Patient Reference Group
Development of Patient Reference Group at Broadwater Medical Centre
As part of an on-going Department of Health initiative, we are hoping to expand our Patient Reference Group.
We will use this group to gain the thoughts and ideas of our patients in order to help us, and to involve you, in planning new or changing services.
We hope to be able to enrol as many patients as possible in order to ensure that the group is representative of our population. We are especially interested to hear from you if you feel you are able to represent a specific sector of our patient population.
- Families with young children
- People from black and ethnic minorities
- People with learning disabilities or their families
- People with physical disabilities or their families
- Commuters and shift workers
- Single parent families
This list is not exhaustive. If you feel you would be able to contribute, please feel free to join the group.
In order to run the group efficiently and effectively, we are hoping to start with a virtual reference group contacting you by email or post.
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 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 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.