We would like to know how we can inprove our service to you and how you percieve our surgery and staff.
To help us with this, we are setting up a Patient Particpation Group (PPG) and a Virtual patient representation group (PRG).
If you would like to get involved with the PPG or for more information please complete an application form at reception.
If you are interested in being part of the virtual group (PRG) we will ask the members of this representative group some questions from time to time, such as what you think about our opening times or the quality of the care or service you recieved.
We will contact you via e-mail and keep our surveys succinct so it should not take too much of your time.
We aim to gather around a hundred patients from as broad a spectrum as possible to get a truly representative sample.
If you are happy for us to contact you occasionally by email please click the link below to open the sign-up form and complete all the fields.
Complete the Sign-up Form Online for the Patient Reference Group (PRG)
If you prefer, you can download the sign up form as a pdf document, print it out, complete it and return it to the practice.
Download the pdf version of the sign up form for the Patient Reference Group (PRG)
We will be in touch shortly after we receive your form. Please note that no medical information or questions will be responded to.
Many thanks for your assistance
The information you supply us will be used lawfully, in accordance with the Data Protection Act 1998. The Data Protection Act 1998 gives you the right to know what information is held about you and sets out rules to make sure that this information is handled properly.