Join our PPG – Latymer Road Surgery

Our Patient Participation Group is a group of patients who want to implement real, positive change in their communities. Patients have long valued the relationship with their GP and general practice. Therefore it is essential we have a group of patients who are ready to assist the practice in a variety of ways:

Organising health promotion events
Communicating with the wider patient body
Running volunteer services and support groups to meet local needs
Carrying out research into the views of those who use the practice (and their carers)
Influencing the practice or the wider NHS to improve commissioning
Fundraising to improve the services provided by the Practice.

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

About you

Full name(Required)

First Last

Email address(Required)

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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)

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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)

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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

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