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Why do we need a new surgery?

In days gone by, the single-handed GP coped in one room with a nurse and a receptionist.  Between them they managed the patients who were frequently sent off to hospital for various tests and procedures.  As time has moved on, more and more procedures are carried out in the GP surgery and the space required and the number of staff has steadily grown.  The building we are now in originally accommodated approximately 5 members of staff including the GPs.  There are now 15 of us, but the space has not increased at the same rate.  The increasingly cramped conditions we are working in, and lack of basic facilities are now causing real concern.  A new surgery would allow us to move to a more community based operation in a purpose built environment for the benefit of the whole community.

The present situation of having all three doctor’s consulting rooms on the first floor is difficult for many of our less mobile patients, including the elderly and those with young children and babies.  We do have a stair lift, but there is still a huge step up at the bottom and another at the top, so not everyone can manage this.  The doctors are always willing to see patients in the downstairs rooms, but these are not always available if they are in use.

The two clinical rooms we have downstairs must be juggled between the nurse and healthcare assistant, making the booking of appointments fairly complicated as only certain procedures can be carried out concurrently.  Two rooms with the same facilities would effectively increase the number of appointments available by increasing the flexibility of those appointments.

We would have room for the community nursing team, health visitors, counsellors, chiropodists, dentists and a host of other healthcare professionals working from the premises, leading to more collaborative working that will enhance patient care.  Patients with long-term and complex needs, especially those close to the beginning or end of life, will be more easily managed with better facilities closer to home.  The GPs are keen to develop into teaching, training and research, which we are only able to do on a very limited basis from these premises.  This would help to ensure the future succession of GPs in this location as there is a general trend of growing shortages of GPs nationally.   

While we wait for the NHS to come up with new plans to tackle the ever growing premises crises that according to the BMA (British Medical Association) has been “brushed under the carpet” (Management in Practice, 17th June 2014), we have a window of opportunity in which to move forward.   NHS England must still consider the project for approval to build a new surgery – none have been approved since the demise of PCTs in April 2012 – but we could accept the help of Wiltshire Council and Sherston Parish Council to develop a new Community owned facility alongside a new development of bungalows for the elderly.   The possibilities of joint working with other agencies, such as with Wiltshire Council to run maybe a lunch club, or Citizens Advice, open up endlessly with the additional space and will enrich the life of the local population without the need to travel out of the area to access these services.

It is important that as many local residents as possible respond to the consultation process that will take place later this year.  If in the meantime you have any comments or questions, please address them to me at the surgery or email .

Judy Sharp

Practice Manager

Welcome to the Tolsey Surgery


We at the Tolsey surgery strive to offer a personalised service. We make a point of getting to know each patient, and the GP's try wherever possible to be available for consultation with their patients, whether by telephone or face to face contact. We offer true continuity of care which is at the heart of "old fashioned" general practice, whilst embracing the essential changes that are a necessary part of working in primary health care.





Our practice

The Tolsey Surgery was founded in 1987. Previously the surgery had been sited in Swan Barton. The Tolsey has had many uses in its long history and sits in a prime postion in Sherston High Street.

The premises consists of two floors. The entrance door is wide enough for wheelchairs and the downstairs cloakroom is designed for disabled patients. There is a downstairs consulting room for disabled patients and a chairlift for those patients who have a difficulty with stairs. Ask for assistance when needed and a member of staff will be pleased to help.

You can order repeat prescriptions online, register as a new patient, cancel existing appointments, change your name and address and much more. You can find out information about medical conditions and diseases through our patient information leaflet links on the side menu as well as keep up to date with all the latest practice news and developments.


We are always looking to improve our services so please fill in our patient survey or leave some feedback on our contact page. We hope that with your help and co-operation we will be able to make this website a better portal for all your online needs.



You may have heard about the need for GP practices to be registered with the Care Quality Commission (CQC) from April 2013.  This is to ensure that people can expect services to meet essential standards of quality and safety that respect their dignity and protect their rights.

The Tolsey Surgery took part in a pilot study to test the compliance methodology CQC will use to monitor these services.  As a volunteer, we were one of the first surgeries to be inspected by the CQC.  This involved an inspector spending the day at the surgery speaking to the practice manager, a GP, reception staff and patients. The inspector also spoke to John Buckley, the Chairman of our Patient Participation Group, FOTS. We are pleased to report that we were found to be fully compliant in all areas inspected.  The report is available to view here or in the surgery.

(Site updated 30/04/2015)
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