Patient Participation Group
Patient Questionnaire - 2019
We would value your feedback on the performance of the surgery and how we can improve your experience. Follow the link below to complete our short questionnaire. Many thanks for your help.
We are encouraging patients to give their view about how the practice is performing. We would like to be able to ask the opinions of as many patients as possible.
Our Patient Participation Group meet 6-monthly where the results of the questionnaire are usually discussed, and an action plan for improvement agreed. This meeting also considers all other comments, suggestions and feedback that has been received over the year.
If you are interested in becoming part of the Patient Participation Group and wish to feedback on services, make comments and suggestions, please make contact with the Practice Manager via email D-CCG.email@example.com, or alternatively phone 01884 33536.
If you do not wish to be an active member of the group but instead are happy for us to contact you very occasionally by email please click the link below to open the sign-up form and complete all the fields. We try to ensure a fair representation of our practice list but would welcome some further representation from the 16-40 year old age bracket.
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.