Unfunded Services Posted or Updated on 10 Dec 2025

Important Update: Changes to Some Services We Provide

At The Surgery @ Wheatbridge, our priority is always to provide safe, high-quality care to all our patients. To do this, we must focus our time and resources on the services we are funded and contracted to deliver.

Following national guidance from the British Medical Association (BMA), and due to increasing pressure on general practice, we will no longer be able to provide a number of unfunded services from 08/12/2025.

These include:

• ABPI/Doppler tests for compression hosiery measurement or repeat prescribing
• Long-term monitoring of patients with:
  •  Chronic lymphocytic leukaemia (CLL)
  •  Coeliac disease
• Monitoring of patients with eating disorders while awaiting or under specialist care
• Specialist drug monitoring and titration for gender dysphoria

We understand this may be concerning, but these services are not part of our core NHS contract and have not been commissioned or funded for delivery in general practice. Continuing to provide them without support puts significant strain on our team and risks impacting the care we are contracted to provide for all patients.

We are giving the Derby & Derbyshire Integrated Care Board (DDICB) three months’ notice so they can make arrangements to commission these services either from general practice or elsewhere in the health system.

Why this matters for your care:

By focusing on our core responsibilities, we can ensure that we are available when you need us most — for urgent issues, long-term condition management, and essential health services.

We appreciate your understanding and support as we work to keep general practice safe, sustainable, and focused on what matters most: your health.

If you have any questions, please don’t hesitate to contact the practice team.