Pendleside Medical Practice

Clitheroe Health Centre User Group meets quarterly to discuss topical issues and to raise awareness of any service changes. The contribution made by the group is a very valuable asset to the practice. The group usually meets at the Health Centre at 6:30 pm for about an hour. If you wish to join the group you would be most welcome. Either contact the surgery on 01200 413600 or fill in the form below.

Patient Survey Report

Local Patient Participation Report 2013-2014

Local Patient Participation Report 2014-2015

Minutes of Clitheroe Health Centre User Group

Clitheroe Health Centre User Group – November 2018

Clitheroe Health Centre User Group – September 2018

Clitheroe Health Centre User Group – June 2018

Clitheroe Health Centre User Group – March 2019

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Title

Mr

Mrs

Miss

Ms

Dr

Other

Forename *

Surname *

Date of Birth *

Address *

Postcode *

Email Address *

Mobile Phone Number

Telephone Number *

Are you? *

Male

Female

How old are you? *

Under 16

17-24

25-34

35-44

45-54

55-64

65-74

75-84

Over 84

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

Regularly

Occasionally

Very Rarely

Are you a carer of one of our patients?

Yes

No

Do you have any long-standing illness, disability or infirmity? By long-standing we mean anything that has troubled you over a period of time or that is likely to affect you over a period of time *

Yes

No

Which ethnic group do you belong to? *

White

Black or Black British

Asian or Asian British

Mixed

Chinese

Other Ethnic Group

Is your accomodation? *

Owner- occupied / mortgaged

Rented or other arrangements

Which of the following best describes you? *

Employed (full or part timke, inc. self employed)

Unemployed and looking for work

At school or in full time education

Unable to work due to long term illness

Looking after your home/family

Retired

Other

Please leave this blank

Patient Participation Report

Patient Participation Report 2013

Patient Participation Template

Patient Participation Report 2011-12

Patient Participation Report 2012 – 13