patient survey

Dear Patient,

We would like to know how we can improve our service to you and how you view our surgery and staff. 

To help us with this, we have a Patient Participation Group or PPG. The Committee for the Group meets every two months and discusses any relevant issues affecting patients and provides feedback to the Doctors and Staff on how we are doing. There is the opportunity to either join the Committee itself or join a list of wider patients who have expressed an interest in contributing to the work of the PPG electronically. They receive copies of meeting minutes and agendas and are free to comment on these or other relevant issues.

If you are interested please complete the sign up form below and return it to the surgery, either in electronic format or by hand. Please indicate whether you are interested in joining the committee or the wider group as explained above.

We aim to have a PPG that is representative of the various groups within our patient base, whether this is by way of age group, ethnicity or medical condition.

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 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.

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