Southmead Surgery

What is the Virtual Patient Participation Group?

As a member of the Virtual Patient Participation Group we will send you emails asking for your opinion on a range of topics.

Benefits of becoming a member

By doing this you will help the practice to provide an accessible and responsive service and you will be amongst the first to hear about news and updates.

To join the Virtual Patient Participation Group simply click here to download the form or fill in the form below:

Personal Details Name: E-mail: Postcode:     Your help in completing the following would be appreciated, so that we can make sure all our groups of patients are represented as far as possible Are you? Male Female Age Group Under 16 years 55-64 years 17-24 years 65-74 years 25-34 years 75-84 years 35-44 years over 84 years 45-54 years     Ethnic Origin - I would describe my ethnic origin as follows: (please tick as appropriate) White Mixed British White & Asian Irish White & Black African   White & Black Caribbean         Black or Black British Chinese or other ethnic group African Chinese Caribbean Any Other     How would you describe how often you come to the Practice? Regularly Occasionally Very rarely   To get us started - Ideas/Suggestions/Comments

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.