We 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 virtual patient representation group so that you can have your say. 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 received. We will contact you via email and keep our surveys succinct so it shouldn’t 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. 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 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 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.
Questions and Answers
Q. Why are you asking people for their e-mail details?
A. We would like to be able to contact people occasionally to ask them questions about the surgery and how well we are doing to identify areas for improvement.
Q. Will my doctor see this information?
A. This information is purely to contact patients to ask them questions about the surgery, how well we are doing and ensure changes that are being made are patient focused. If your doctor is responsible for making some of the changes in the surgery they might see general feedback from patients.
Q. Will the questions you ask me be medical or personal?
A. We will only ask general questions about the practice, such as short questionnaires.
Q. Who else will be able to access my contact details?
A. Your contact details will be kept safely and securely and will only be used for this purpose and will not be shared with anyone else.
Q. How often will you contact me?
A. Not very often
Q. What is a patient group/patient participation group?
A. This is a group of volunteer patients who are involved in helping the surgery provide the services its patients need.
Q. Do I have to leave my contact details?
A. No, this is completely voluntary but if you change your mind, please let us know.
Q. What if I no longer wish to be on the contact list or I leave the surgery?
A. We would ask you to let us know by e-mail or in writing if you do not wish to receive further messages.