Help Us To Help You
We are looking at ways of improving services at Valley Road and we need to know what YOU think.
Please join our Patient Reference Group.
- Help us decide what issues to consider
- Comment on the survey questions we ask
- Help us respond to the results of our patient survey
To find out more and to leave your contact details please take a form from reception or speak to one of the receptionists.
The doctors and Team at Valley Road Surgery.
(If you do not want to join the reference group you can still make suggestions. Please pick up a form.)
To join the PATIENT REFERENCE GROUP please leave your contact details on the attached form.
We would prefer to contact you by email so please leave your email address if possible.
If you prefer to be contacted by post please leave your postal address.
What is involved?
First of all we will ask you for suggestions about what areas of the service at valley road surgery you think we should be asking people registered at the practice about.
Then we will ask you about the survey we design before sending it out.
When we have the results of the survey we will ask for your input as we plan what changes we can make in response to the results.
We plan to do most of this by email or post.
Any comments made will be seen by some of the doctors, but without any names attached.
When you give your details on the form attached we will only use them for this purpose and they WILL NOT be passed to anyone else.
If you decide you do no longer wish to be involved please let us know at any time.
For further information contact- Paula McCarthy, practice manager or speak to one of the receptionists.
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.