patient surveyWe 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 have a Patient Reference Group which numbers in excess of 300 patients willing to respond to occasional requests for feedback. We ask members of the PRG group questions such as 'what do you think about our opening times?' or about the quality of the care or service they receive. Most members are contacted by email but we have around 80 members who prefer correspondence by post. Questions and surveys are succinct so it doesn't take too much of your time if you would like to join. 

Although open to all patients, we are keen to hear from carer's who are also very welcome to join either or both of the patient groups.

The PRG differs from the Patient Participation Group (PPG) in that there are no meetings to attend. PPG is much smaller (about 6 members currently) requiring a little more time in that PPG members attend quarterly meetings and can get involved in other activity, often related to health awareness.

Although 200+ strong, new PRG members are very welcome. Indeed, membership is open to all Boultham Park patients. We need young people, workers, retirees, people with long term conditions and people from non-British ethnic groups. The aim is to achieve a real mix of patients, representative of our full patient base. 

If you are happy for us to contact you occasionally by email please click the link below to open the sign-up form and complete all the fields.

complete the form Complete the Patient Group Sign-up Form Online

If you prefer, you can download the sign up form as a pdf document, print it out, complete it and return it to the practice.

download the pdf form Download the pdf version of our sign up form


We will be in touch shortly after we receive your form. Please note that no medical information or questions will be responded to.

Many thanks for your assistance

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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