Website Map

Disclaimer

Freedom of Information

Surgery Location

Chaperone Policy

Lister House Staple Tye Harlow Essex CM18 7LU Tel. 0844 576 9010

Domestic Violence Women's Aid
Appointments
Cancelling an Appointment
Home Visits
Practice Area
Contact Numbers
Ordering Repeat Prescriptions
Travel Advice
Chronic Diseases
Dying Matters

Out of Hours
Opening Hours

Patient Reference Group

We are encouraging our patients to give their views about how the practice is doing. We would like to be able to find out the opinions of as many patients as possible and are asking if people would like to provide their email addresses so we can contact you by email every now and again to ask you a question or two.

Are you interested in leaving your email details?

If you could complete and submit the form below (ALL fields are mandatory) we will add your email address to a contact list. Your contact details will only be used for this purpose and will be kept safely.

Title:
First Name(s):
Surname:
Your GP:
Email Address:
Postcode:
This additional information will help us make sure we try to speak to a representative sample of the patients that are registered at this practice.
Gender:
Age Group:
Ethnicity:
Comments:
Please note that no medical information or questions will be responded to. 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.

2012 Patient Survey

Go straight to our online 2012 Patient Survey to give us your feedback.

Frequently Asked Questions

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 may 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, approximately four times a year.

Q What is a 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 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.