[9] East Surrey Clinical Commissioning Group was put under restrictions by NHS England in December 2015 because of a budget deficit of £24.7 million.
As a result of the Transforming Community Services programme East Elmbridge and Mid Surrey PCT was required to needed to separate its provider and commissioning arms.
It was decided to establish a not-for-profit, limited liability company owned by local nurses and therapists called Central Surrey Health.
Surrey Downs Clinical Commissioning Group is undertaking a review into the future of the four community hospitals run by CSH because of a forecast deficit of £10.7m by the end of 2014/5.
[15] The company successfully challenged in October 2018 when they claimed they had been excluded from a contract given to the Integrated Dorking Epsom and East Elmbridge Alliance of which they had originally been part of.
[16] The Epsom Health and Care Provider Alliance, a partnership established in 2015 between Epsom and St Helier University Hospitals NHS Trust, Surrey County Council, CSH Surrey and a consortium of 20 GP practices agreed a business plan for £12.3 million of services for 2018–19.
However it was suspended in February 2017 because the clinical commissioning group was concerned whether it could deliver the specification for integrated services "with the key partners that had been identified in their bid submission".
[18] From 2018, services are provided by Royal Surrey County Hospital and Procare, the local GP Federation which will have a nine-year contract with an annual value of just under £14 million.
[19] Virgin Care will continue to provide services for people covered by Surrey Heath Clinical Commissioning Group's and those living in and around Farnham.