Patient Reference Group

Take our patient survey
The practice has a patient group and details can be obtained from the practice manager.

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.

Function of a patient reference group -  In a nutshell we are looking "Constructive comments from our patients to make our service better within the boundaries of our ability and cost constraints".  We are looking to the group to

  • Give patients a voice in the organisation of their care
  • provide feedback on patients' needs, concerns, priorities and health interests
  • act as a planning tool - can be consulted on service development and provision

Structure of a patient reference group - it is a combination of

  • A physical core group which meets at the surgery
  • A "virtual " group which is contactable by email

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


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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