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Join Patient Reference Group


We encourage patients to give their views about how the practice is doing, to gather feedback we would like to be able to contact patients occasionally by email to ask them questions about the surgery to help us identify areas for improvement.

This group is open to any patient who is registered with the practice who wishes to volunteer.

You may join or leave the group at any time, just let us know by email.

We will only ask you general questions about the practice, such as short questionnaires, and do not expect to contact you more than 3 or 4 times a year.

Your contact details will be kept safely and securely and will only be used for this purpose.

The Group will not deal with individual complaints or single issues.

Not sure or want to know more?  Please ask to speak to our Operations Manager - Sue Howard or visit

Your Details
Please provide in the format dd/mm/yyyy, for example 18/01/1970
This will allow us to locate you quickly on our Patient Database.

Privacy Protection

Information submitted through secure forms is used only for the purposes of processing your request. We may be in touch with you in relation to the information submitted.

All Information submitted through secure forms is secured with a private key known only to the GP practice and is accessed over a secure connection by nominated Practice staff. Our practice has a strict confidentiality policy.

This information is not shared with any third party organisations.

This information is retained for up to 28 days.

Learn more about our Privacy Policy and Terms of Use. Should you have any concerns about sending your personal details using the web, please use one of the alternative methods offered by our organisation.