PPG Online Form PPG Sign Up Patient Participation Groups (PPG) 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 PPG 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 PPG, 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 PPG could provide useful suggestions for improvements. Title * Mr Mrs Miss Ms Other Name * Surname * Date of Birth * Email * Phone * Postcode * 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 * Male Female Other Your Age * Under 16 17-24 25-34 35-44 45-54 55-64 65-74 75-84 Over 84 The ethnic background with which you most closely identify is: * How would you describe how often you come to the practice? Regularly Occasionally Very Rarely Final Questions Just so we can learn a little more about you, we would be grateful if you could answer the following questions: 1. How did you hear about the PPG? * 2. Why do you want to join the PPG? * 3. What qualities would you offer to the PPG? * If you are human, leave this field blank. Submit