Springfield Surgery
 
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  Patient Group

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We are holding a meeting on Thursday March 15th 2012 at 6.45 p.m. to feedback the results of the survey we are currently undertaking.

Please either telephone Mrs Deena Tomkinson on 01280 709571 or send an email to Springfield.K83018@nhs.net  if you wish to attend.

Virtual Patient Representation Group

We would like to know how we can improve our service to you and how you perceive our surgery and staff.

To help us with this, we are setting up a virtual patient representation group so that you can have your say. We will ask the members of this representative group some questions from time to time, such as what you think about our opening times or the quality of the care or service you received. We will contact you via email and keep our surveys succinct so it shouldn’t take too much of your time.

We aim to gather around a hundred patients from as broad a spectrum as possible to get a truly representative sample. We need young people, workers, retirees, people with long term conditions and people from non-British ethnic groups.

If you are happy for us to contact you occasionally by email please complete the sign-up form  below or download a copy to print here and complete and return it to the surgery.


Sign-up form

Name:
Email address:
Postcode:

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?Male Female
Age Group:

To help us ensure our contact list is representative of our local community please indicate which of the following ethnic background you would most closely identify with:

How would you describe how often you come to the surgery?

               

Thank you.

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

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.

 

 
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