Patient Participation Group

Practice Survey Results

Click here to view our March 2012 survey results (.doc file - Word Format)

Use the form below to send a comment on the March 2012 Survey

March 2012 Survey Comment Form Please enter any comments you have about this survey in the box below.

Click here to view our March 2012 action plan (.doc file - Word Format)

Patient Participation Group

Dear Patient,

As you may be aware we are setting up a patient participation group to help us develop our services and to improve what we already do.

We will be asking members of the group questions from time to time, contacting you either by post or by email whichever you prefer, on subjects such as your opinion on our opening times, or the quality of care you receive.

Once we have collated all the survey information, we will then put the results here on our website for you to have a look at and we would be happy to receive any further comments or suggestions from you.  We will then put a plan of action together, which we will also put here on our website to let you know the things we intend to do.

We know how valuable your time is and are keen that we don't take up too much of it, so we'll make sure we try to keep our surveys succinct and will not send them out too often!

If you are happy to join the group, then please complete the form below and complete all fields.

Alternatively, you can click here to DOWNLOAD THE FORM to open up as a pdf document which you can then print out, complete and return to to the practice.

We will be in touch with you shortly after we recieve your form. Please note that no medical information or questions will be responded to.

Personal Details Name: Date of Birth: E-mail: Address Date of Application     Your help in completing the following would be appreciated, so that we can make sure all our groups of patients are represented as far as possible Are you? Male Female Age Group Under 16 years 55-64 years 17-24 years 65-74 years 25-34 years 75-84 years 35-44 years over 84 years 45-54 years     Ethnic Origin - I would describe my ethnic origin as follows: (please tick as appropriate) White Mixed Other British White & Asian Chinese Irish White & Black African Other ethnic group Other Black background White & Black Caribbean     Other mixed background         Black or Black British Asian or Asian British   African Bangladeshi I do not wish to disclose Caribbean Indian   Other Black background Pakistani     Other Asian background   How would you describe how often you come to the Practice? Regularly Occasionally Very rarely   To get us started - Ideas/Suggestions/Comments