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Central Surrey Health, also known as CSH Surrey, was the first employee-owned community healthcare social enterprise to be “spun out” of the NHS, in 2006. It is one of the 11 health and social care providers who are known as the Surrey Heartlands Health and Care Partnership. It runs four community hospitals, in
Leatherhead Leatherhead is a town in the Mole Valley district of Surrey, England, about south of Central London. The settlement grew up beside a ford on the River Mole, from which its name is thought to derive. During the late Anglo-Saxons, Anglo-Saxon ...
,
Molesey Molesey is a suburban district comprising two large villages, East Molesey and West Molesey, in the Borough of Elmbridge, Surrey, England. Molesey is within the Greater London Built-up Area, and is situated on the south bank of the River Thames ...
, New Epsom and Ewell, and
Dorking Dorking () is a market town in Surrey in South East England about south-west of London. It is in Mole Valley, Mole Valley District and the non-metropolitan district, council headquarters are to the east of the centre. The High Street runs ro ...
. It was set up as a not-for-profit, limited liability company under contract to provide community nursing and therapy services on behalf of the East Elmbridge and Mid Surrey
Primary Care Trust Primary care trusts (PCTs) were part of the National Health Service in England from 2001 to 2013. PCTs were largely administrative bodies, responsible for commissioning primary, community and secondary health services from providers. Until 31 May ...
. About 650 former PCT nursing and therapy staff transferred to the new organisation. The ''
Financial Times The ''Financial Times'' (''FT'') is a British daily newspaper printed in broadsheet and also published digitally that focuses on business and economic Current affairs (news format), current affairs. Based in London, the paper is owned by a Jap ...
'' said it would operate "a little like a John Lewis-style partnership, with staff owning the company, which can make profits but will also risk going bust." It had a three-year contract worth about £20m a year. The intention at the time was to encourage more of the same with a unit in the
Department of Health A health department or health ministry is a part of government which focuses on issues related to the general health of the citizenry. Subnational entities, such as states, counties and cities, often also operate a health department of their o ...
that would have a budget to help create business plans for other staff to follow suit. Health service unions Amicus and
UNISON Unison (stylised as UNISON) is a Great Britain, British trade union. Along with Unite the Union, Unite, Unison is one of the two largest trade unions in the United Kingdom, with over 1.2 million members who work predominantly in public servic ...
saw this as further evidence of the government's desire to break up the NHS. However, in 2011 NHS Surrey failed to renew the contract and awarded the five year £500m local community services contract to Assura Medical. It appeared that because it did not have £10 million in the bank as surety for the contract CSH lost out. It is involved in a community-based diabetes service for Surrey Downs Clinical Commissioning Group with
Kingston Hospital NHS Foundation Trust Kingston Hospital NHS Foundation Trust runs Kingston Hospital, an acute NHS hospital in Kingston upon Thames, South West London. The Trust was licensed as an NHS Foundation Trust by Monitor (NHS) from 1 May 2013. The Trust has been rated 'outstan ...
South West London and St George's Mental Health NHS Trust South West London and St George's Mental Health NHS Trust is an NHS trust that provides mental health services for adults, older people, children and adolescents living in the London boroughs of Kingston, Merton, Richmond, Sutton and Wandsworth. ...
, and local GPs to start in November 2014. In September 2014 the organisation, now trading as CSH, in partnership with Bupa won a five-year contract from Coastal West Sussex
Clinical Commissioning Group Clinical commissioning groups (CCGs) were National Health Service (England), National Health Service (NHS) organisations set up by the Health and Social Care Act 2012 to replace Strategic health authority, strategic health authorities and NHS pr ...
for £235m to provide musculoskeletal services. Western Sussex Hospitals NHS Foundation Trust raised fears that its A&E units could be affected when it lost the bid but according to
West Sussex County Council West Sussex County Council is the upper tier local authority for the non-metropolitan county of West Sussex in England. The county also contains seven district and borough councils, and 158 town, parish and neighbourhood councils. The county c ...
NHS commissioners guaranteed future services at the Trust. The plans were abandoned in January 2015 when it was concluded that trauma services at the Trust would become unviable if the deal went ahead. In 2017 its turnover was £32 million and operating profit of £322,000. It employed 801 people. It has an employee council called The Voice that interacts with its board of directors. The company's shares are held by Guardian Shareholders, who are employees accountable to the Guardian Trust. See also Healthcare in Surrey


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CSH Surrey
Private providers of NHS services Health in Surrey Health in Sussex Social enterprises