Join Our Virtual Patient Participation Group (VPPG)

Want to have your say on our services? Why not join our VPPG (Virtual Patient Participation Group). We will contact you by email and keep you updated on what’s happening. It will also give you the opportunity to voice your opinions and tell us what we do well and what we can improve on.

Join our Virtual Patient Participation Group (PPG)

Full Name*
Email Address*
Post Code*
Additional Information
This additional information will help to make sure we try to speak to a representative sample of the patients that are registered at this practice
Are you?*
Age Group*
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?
Your Ethnicity
How would you describe how often you come to the practice?
Consent*
Please note that no medical information or questions will be responded to. The data you supply on this form will be stored on our website, which is hosted by a third party, until it has been processed by the practice. The data will be used lawfully, in accordance with the Data Protection Act 2018, which 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. The practice privacy policy can be viewed on this website.
I agree to the privacy policy.

Join Our Virtual Patient Participation Group (VPPG)

Join our Virtual Patient Participation Group (PPG)

Additional Information

Ethnicity

Helpful links

Further Info