Patient group

We have an active patient participation group at our practice.

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 set up a Patient Participation Group (PPG) so that you can have your say.

PPG members are contacted throughout the year by email (preferred method) or by post (if a member does not use email) to seek their opinion on services provided at The Avenue Surgery as well as other services and agencies. With the support of the PPG we seek patients’ views and draw up each year an Action Plan to improve patient services.

By providing your contact details you are consenting to The Avenue Surgery adding you to the PPG contact list. This will mean that we can contact you by email or mail with regards to PPG business.

If you are interested in joining the Group fill out the form below.

Join our PPG

We welcome enquiries from patients who would like to join our patient group.

About you

Full name(Required)

First Last

Email address(Required)

Enter Email Confirm Email

Postcode(Required)

More about you

This additional information helps us ensure that we speak to a representative sample of the patients registered at the practice.

Would you describe yourself as(Required)

Male

Female

Other

Age group(Required)

Ethnicity

To help us ensure our contact list is representative of our local community please indicate which of the following ethnic backgrounds you would most closely identify with?

What is your ethnicity?(Required)

We use this source for the list of choices on gov.uk

How would you describe how often you come to the practice?(Required)

Not for urgent medical help(Required)

Yes, I understand this form is NOT for urgent medical help

Name

This field is for validation purposes and should be left unchanged.