Registration form: Shape our future work on patient experience

Later this year we will be commencing a programme of work on patient experience, and we need your views to help us define the topics we will cover.

If you’ve already completed our recent policy survey on this topic, many thanks. We’d now like to hear more about your views and would like to invite you to attend our focus groups in Manchester.

Complete the short form below to register your interest in attending one of the places at our focus groups. Please complete the form as fully as possible – you don’t need to give us both your email address and your phone number, but it would be very helpful to us to have both as we intend to get in touch with more information about the focus groups closer to the time. We hold all information in the strictest confidence.

We’ll pay reasonable travel expenses and will be in touch with more information in due course.

Thank you for expressing an interest in attending our focus groups. If you have any questions, email

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* 1. What is your full name?

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* 2. What is your email address?

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* 3. What is your phone number?

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* 4. Are you available to attend a focus group in Manchester on the dates below?