patient survey


South Brent Health Centre is eager to ensure that local people are actively involved in deciding how the health services they use should develop.  We realise that people are generally very busy and may not have time to come to the surgery for meetings, therefore we are forming a 'virtual group' that can exchange views, participate in practice surveys and with whom we can consult from time to time by e.mail.  However if you don't have an e.mail address you can still get involved just hand your details in at reception.   

Questions and enquiries might be about

  • The services we provide and any proposed changes
  • Setting our priorities for the future
  • Helping to agree questions for wider patient surveys


Anyone is welcome to join the group, as long as they are registered with the Practice and interested in working together to make positive changes for the practice and its patients.

complete the form 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 for the attention of Anna Keene, Practice Manager.

download the pdf form 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.

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