London Region South London Area Team Complete and return to: by no later than 31 March 2015 Practice Name: Elm Surgery Practice Code: G84027 Signed on behalf of practice: Date: 17th March 2015 Signed on behalf of PPG: Christine Patrick Date: 16th March 2015 (ELECTRONICALLY SIGNED) Prerequisite of Enhanced Service Develop/Maintain a Patient Participation (PPG) – Does the Practice have a PPG? YES Method(s) of engagement with PPG: Face to face, Email, Other (please specify) Email a PRG Group ‘Virtual’ Number of members of PPG: ….210 Detail the gender mix of practice population and PPG: Detail of age mix of practice population and PPG:
London Region South London Area Team Complete and return to: by no later than 31 March 2015 Practice Name: Elm Surgery Practice Code: G84027 Signed on behalf of practice: Date: 17th March 2015 Signed on behalf of PPG: Christine Patrick (ELECTRONICALLY SIGNED) Date: 16th March 2015 Prerequisite of Enhanced Service – Develop/Maintain a Patient Participation (PPG) Does the Practice have a PPG? YES Method(s) of engagement with PPG: Face to face, Email, Other (please specify) Email a ‘Virtual’ PRG Group Number of members of PPG: ….210 Detail the gender mix of practice population and PPG: Detail of age mix of practice population and PPG:
Elm%20Report%20%20(2).docx