Patient Participation Group and how to join

If you would like to join the Patient Participation Group (PPG) at our surgery, complete the form below to register your interest. A member of our PPG will be in touch with you as soon as possible.

What is the Patient Participation Group (PPG) and how to join?

The Patient Participation Group (PPG), is a group of people, who are patients of the surgery, and want to help it work as well as as it can for other patients, doctors, and staff. We will look to work with patients from all walks of life and supporting organisations to partner with patients and communities to improve our services. This group is run by patients and attended by a few members of staff. If you are interested, please email kkipp.ppg@nhs.net with a subject heading of 'PPG' or alternatively, fill in the form below.

Title

Mrs

Miss

First Name(s)

Surname

Email Address

Telephone

Postcode

Date of Birth

Gender

The information below will help to make sure that we receive feedback from a representative sample of the patients registered at this practice.

Male

Female

Other

Prefer not to say

Age

The information below will help to make sure that we receive feedback from a representative sample of the patients registered at this practice.

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

Consent for storing submitted data

Important:

Patient Participation Group and how to join

What is the Patient Participation Group (PPG) and how to join?