Our History

CSH Surrey was the first social enterprise in the country to be established by public sector employees. In 2005 Surrey's five primary care trusts (PCTs) were being amalgamated into one. The East Elmbridge and Mid Surrey PCT (EEMS) needed to separate its provider and commissioning arms – meaning it would no longer provide services itself, but would commission services from a range of providers, including those in the public, private, voluntary, charitable and not-for-profit sectors. The then Chief Executive asked his Director of Nursing Jo Pritchard and Director of Therapies Tricia McGregor to come up with a plan.

There was no blueprint to follow: Jo and Tricia spent 18 months researching many possible options, including care trusts, community trusts, children's trusts, partnership arrangements with local GPs and private sector companies. They forged new relationships with the Department of Health and Government ministers as they sought to develop a model that could work alongside the NHS.

Their conclusion? That patients would be best served through a not-for-profit, limited liability company owned by local nurses and therapists. This approach, coupled with a commitment to investment in the community, is sometimes referred to as an employee owned, social enterprise model. Being ‘employee-owned’ means CSH Surrey's nurses, therapists and other employees own and run their services – a bit like the John Lewis Partnership model, except CSH Surrey's employees don’t receive dividends. Through this unique employee ownership model, CSH Surrey has created highly motivated teams who are able to deliver better healthcare through higher productivity and greater innovation – all to the benefit of patients.

Jo and Tricia built a business case and developed plans for establishing the business. After operating for three months in shadow form within the PCT, Central Surrey Health was formally established on 1 October 2006. In July 2013, after successfully operating for six years as Central Surrey Health, the organisation rebranded itself as CSH Surrey to enable future growth and diversification of services.

In March 2015 Jo Pritchard became Chief Executive of CSH Surrey following a decision by Tricia and Jo that it was the right time in CSH’s development to move from its unique management structure of two Managing Directors to an organisation led by one Chief Executive.

In April 2017 Jo Pritchard stepped down from her role and handed over to a successor. CSH is now led by Chief Executive, Steve Flanagan, who previously sat on CSH's Board as a Non Executive Director.



  • May 2019: our Continence Service Manager is named a finalist in the 'Nurse Manager of the Year' category of the Nursing Times annual awards
  • May 2019: we launch an updated strategy, Vision, Mission and Values
  • April 2019: one of our school nurses is named a finalist in the Child Health category of the annual Royal College of Nursing Innovation (RCNi) Awards



  • September 2017: one of our school nurses is named a finalist in the Nursing Times 'Rising Star of the Year' awards
  • May 2017: CSH Surrey's 0-19 teams receive Unicef Level 3 Baby Friendly accreditation for the quality of their breastfeeding support, the highest level awarded
  • 1 April 2017: after winning two competitive tenders, CSH Surrey takes over provision of adult community services in North West Surrey and as part of a partnership alliance, provision of children's community services for the whole of Surrey. CSH now employs more than 1800 people and delivers more than 60 community services within Surrey.


  • One of our Bank workers (temporary workforce) reaches the finals of the Royal College of Nursing annual awards (Bank Worker of the Year category)
  • Our lead nurse for School Nursing was named a finalist in the Leadership category of the Cavell Nurses' Trust awards
  • CSH Surrey's Stroke Nurse was shortlisted in the Community Nursing category of the national RCNi Nurse Awards for her 'Life after Stroke' workshops
  • CSH Surrey's Stroke Nurse was named official Runner Up in the 'Support for patients, families and caregivers' category of the national Patient Experience Network awards
  • CSH Surrey's Practice Development Lead for School Nursing was shortlisted in the Child Health category of the national RCNi Nurse Awards for her Healthy Weight, Healthy Lifestyles programme for overweight and obese 5-19 year olds.


  • A CSH Surrey physiotherapist and the CSH Surrey Stroke Nurse were named as two of the three finalists in the Patient Champion category of the Kent, Surrey & Sussex NHS Leadership Awards
  • The physiotherapist won the Patient Champion category for her innovative work with dementia patients, and was put forward to the national NHS Leadership Award finals
  • CSH Surrey's Vitamin D awareness campaign is named a finalist in the Public Health Award category of the annual Nursing Standard Awards
  • A CSH Surrey Health Visitor is accepted onto the prestigious Institute of Health Visiting Fellowship Programme - one of only three in Surrey and 150 nationally
  • CSH Surrey strengthens its Board with the appointment of Professor Nora Kearney from the University of Surrey and Clinton Everard, who is the Non Executive Director representing the Voice, CSH Surrey's employee council.


  • Through a contract won by Kingston Hospitals Foundation Trust, CSH Surrey starts supporting delivery of a new Tier 3 Diabetes service in the Surrey Downs area
  • CSH Surrey's Community Hospice and Home Nursing Service (a partnership with local hospices to provide 24/7 end of life care at home) reaches the finals of the Nursing Times annual awards in the Team of the Year category
  • CSH Surrey is named a finalist in the annual Integrated Care and Patient Safety Awards (Long Term Conditions category) for integrating its community matrons with mental health practitioners to reduce unnecessary hospital admissions and support more people to remain safely at home
  • CSH Surrey develops its ground-breaking 'team around the family' approach within its Children and Families Services, resulting in integration of its nursing and therapy services to provide a single point of access and multi-disciplinary assessments
  • CSH is the first provider in Surrey to offer all families the new 28 week antenatal contact with a heath visitor
  • CSH Surrey is chosen by NHS England to run the Family Nurse Partnership for Surrey
  • CSH Surrey is named preferred bidder to run an innovative, new integrated MSK service in Coastal West Sussex, in partnership with Bupa
  • ​CSH Surrey's MDs are awarded Professorships by the University of Surrey
  • CSH's founding Chair Ian Church completes his eight year term and CSH Surrey appoints a new Chair, Bill Caplan
  • ​Our co-owner survey results continue to outperform the annual NHS Staff Survey scores 
  • CSH Surrey collaborated with Kingston University to support a Surrey-wide project to reduce social isolation at Christmas
  • ​All of CSH Surrey's registered services declared CQC compliant in its first routine CQC inspections.


