Patient Participation Group
WHO: We are forming a group of volunteers to work in partnership with the practice to enhance the services that it provides on behalf of and representing the patients.
HOW: The group will meet to discuss issues affecting both the practice and its patients, helping the practice to deliver the best service that it can.
Initially, the group will be involved in conducting and reviewing patient surveys, activities relating to promoting health matters and producing regular newsletters.
GET INVOLVED: Anyone who is a patient within the practice can become a member. If you would like to become involved and help to shape your GP services for the future, please contact us either by email or post, as below. The practice does, however, have the right to refuse an individual if it considers that it is in the best interests of either that individual or the practice.
HAVE YOUR SAY: The group would be interested to hear your views, comments and suggestions relating to services provided by the practice.
We regret that we are unable to deal with specific complaints/issues which should be directed to our Practice Manager.
Contact Us: email@example.com
Or by post: Western Road Surgery PPG c/o Western Road Surgery, 41 Western Road, Billericay, Essex. CM12 9DX
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 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 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.