Patient Participation Group

We would like to know how we can improve our service to you and how you perceive our surgery and staff.

We have an active patient group which meets every 3 months to discuss patient issues, priorities and ideas for future service developments. To help us with this, we are setting up a virtual patient representation group so that you can have your say. We will ask the members of this representative group some questions from time to time, such as what you think about our opening times or the quality of the care or service you received. We will contact you via email and keep our surveys succinct so it shouldn’t take too much of your time.

We aim to gather around a hundred patients from as broad a spectrum as possible to get a truly representative sample. We need young people, workers, retirees, people with long term conditions and people from non-British ethnic groups. By joining the virtual group you will also be welcome to attend the 3 monthly meetings, dates of which are advertised on the website.

If you are happy for us to contact you occasionally by email please complete the sign-up form below and complete all the fields.

Click here to view the PPG documents (including minutes)

Your Details

Your name

Date of BirthPlease provide in the format dd/mm/yyyy, for example 18/01/1970

Are you able to provide your NHS or Patient Number?This will allow us to locate you quickly on our Patient Database.

NHS Number

E-mail Address

Postcode

Gender

Which of the following ethnic backgrounds do you most closely identify with?

How would you describe how often you come to the practice?

Privacy Protection

Information submitted through secure forms is used only for the purposes of processing your request. We may be in touch with you in relation to the information submitted.

All Information submitted through secure forms is secured with a private key and is accessed over a secure connection by nominated staff. We have a strict confidentiality policy.

This information is not shared with any third party organisations.

This information is retained for up to 28 days.

I consent to my information being used for the purposes described above and wish to submit this online form to Ling House Medical Centre • 49 Scott Street, Keighley, West Yorkshire, BD21 2JH.

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