Patient Reference Group
How You Can Help
We are encouraging patients to give their views about how the practice is doing. We would like to be able to find out the opinions of as many patients as possible and are asking if people would like to provide their email addresses so we can contact them by email every now and again to ask them a question or two.
Are you interested in leaving your email details? If so could print off and fill in this quick form* and give it back to the surgery via reception (or fax to 2953602) we will add your email address to a contact list.
Your contact details will only be used for this purpose and will be kept safely.
Common Questions And Answers About The Group
- Why are you asking people for their contact details?
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. - Will my doctor see this information?
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. - Do I have to be registered with the practice to be part of the group?
Yes. - Will the questions you ask me be medical or personal?
We will only ask general questions about the practice, such as short online questionnaires. Emphasis on short! - Who else will be able to access my contact details?
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. - How often will you contact me?
Not very often, probably two to three times per year initially. - Do I have to leave my contact details?
No, but if you change your mind, please let us know. - What if I no longer wish to be on the contact list or I leave the surgery?
We will ask you to let us know by email if you do not wish to receive further messages. - What will you do with the help from the patient reference group?
We will use this to help us improve how the practice operates for patients.
* The form is in the form of a 
document. You may need to download adobe reader to view them: 