About Our Patient Group – Westgate Surgery

The Westgate Surgery Patient Group was set up in 2010 with the aim to engage with patients and provide a forum to give and receive feedback on the services provided.

It also provides practical support, help and advice to the practice to implement change and encourages patients to increase their involvement in their own healthcare.

To join our PPG, please either complete the form below or join our dedicated Facebook group.

Terms of Reference 2022

Join our PPG

Patient participation group recruitment form

Name*
Email address*
Post code*
Additional information
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*
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?*
How would you describe how often you come to the practice?*
- Regularly
- Occasionally
- Very rarely
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 2018.The Data Protection Act 2018 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.
Name
This field is for validation purposes and should be left unchanged.

Join our PPG

Additional information

Ethnicity

Thank you