What do I need to do now?

Nothing.

Please continue to use the practice as normal.

Changes made following patient feedback

Following feedback received during the engagement process:

• Patients living in Trelawnyd, Trelogan and Llanasa who are registered with Healthy Prestatyn Iach (HPI) will transfer to Park House Surgery
• Gwaenysgor will remain within the HPI practice boundary
• A local GP practice is planned to take over Rhuddlan Surgery and provide care to patients living in Rhuddlan. This practice will also accept HPI patients who live in Bodelwyddan
• Patients with complex health needs will receive enhanced handover arrangements to support continuity of care

What happens next?

Patients will transfer to new GP practices from 1st January 2027.

Patients who are affected will receive further information between December 2026 and April 2027, depending on their transfer date.

How will I know if I am affected?

If you are affected by these changes, we will contact you before anything changes for you.

We expected for you to receive further information between December 2026 and April 2027.

This is because

 patients will move to their new GP practices in stages. Moving patients in smaller groups will help practices manage the changes safely, maintain continuity of care and complete any registration processes.

When a new GP practice has been allocated to you, we will send a letter to your home address, we will tell you:

• Which GP practice you will move to
• When the change will happen

Your medical records will be transferred securely between GP practices. You will not need to arrange this yourself.

Important information: Patients receiving end of life care will remain registered with HPI regardless of their home address.

Will I still have a GP?

Yes.

Every patient will continue to have access to a GP practice.

No patient will be left without a GP as a result of these changes.

How will updates be shared?

General updates will be shared through:

• Email
• This website
• Facebook
• Posters in GP practices
• Posters in local community when appropriate

Has a final decision been made?

Yes

Following the public engagement process and review of the feedback received from patients, staff, community representatives and stakeholders, Betsi Cadwaladr University Health Board has approved the changes to the HPI practice boundary.

The changes will come into effect from 1st January 2027.

Will I have to change GP practice?

If you live outside the revised HPI practice boundary, you will be transferred to another local GP practice.

You do not need to arrange this yourself. Any transfers will be completed automatically, and patients affected by the changes will be informed before their transfer takes place.

Will my care be disrupted?

We will work closely with GP practices to make sure any transfers are managed safely and with as little disruption as possible.

Your medical records will be transferred securely to your new GP practice. You will not need to arrange this yourself.

If you have ongoing treatment, repeat prescriptions, referrals or are waiting for a hospital appointment, these will continue as normal during the transfer process.

If you need additional support during the transfer process, we will provide further information and assistance before any changes take place.

Important: Patients who are receiving end of life care will remain registered with the practice regardless of their home address.

How can I share my views?

The public engagement period has now closed and the boundary changes have been approved.

If you have questions about how the changes may affect you, you can contact healthy.prestatyn@wales.nhs.uk

What happens if I'm waiting for a hospital appointment or referral?

Your ongoing hospital care will continue.

Any referrals that have already been made, waiting list positions, investigations and treatment plans will remain in place.

Will I need to tell the hospital I've changed GP?

No. If your GP practice changes  your GP registration and medical records with the hospital will be updated as part of the transfer process.

What alternative GP practices may be available?

"If the proposals are approved, patients who live in the affected addresses  will be automatically transferred to the care of another GP Practice, close to where they live. If patients wish to change practice after this allocation they would contact the preferred practice and complete the registration process to join their patient list."

The following practices cover the areas affected:

Will I have to do anything if my GP practice changes?

"In most cases, no."

"If the proposals go ahead, patients affected by the boundary changes would be transferred automatically to a new GP practice, so you would not need to complete a registration form."

"If, after your transfer, you wished to register with a different GP practice that covers your address and is accepting new patients, you would be able to do so by contacting that practice and completing their usual registration process. Further information and guidance would be provided if the changes are approved."

Will I be able to use the same pharmacy?

Yes

Your GP practice and your community pharmacy are separate services. Changing GP practice does not mean you have to change the pharmacy where you collect your prescriptions.

What happens if I'm waiting for a hospital appointment or referral?

"Your ongoing hospital care will continue."

"Any referrals that have already been made, waiting list positions, investigations and treatment plans will remain in place."

"Your medical records will be transferred securely to your new GP practice, and existing medications, referrals and treatment plans will continue to be managed throughout the transition. If your new GP practice needs any additional information, established communication channels between practices will help ensure continuity of your care."

Will I need to tell the hospital I've changed GP?

"No. If your GP practice changes as part of the approved proposals, your GP registration and medical records will be updated as part of the transfer process."

"Your new GP practice will receive your clinical information securely, and hospitals will be able to identify your registered GP through NHS systems. If there is anything you need to do in relation to a specific hospital appointment, you will be advised at the time, but in most cases you will not need to contact the hospital yourself."

Does this mean Healthy Prestatyn Iach is closing?

No.

Only the practice boundary is changing, not the closure of HPI. HPI will continue to provide GP services for patients living within its revised practice boundary.

The aim is to ensure GP services remain safe, sustainable and accessible for the long term by better aligning practice boundaries with where patients live and the capacity of local practices.