How To Register

If you are applying to register at Central Surgery the following documents must be completed, signed and returned to Central Surgery, before making an appointment to see a Doctor, Practice Nurse or Healthcare Assistant:

Please click here to read our guide to our services.

Please also see our services tab to register for the following:
  • Patient Online Access
  • NHS App
  • SMS Text Messaging Service
  • Register a Nominated Pharmacist
  • Register as a Carer
  • Follow us on Social Media
  • Patient Group Newsletter


Name Qualification Male / Female Days
Dr Deborah M Kearns MBChB DCH MRCGP Female Mon/Tues
Dr Jenna Chadwick MRCGP Female Tues/Thurs/Fri
Dr Piyumi Madanayake BSc MBBS MRCGP Female Mon/Tues(AM)/Weds/Thurs(AM)
Dr Rebecca Thorp MBChb MRCGP DRCOG Female Mon(AM)/Weds(AM)/Thurs(AM)/Fri
Dr Subhashish Das
Male Mon/Tues/Weds/Thur
Dr Keith Remedios MBBS MRCGP MPHARM (Hons) Male Weds/Thurs/Fri
Dr Ashikur Rahman BSc (Hons) MBBS MRCGP MaleWeds/Thurs/Fri
Dr John Portelly MBBS DRCOG MRCGP Male Mon/Tues

Practice Nurses

Name Title Qualification
Bernadette Wilson Practice Nurse RGN
Nicola Harding Practice Nurse RGN
Claire Ward Practice Nurse RGN
Aaron Taylor Urgent Care Practitioner HCPC Registered

Practice Staff

Name Title
Liz Scott
April Gordon
Practice Business Manager
Assistant Practice Manager
Natalie LipmanReception Manager

Change of Details

If you change name, address or telephone number, please let our receptionists know by completing the Form below, calling the Surgery or writing to us. If you move outside the practice area you may need to find a doctor in your new area. There are instructions on what to do when you move to a new area on the back of your NHS medical card.

Surgery Facilities

Central Surgery has access for wheelchairs at the front entrance of the surgery and we also have a disabled toilet in the main reception area.

Nappy changing facilities are available.

Bell Street Car Park is situated outside of the surgery. This has 96 space and 8 blue badge bays. Car park location (for Sat Nav purposes) is CM21 9AA.

Car Park Tariffs: Monday – Friday 07:30 – 18:30

Up to 30 mins £0.00 NB a ticket MUST still be taken from the ticket machine and be displayed
Up to 1 hour
Up to 2 hours
Up to 3 hours
Up to 4 hours
Up to 5 hours
All day £3.50

Please note that no ticket is required outside chargeable hours (e.g. Saturday or Sunday or any day after 18:30)

Blue Badge holders may park for free and without time limit in this car park, provided the Blue Badge is properly displayed in the vehicle they are using.

Bell Street car park also contains designated motorcycle bays and motorcycles parked within these bays may park free of charge.

Comments & Suggestions

We look forward to hearing from our patients about the progress of our surgery and in order to improve we need you to have your say. If you would like to send us any feedback, you can do so using our Comments and Suggestions Form

Comments & Complaints

Central Surgery aims to give a friendly and professional service to all our patients. However, if you have any concerns about any aspect of our service, please let us know in the first instance by contacting the Practice Manager who will be happy to help. We will always try to resolve any issue when it is first identified to us. However if we cannot sort out your problem in this way and you wish to make a complaint, please contact NHS England:

NHS England welcomes concerns, compliments and complaints as valuable feedback that will help us learn from your experiences and make improvements to services we commission.

You can complain or give feedback:

By post to:

NHS England

PO Box 16738


B97 9PT

By email to: 

If you are making a complaint please state: ‘For the attention of the complaints team’ in the subject line. 

By telephone: 0300 311 22 33

We keep strictly to the rules of medical confidentiality so if you are complaining on behalf of someone else, we have to know that you have his or her permission to do so. A note signed by the person concerned will be needed. If they do not have the capacity to agree for a complaint to be made on their behalf, the person legally charged with their affairs can agree to the complaint being made. In other situations we will consider what is in the patient’s best interests.

Annual Complaints Report

The Annual complaints report is prepared in April annually, and will analyse complaints received in the period from the preceding 1st April:

Access to Medical Records

The practice is registered and complies with the Data Protection Act 1998. Any request for access to notes by a patient, patient’s representative or outside body will be dealt with in accordance with the Act. Please contact the Practice Manager for further information.

