Dear Patient,

patient surveyWe would like to know how we can improve our service to you and how you perceive our surgery and staff. 

To help us with this, we are setting up a patient participation group so that you can have your say. We will ask the members of this representative group to attend bi-monthly meetings to discuss such things as what you think about our opening times or the quality of the care or about services we provide or you think we should provide. We will contact you via email to invite you to the meetings and run with an agenda with rolling items to keep it succinct.

We aim to gather around 10 patients from as broad a spectrum as possible 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 to join our group and commit to attending meetings please click the link below to open the sign-up form and complete all the fields.

We intend to run our first meeting from 1.00pm - 2.00pm on Wednesday 12th June 2019

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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