Appointments

Rothschild House Group operates a GP Led Triage system to ensure that patients receive timely access to the correct type of appointment.

Same day appointments are for urgent medical problems and not for repeat prescriptions, sick notes or routine referrals.

​Before you contact the practice to request an urgent appointment please think about whether there are any other services that might be more appropriate. For example, remember that pharmacists are trained to give advice about minor health problems and answer any questions about your medicines and treatment. The NHS App, website and NHS 111 system are also available to guide you to appropriate sources of advice.

​We understand that many people are reluctant to tell our Patient Services Coordinators about the reason that they want to see a doctor however our Patient Services Coordinators are now very much part of the clinical team.  Gathering basic clinical information allows the GP to triage patients and also allows them to prepare and review patient history on a specific issue prior to any appointment. The use of a GP led triaging system to allocate our urgent appointments allows us to ensure that there are appointments available in the afternoon for those who may be taken unwell later in the day.

Please understand that both patient services and our clinical staff are trying to meet the needs of all our patients, each of whom is very important.

How to book an appointment?

There are several ways to book an appointment.

If you require an urgent on the day appointment, please use our online eConsult form or call the Surgery. All urgent requests are triaged by a GP who decides when an appointment is required based on medical need.  You can call anytime during our opening hours and your issue will receive the same priority for an appointment.

If you require a routine appointment you can book this via a number of ways.

• You can book an appointment via the NHS App or Patient Access, the app will allow you to book a face-to-face appointment with your named GP at present, if you would prefer a telephone consultation please comment this in the ‘reason for appointment box’ and it will be noted on our system for the doctor to call instead.
• You can also ring the site you are registered at and book with one of our Patient Services Coordinators, it is recommended you ring after 3pm as generally these are our quieter times, please use this method if you wish to book a routine face-to-face appointment.

If you are having trouble accessing the NHS app or Patient Access, please make sure you are registered for online services, this can be done HERE 

We have also recently introduced an online consultation/contact form where patients with either admin requests or urgent medical issues can submit a form that provides the GP with a lot of the information they will require to either provide advice or reduce the length of any appointment time. Please click HERE to submit an eConsult form.

We release a number of blood test appointments to book online, these appointments are for bloods which have been requested by the GP. There is a box when you book asking you to give a reason for the appointment, if you could fill this in it will help when we double check your eligibility. Please be aware that if your blood test has not been requested or is not due then you may be contacted by the practice.

At present we do not have nursing appointments available to book online. If you require a nurse appointment, please ring the site you are registered with and book it with a member of our Patient Services team. We are unable to release nurse slots online due to the complexity and variety of appointments offered by the nursing team. 

How our triage system works

Patients requesting an urgent on the day appointment will be put onto the GP Triage list. Patients requesting routine appointments, bloods etc will be treated as normal.

Each patient will be asked the same series of triage questions by our Patient Services Team, the on the day triage Doctor will then triage each patient based on the information they provided.

The GP will make the decision on what type of appointment should be offered to the patient or if an alternative is better suited i.e. a prescription for antibiotics should be issued.

Patient Services will either text you the GPs decision or call where text messaging has not been consented to or where there is no registered mobile number.

The triage outcome communication will clearly outline the GPs decision.

Emergencies

If the patient is suffering from any of the following dial 999 immediately:

• Severe chest pains, sweating, clamminess, pain radiating down left arm.
• Unconscious/collapsed.
• Turning blue.
• Head Injury.
• Bleeding profusely.
• Weak and floppy with a rash (especially if child).

Additional GP Appointments – Extended Access

Dacorum Extended Access offers a GP Service patients operating throughout the weekdays from 16.00 to 21.00, Saturdays from 9:00-13.00 and 14:00-18:00 and Sundays from 09:00 -13:00. It is an appointments based primary care service and they can be booked via our Patient Services Team.

Appointments are either telephone or face-to-face, this will be confirmed when the appointment is booked.

It is staffed by local GPs at Highfield Surgery, West Herts Medical Centre, The Nap in Kings Langley and Rothschild House Group, Berkhamsted. The GPs have full access to your medical notes and will update them appropriately following your consultation.

If you need to cancel an Extended Access appointment, please call the surgery in hours (08:00 to 18:30 Mon to Fri) or out of hours, the cancellation number for this service is: 07864 652 026.

Cancel Appointments

If you need to cancel your appointment there are a number of ways to do this:

• Follow the link in your appointment reminder text message. Please note that not all appointments receive a reminder message.
• Cancel via online services e.g. NHS App.
• Complete an administration eConsult form HERE, choose the option ‘other requests for documents or paperwork’ (please allow as much notice as possible if you are using this method).
• Contact the surgery.

​Please give us as much notice as possible so that the appointment may be used for another patient.