B.S ; MRCGP ; DCH; MRCPsych.

Dr.Walter qualified as a doctor in 1982 at Guy’s Hospital London,she trained to be a GP in Bath and then worked as a GP in the Bristol area.She has also spent some time working in Psychiatry, before returning to General practice in 1990. Dr.Walter worked at Markyate Surgery for a short time in 2004-05.

Dr.Walter sees patients every morning with appointments for both acute and more long-standing health problems and is particularly interested in Women’s Health and Adult and Child psychological problems,such as depression and anxiety.

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