Patient Involvement Group Online Form

PPG Sign Up
Patient Involvement Groups (also known as Patient Participation Groups) have a key role to play in the workings of a practice as they help ensure patients and their carers can influence their local services.

The role of the Patient Involvement Group includes:

  • being a critical friend to the practice
  • advising the practice on patient perspective, providing an insight into the quality of services
  • encouraging patients to take greater responsibility for their own health
  • researching the views of those who use the practice
  • participating in health promotion events
  • regularly communicating with the patient population.

If you would be prepared to help us with our Patient Involvement Group, please complete the information below.

Interest from people with experience and/or knowledge of any of the following would be most welcome:-

  • Disability
  • Mental health problems
  • Young people’s needs
  • Cancer and other incurable conditions
  • Carer duties.

The special needs of these patients can be overlooked in the system and additional focus within the Patient Involvement Group could provide useful suggestions for improvements.

Title *

Further Details

The information below will help to make sure that we receive feedback from a representative sample of the patients registered at this practice.
Gender *
Your Age *
How would you describe how often you come to the practice?

Final Questions

Just so we can learn a little more about you, we would be grateful if you could answer the following questions:

Your submission will be forwarded to the Patient Involvement Group chairperson who will then make appropriate contact.