Our Patient Participation Group Friends of Park Surgery is encouraging patients to give their views about how the practice is doing. They would like to be able to ask the opinions of as many patients as possible and are asking if people would like to provide their e-mail addresses so that they can contact you by e-mail every now and again to ask you a question or two.

Are you interested in leaving your e-mail contact details (if you have one)?

If you could fill in this quick form we will pass the details to the Patient Participation Group.

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

Answers to some questions you may have about the Patient Reference Group »

Thank you for completing this form.

Please note: no medical information or questions will be responded to.

The information you supply us with 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.

Questions and Answers

Q. What is a patient reference group/patient participation group?
A. This is a group of volunteer patients who are involved in making sure the surgery provides the services its patients need. Our Patient Reference Group will comprise any patient with an email address who is happy to be contacted in this way. Our Patient Participation Group is called Friends of Park Surgery. Patients can formally join FOPS which is dedicated to health education and promotion and supports the practice by fund raising for items of equipment for the benefit of all patients. If you wish to join FOPS please tick the box above.

Q. Why are you asking people for their contact details?
A. We would like to be able to contact people occasionally to ask them questions about the surgery and how well we are doing to identify areas for improvement.

Q. Will my doctor see this information?
A. This information is purely to contact patients to ask them questions about the surgery, how well we are doing and ensure changes that are being made are patient focused. If your doctor is responsible for making some of the changes in the surgery they might seen general feedback from patients.

Q. Will the questions you ask me be medical or personal?
A. We will only ask general questions about the practice, such as short questionnaires.

Q. Who else will be able to access my contact details?
A. Your contact details will be kept safely and securely and will only be used for this purpose and will not be shared with anyone else.

Q. How often will you contact me?
A. Not very often – 3 to 4 times per year at the most.

Q. Do I have to leave my contact details?
A. No, but if you change your mind, please let us know.

Q. What if I no longer wish to be on the contact list or I leave the surgery?
A. We will ask you to let us know by e-mail (or letter if you do not have e-mail facilities) if you do not wish to receive further messages.