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Dear Patient,

patient surveyWe 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 are setting up a virtual patient representation group so that you can have your say. We will ask the members of this representative group 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. We will contact you via email and keep our surveys succinct so it 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 people of all ages, genders, race and people who work are retired and suffer from a long term medical condition.  If you are happy for us to contact you occasionally by email please click the link below to open the sign-up form and complete all the fields.

complete the form 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 form 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

website/B86104/files/Annual_report_2013.doc

website/B86104/files/20th March 2014 Annoymous prg.doc

website/B86104/files/25th June 2014 Annoymous.doc

website/B86104/files/25th September 2014 Annoymous.doc

 website/B86104/files/Patient_participation_enhanced_service_reporting_template_ja310314[1].docx

2014/15 Patient Participation Enhanced Service – Reporting Template

for further inforamtion  relating to survey please refer to uoload survey report

 


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.

 

 

 

 

 

 

 
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