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Proposed Merger of Wing Surgery, Whitchurch Surgery and Norden House Surgery Winslow

Whitchurch, Wing and Norden House Surgeries are proposing to merge on 1 April 2020. The partnership between these surgeries will be known as 3W Health, however the existing surgeries names will remain the same.

We are sure you are aware that over the past few years there have been increased pressures placed upon General Practice services. All three surgeries have been performing well and have had ‘good’ recent Care Quality Commission ratings. In order to enhance the services we currently provide, we feel that the best way forward is to merge.

All three surgeries share the same commitment to quality and by merging we will be able to share working arrangements and offer improved services to patients.
We have a growing population with increasingly complex healthcare needs. Merging our practices will make us more resilient, giving us a larger pool of staff to draw from, and allow us to work toward bringing services from hospital into the community for the convenience of patients. It will also give us the opportunity to reduce some of our overhead costs due to economies of scale.

Our doctors, practice nurses and other staff will continue to be available to patients under the proposed new arrangements in the same way as they are at present. Due to the size of the area covered by our practices, there are no plans to close buildings.

Patient registration would not be affected and you would not need to do anything should you wish to stay registered with the proposed new practice. Following the proposed merger, you would have the choice of being seen at any of the three surgery sites or continuing to use your current practice only, as you do now.
We are proud of our practices and the personal care we have maintained over the years and have always been encouraged by the positive feedback and support of our patients. By uniting as one like-minded team we can continue to provide this high quality care in a way that allows us to thrive in the future, making best use of available resources, developing new services and providing seamless care for all of our patients.

We understand that you may have questions and comments about the proposal to merge and we intend to listen to your thoughts in a number of ways:

  • We have answered some of the questions we think you may have on a list of FAQs (Frequently Asked Questions) and these can be found on all three websites: (see below)
  • We will hold drop in sessions and members of the team will be available to listen to your comments and answer questions. These sessions are currently being planned and will be publicised in due course.
  • Updates will be added to the practice websites as and when they are known and will be displayed in our waiting rooms.
  • If you have any specific queries or concerns please write to Noel Ratcliffe at Norden House surgery, Avenue Rd, Winslow, Bucks, MK18 3DW , or email  

Yours faithfully,
Dr Beth Peel, Dr Rodger Dickson, Dr Joseph Rizzo-Naudi, Dr Diana Straker, Dr Sara Ronaghy, Dr Ruth Mason, Dr Chris Davies & Dr Satheesh Ramasamy.


All three practices are driven by the following important values:

  • Trust, integrity, honesty and professionalism
  • Quality of patient-centred care
  • Quality of life for our Staff, ensuring work/life balance is maintained
  • Empowerment and involvement of staff and patients.
  • Patients: encouraging and promoting self-care and responsibility
  1. Why are Whitchurch surgery, Wing surgery and Norden House surgery proposing to merge?
    As we are sure you are aware, over the past few years there have been increased pressures placed upon General Practice. The increasing elderly population, the growth in long term illnesses like diabetes and asthma and the need to move more work from hospitals into the community means that General Practice needs to work in different ways to absorb this increased workload. We feel that the best way to continue to offer our patients an innovative, sustainable, quality service into the future is to join together.
  2. Is the merger supported by NHS England and NHS Buckinghamshire Clinical Commissioning Group?
    NHS Buckinghamshire Clinical Commissioning Group will consider our application to merge at their Primary Care Commissioning Committee meeting in December 2019. A key part of the application process is the views of patients and local stakeholders which we will gather in the coming weeks. For ways that you can express your views and get involved please see FAQ Question 15.
  3. When will the merger be completed?
    If merger is approved the target date will be 1 April 2020.
  4. Will there be a new name for the merged practices?
    If the plan for merger proceeds, we will have a new Partnership Name - 3W Health. However the individual surgery names will remain the same.
  5. Will I still be able to see my usual GP or Nurse?
    Yes, the same staff and GPs will still be working at each of the three practices. We are committed to provide continuity of care to our patients.
  6. How will the proposed merger benefit patients?
    It will strengthen our ability to maintain high quality care for our patients, invest in innovation and create a stable and sustainable GP Practice by sharing the resources and expertise of all three current practices. The new structure will provide greater flexibility for patients and, over time, we hope to provide new patient services. Some of these will come about through our ambition to move certain services out of a hospital setting and provide them instead at your GP practice or in your community. We would update you on any such plans in due course.
  7. How will the merger benefit the GPs, nurses and other healthcare professionals working at the practices?
    The clinical team will have a wider pool of knowledge and experience to draw upon. There will be increased opportunities to specialise. Staff will have more robust support in a larger structure.
    By working together everyone will have access to a wider pool of knowledge and experience to draw upon. The expansion of the team will create a more robust support structure and give greater development opportunities to staff. We are committed to making 3W Health a great place to work and promoting a culture of lifelong learning.
  8. What will change?
    Initially there will be little change; however, over time there will be improved access to services and an opportunity to introduce new services, closer to home.
  9. Will I have to go to another site for my consultations?
    We believe continuity of care is very important and you will continue to see staff in your usual location. In some circumstances it may be more advantageous for you to be seen at another site - for example, if you need to see a healthcare professional who specialises in a particular area. If you wish to take advantage of this you will be able to.
  10. Will there be improved access to appointments?
    Yes, we will continue to review the availability of appointments regularly to ensure patients have access to the care they need.
  11. Currently my prescriptions are dispensed at my Practice, will this change?
    No, you will continue to have prescriptions dispensed at your usual surgery.
  12. Will the merger affect access to other services such as community nurses, midwives or health visitors?
    No, patients receiving care from community based services either at home or in practice will not be affected.
  13. Are there plans to close any of the sites?
    No, the current sites will remain open.
  14. What will happen to my medical record?
    All three practices currently use the same computer system and these will be merged into one clinical database. All medical records will be available for any clinician who needs access to them. Patients will to be able to access their medical record, order prescriptions and make appointments on-line.
  15. How are you planning to keep patients informed of the progress of the proposed merger and how can I get involved?
    Patient Participation Groups from each practice have already met and will continue to meet as one group. We have shared details of the proposed merger with the PPGs and have also discussed with them how we communicate and engage with all our patients in the future.
    Updates will be available on the practices’ websites/ Facebook pages, posters in the waiting rooms, leaflets, text alerts, and at patient participation group meetings.
    We are also planning ‘drop in’ meetings where staff will be available to chat with you about the merger, listen to your views and answer any questions you might have. Dates will be provided in due course. Should you have any comments, questions or concerns you can send us an e-mail to and we will respond as soon as possible.
  16. Would I have to stay with the merged practice?
    We hope that you will want to remain registered at the proposed merged practice and you do not need to do anything if this is the case. However, if you do not wish to remain with the proposed merged practice you are free at any time to register with another GP practice, providing you live within their practice boundary. provides information on other local practices or you can reach NHS England Contact Centre on 03000 311 22 33 or at

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