Cross Border Healthcare

Do you live in England, but see a doctor at a Welsh GP surgery?

Recent changes to the healthcare system in England mean that if you live in England and are registered with a GP practice that is either in Wales or is registered with the NHS in Wales, then the way you are referred to a consultant will be different to how you have been referred in the past.

Patients, who live in Gloucestershire and are affected by this change, are likely to be registered with one of the following GP practices:

Wye Valley Practice

Smithville Close, St Briavels, GL15 6TN

Trellech Surgery, Roman Park View, Trellech, Monmouthshire, NP25 4RB

Vauxhall Practice

Vauxhall Lane, Chepstow, Monmouthshire, NP16 5PZ

Coleford Road, Tutshill, Gloucestershire, NP16 7BN

Mount Pleasant Practice

Chepstow Community Hospital, Tempest Way, Chepstow, NP16 5XR

12a Main Road, Portskewett, Caldicot, NP26 5SG

Town Gate Practice

Chepstow Community Hospital, Tempest Way, Chepstow, NP16 5XP

Beachley Road, Sedbury, NP16 7AA

Castle Gate Medical Practice

Monnow Street, Monmouth, NP25 3EQ

Chepstow Road, Raglan, NP15 2EN

Dixton Surgery Dixton Road, Monmouth, Monmouthshire, NP25 3PL
Wye Dean Practice

The Old Police Station,

Tintern, Chepstow, Monmouthshire,

NP16 6SE


Patient Information

Patients affected by the change should have received a letter and information booklet giving further details of the new arrangementsAdditional points are clarified in these Frequently Asked Questions.

Feedback on the new Referral Assessment Service (RAS)

We are keen to hear about your experience of using the new referral service.  The information that we collect will be helpful in evaluating the service and could lead to further improvements.  If you have used the Referral Assessment Service you will have been sent a paper copy of a short survey with your appointment confirmation letter.  You can return the survey to the freepost address provided, or alternatively complete the survey on line here.

Cross Border Network

A Cross Border Network has been established to oversee cross border health care arrangements.  The Network has representation from Clinical Commissioning Groups and Welsh Health Boards from along the length of the England/Wales border.  Membership also includes patient representatives from Healthwatch (England) and Community Health Councils (Wales).  The Network currently meets quarterly.  Summary reports of these meetings are available here.

Questions or concerns?

If you require any further support, or have any comments or concerns, please contact us on 0800 0151 548, by email:, or by writing to:

PALS, Gloucestershire Clinical Commissioning Group, Sanger House,
5220 Valiant Court, Gloucester Business Park, Gloucester GL3 4FE