Patient Confidentiality

We respect your right to privacy and keep all your health information confidential and secure. It is important that the NHS keeps accurate and up-to-date records about your health and treatment so that those treating you can give you the best possible care.

This information may be used for management and audit purposes. However, it is usually only available to, and used by, those involved in your care. You have the right to know what information we hold about you. If you would like to see your records please contact the Practice Manager.

Patient Rights and Responsibility

We aim to treat our patients courteously at all times and expect our patients to treat our staff in a similarly respectful way. It is your responsibility to keep your appointments, inform us of your past illnesses, medication, hospital admissions and any other relevant details.

Zero Tolerance

The Practice supports the government's 'Zero Tolerance' campaign for Health Service Staff. This states that GPs and their staff have a right to care for others without fear of being attacked or abused.

The staff understand that ill patients do not always act in a reasonable manner and will take this into consideration when trying to deal with a misunderstanding or complaint.

However the Practice views the following type of behaviour as unacceptable:
  • Using bad language or swearing at practice staff
  • Any physical violence towards any member of the Primary Health Care Team or other patients, such as pushing or shoving
  • Verbal abuse towards the staff in any form including verbally insulting the staff, shouting, raising voice to intimidate members of staff
  • Persistent or unrealistic demands that cause stress to staff will not be accepted. Requests will be met wherever possible and explanations given when they cannot.
  • Libellous statements or defamatory comments about the surgery or a member of the surgery staff made on Social Networking sites. 
We ask you to treat your GPs and their staff courteously at all times.

Your Local Clinical Commissioning Group

East and North Hertfordshire Clinical Commissioning Group (CCG) is the organisation responsible for commissioning (planning, designing and paying for) our NHS services. The CCG is made up of local GPs and health professionals, working together with other clinicians and patients, to decide how the local NHS budget of £611m should be spent.

The CCG serves over half a million people (552,900) registered at 60 GP Practices across east and north Hertfordshire. The GPs understand the health needs of their patients, and they believe this local approach to commissioning helps ensure good quality services that meet the needs of the population.

The CCG’s mission is:

  • To reduce health inequality and achieve a stable and sustainable health economy by working together, sharing best practice and improving expertise and clinical outcomes.
  • To work with patients, manager and clinical colleagues from all sectors to commission the best possible healthcare for our patients within available resources.

The CCG are one of six localities; Lower Lea Valley, North Herts, Stevenage Group; Upper Lea Valley, Welwyn Hatfield and Stort Valley and Villages.

There are six practices in the Stort Valley and Villages locality, covering the areas of Sawbridgeworth, Bishop's Stortford and Much Hadham; providing care for a population of 58,000.

Most of the health budget is spent on acute hospital care which includes emergency treatment, planned operations, tests and investigations.


The locality budget for 2012/13 is £58.4m which is used to fund the following services for our patients:

  • £34.6m on acute hospital care
  • £7.6m for mental health service
  • £8.6m for drugs prescribed by GPs and dispensing
  • £4.9m for community nursing / therapy services
  • £2.6 other

Key Health Priorities

  • Improvement in patient experience of their access to primary care
  • Supporting our patients with long term conditions and end of life care, using personal health planning and advanced care planning
  • Review of cancer management to support early diagnosis with effective review of 2 week wait referrals

Visit them at or find out more about the locality groups they represent.

East and North Hertfordshire Clinical Commissioning Group
Charter House
Welwyn Garden City
Tel: 01707 390855

Clincal Records Update

Thank you for agreeing to help us keep our records current and accurate.

Please fill in all of the appropriate fields and click 'Submit'.

Note: By using this form you will be sending information about yourself across the Internet. Whilst every effort is made to keep this information secure, you should be aware that we cannot offer any guarantees of absolute privacy. If this matter concerns you then you should use another method to notify us of your information.

Personal Information

Personal information retained on this system is stored in a secure data centre located in the UK and is treated as confidential.

Publication of Earnings

All GP practices are required to declare the mean earnings (eg average) for GPs working to deliver NHS services to patients at each practice.

The average pay for GPs working at the Central surgery in the last financial year before tax and national insurance is £62,448.

This is for 1 full time GPs, 7 part time GPs who worked in the practice for more than 6 months.

It should be noted that the prescribed method for calculating earnings is potentially misleading because it takes no account of how much time doctors spend working in the practice, and should not be used to form any judgement about GP earnings, nor to make any comparison with any other practice.