  • CSH rebrands as CSH Surrey as part of a long-term strategy to grow and diversify its services, so that more people can experience the high quality services provided by the CSH group of companies
  • CSH defines the values and behaviours that are most important to service users and co-owners by involving them in its unique Listening Project 
  • CSH is the first community provider in the country to implement the now widespread 'Sit and See' tool to measure care, kindness and compassion on its inpatient wards
  • Eight CSH co-owners raise more than £6,000 for the CSH Community Fund by completing the Three Peaks Challenge
  • Managing Directors Jo Pritchard and Tricia McGregor are invited to speak at the World Healthcare Congress in America
  • In February 2013 CSH signs a five year contract to continue providing community services in mid Surrey - the first social enterprise to have to re-tender for its main contract
  • CSH commits a further £10,000 from its reserves to support its Community Fund


  • CSH starts operating a single point of access Referrals Management Centre to improve patient and referrer experiences
  • In October 2012 CSH is named the 'preferred bidder' for its existing contract to provide community services in mid Surrey.
  • Managing Directors Jo Pritchard and Tricia McGregor win the 'Entrepreneur' category in the annual BBC Surrey Community Heroes awards
  • CSH is a finalist in the annual Gatwick Diamond Business Awards for its 'Developing People for Business Success' award entry
  • CSH wins the Employee Engagement category at the Philip Baxendale Awards, and comes Highly Commended in the Cabinet Office Award for Successful Mutuals
  • CSH is one of just three finalists from the UK and Europe in the Lean Champion of the Year category of the annual Lean Healthcare Awards
  • CSH launches its Community Fund with £10,000 from its reserves, enabling it to support local groups and organisations with health and well-being projects


  • CSH's efficiency programme increases productivity across clinical services by 10-45%, with a subsequent increase in quality of care
  • CSH wins the 'Employee Innovation' category in the annual Philip Baxendale Awards, and is named a finalist in two other categories: Leadership Team and People and Culture
  • CSH is a finalist in two categories of the annual HSJ Efficiency Awards: Efficiency in Community Service Re-design and Efficiency in Training and Development
  • Managing Director Jo Pritchard is invited to sit on the Government's Mutuals Taskforce as it sought to challenge and promote the creation and development of public sector mutuals
  • ​CSH's podiatry service creates 4,000 extra appointments a year by re-designing the service to be more efficient


  • Managing Director Jo Pritchard is invited to join the Nursing and Midwifery Commission as the Government looks at the future of nursing
  • CSH wins the Prime Minister's first 'Big Society' Award
  • CSH is declared the 'runaway' winner in the Employee Ownership Initiative category in the 2010 Philip Baxendale Awards (run in partnership with the Employee Ownership Association)
  • CSH is used as a case study to support the formal launch of the Coalition Government's 'Big Society' reforms for the provision of public sector services
  • Managing Director Jo Pritchard is invited to share CSH's story and achievements at the Conservative Party Conference
  • Francis Maude, Minister for the Cabinet Office, visits CSH to understand more about our employee-owned model as the Government's vision for public sector mutuals gathers momentum 
  • CSH is named by the Cabinet Office as one of 12 'mentors' (alongside John Lewis, KPMG and PriceWaterhouseCoopers) that will support the first employee owned 'pathfinders' to come out of the public sector as part of the Government's mutuals agenda
  • CSH's efficiency programme, P2, receives a 'Highly Commended' in the Efficiency Initiative of the Year category in the 2010 Health Service Journal (HSJ) awards
  • CSH is invited to meet with Treasury, Cabinet Office and health ministers as the Coalition Government seeks to turn the 'Big Society' and NHS White Paper visions into reality
  • A report by the Department of Health reveals that CSH's services for children with complex needs create £5.67 in 'social value' for every £1 spent by its commissioners, solely because CSH is a social enterprise
  • CSH's health visitor and nursery nurse team becomes the first in the south east to be awarded Stage 2 of UNICEF's Baby Friendly initiative for its 'outstanding' breast feeding support services​


  • Our Neuro-rehabilitation service wins both the regional and national Transforming Community Services category in the 2009 Health and Social Care Awards after bringing together the various clinical disciplines into one multi-disciplinary team that could better meet patients' needs
  • CSH launched Phase 2 (P2) - an organisation-wide programme to drive up service efficiency and quality​


  • Then Prime Minister Gordon Brown chooses CSH to launch Lord Darzi's 'Next Stage Review', detailing the future vision for the NHS


  • CSH made its first significant improvements by re-structuring its nursing and therapy services to deliver more integrated pathways of care (Phase 1 or P1)