Patient Reference Group
Survey May 2015
Dear Patient Group
I would be grateful for a few minutes of you time completing the enclosed short Survey on our practice, which helps us to shape our services. Please click on the link below.
Dr Richard Greenway
The Practice will soon be launching an online Patient Reference Group (PRG). The aim of this Group will be to ensure that our patients are involved in decisions about the range and quality of services provided and (in the future) commissioned by the Three Shires Medical Practice as a member of the South Gloucestershire Clinical Commissioning Group.
If you are interested in joining the online PRG as a volunteer, please complete the sign-up form below or email
We hope you join us and get involved in making your views on the Practice and local healthcare provision known.
Below are some frequently asked questions and answers about our PRG which we hope will inform you about our plans and encourage you to sign up.
Common Questions and Answers
Q Why are you asking people for their contact details?
A We would like to be able to contact people occasionally to ask them questions about the surgery and how well we are doing to identify areas for improvement.
Q Will my doctor see this information?
A This information is purely to contact patients to ask them questions about the surgery, how well we are doing and ensure changes that are being made are patient focused. If your doctor is responsible for making some of the changes in the surgery they might see general feedback from patients.
Q Will the questions you ask me be medical or personal?
A We will only ask general questions about the practice, such as short questionnaires.
Q Who else will be able to access my contact details?
A Your contact details will be kept safely and securely and will only be used for this purpose and will not be shared with anyone else.
Q How often will you contact me?
A Not very often…..… up to two or three times a year.
Q What is a patient group/patient participation group?
A This is a group of volunteer patients who are involved in making sure the surgery provides the services its patients need.
Q Do I have to leave my contact details?
A No, but if you change your mind, please let us know.
Q What if I no longer wish to be on the contact list or I leave the surgery?
A We will ask you to let us know by email if you do not wish to receive further messages.
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.