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 an online patient representation group so that you can have your say and are looking to set up a physical group as well. We ask the members of this representative group some questions from time to time, regarding the service we provide. We contact  our current group via email and keep our surveys succinct so they 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 or would like to get involved with the physical group, please complete the sign-up form below. We will be in touch shortly after we receive your form. Please note that no medical information or questions will be responded to.

Thank you if you have agreed to participate.

Patient Group Form

Gender *
Please select
How often do you visit the surgery *
Please select

Please note that we will not respond to any medical information or questions received through the survey. 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.