patient survey

Patient Participation Group

To enable patients to become involved and give their views about the services provided by the Practice, a patient group was formed in 2011. The group meet at the Practice every 6-8 weeks. If you are interested in joining, please read the information below 'what is a patient group' and 'what can patient groups do'  and complete the following form. Please return the form to the reception department.



E-mail Group

If you would like to be involved but are unable to attend meetings, we are also setting up a virtual patient representation group. We are compiling a list of email addresses so that we can contact you from time to time, to seek your views and opinions on the things that affect you. We will try and keep our surveys short and to the point, so it shouldn’t take too much of your time. In order to get a truly representative sample we need young people, workers, retirees, people with long term conditions and people from non-British ethnic groups.

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 form Complete the Patient Group Sign-up Form Online

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 form Download the pdf version of our sign up form


We will be in touch in the near future. 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.



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