Statement of Intent - Detailed Coded Record Access 2016

This practice plans to offer the facility for patients to view online, export or print detailed coded information held in their own records from 31/3/16. Read more...

How Information About You is Used

My Care Record is a local electronic record sharing programme which allows you to give health and care professionals permission to access your medical records, during your treatment.
The people caring for you need to access your record in order to make the best decisions about your diagnosis and treatment. This could include GPs, hospital-based clinicians, nurses, health visitors and social workers.
My Care Record will give professionals immediate access to information about you that they will need to care for you efficiently and safely. The underlying principles of this record sharing programme are:
  • It’s your information;
  • You will decide which organisations have access to your information;
  • It will only be used for your treatment and care;
  • It will be protected by strict NHS security measures. 
The organisations that could be involved in the service are:
  • GP practices in west Essex and east and north Hertfordshire;
  • Princess Alexandra Hospital Trust;
  • Hertfordshire Community NHS Trust;
  • East and North Hertfordshire NHS Trust;
  • South Essex Partnership University NHS Foundation Trust;
  • Hertfordshire Partnership University NHS Foundation Trust;
  • Out of hours providers (such as PELC, HUC);
  • East of England Ambulance Service;
  • Other local hospitals.
For more information visit

Non-NHS Fees and Charges

It is important to understand that many GPs are not employed by the NHS; they are self-employed and they have to cover their costs - staff, buildings, heating, lighting, etc. - in the same way as any small business. The NHS covers these costs for NHS work, but for non-NHS work, the fees charged by GPs contribute towards their costs.

The Government’s contract with GPs covers medical services to NHS patients, including the provision of ongoing medical treatment. In recent years, however, more and more organisations have been involving doctors in a whole range of non-medical work. Sometimes the only reason that GPs are asked is because they are in a position of trust in the community, or because an insurance company or employer wants to ensure that information provided to them is true and accurate.

BMA suggest fees for non-NHS work which is not covered under GP’s NHS contract, to help GPs set their own professional fees. However, the fees are guidelines only, not recommendations, and a doctor is not obliged to charge the rates suggested. The BMA recommends that GPs tell patients in advance if they will be charged, and how much. It is up the individual doctor to decide how much to charge. Surgeries should have lists of fees available for patients.

Private Treatment/Requests: What you need to know

Central Surgery Non-NHS Fees and Charges 28/03/2019

Medical Examinations/Reports


Full medical and report including

HGV /LGV / PSU / PCV /COACH/ BUS / TAXI Elderly/ Diabetic driver




Pre-Employment Examination and Report



General and Employment Medical Examination and proforma report



Proforma report only



Extract from records



Assessment of Capacity ( for power of attorney/court of protection)




Written Report without Examination, providing a detailed opinion and statement on the condition of the patient (eg 30 minutes)



GP Report for Insurance Applicants



GP Supplementary reports



Certificates Letter and Forms


Letter re Fitness to Exercise



Fitness to Travel Letter (no medical)



Accident or Sickness Insurance Certificate - short certificate of incapacity without examination for patient to claim under accident or sickness insurance



Fitness to Travel (with examination)



Fitness to Perform



Shotgun Licence



Freedom from Infection Certificate



Private Sick Note (any sick note within the first 7 days is private)




Validation of Private Medical Insurance (PMI) claim form, to support a claim for benefit in connection with private medical insurance, or completion of a pre-treatment form


Letter to Airline regarding Medication etc



Cancellation of Holiday Claim Form



To Whom It May Concern Standard Letter

£20.00 - £50.00


Private Prescription



Childminder (OFSTED health declaration form)



Medical Insurance certificate (e.g. BUPA, PPA, PPP)





Adoption fees are usually paid by the prospective parent, sometimes by the adoption/fostering agency or authority. This needs to be established prior to your appointment


Form AH – Health assessment, Prospective Carer



Form AH2 – Adult Health Update, Parent





Overseas Visitors (those not eligible for NHS treatment)


Private Consultation (20 minutes) (costs of drugs and dressings will be additional)




Method of Payment

We accept cash and cheques only. Cheques should be made payable to ‘CENTRAL SURGERY’ unless advised otherwise.

Payment for services provided to patients NOT REGISTERED HERE must be CASH ONLY.

Payment must be made in advance. 

If you require any further information specifically related to fees charged for Non NHS services please ask at reception in the first instance.