Dear Patient,

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 have set up a patient participation group so that you can have your say. We have at the moment 6 members in our group and we need a lot more.  We as a PPG will be asking patients 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. If you think this is for you and have some ideas which can help our surgery to be the best that it can be, please fill in the form and come down - have a cup of tea and join in.

We aim to gather 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.

Please complete the form below or print and return to the surgery.

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.