Ilkeston Health Centre South Street, Ilkeston, Derbyshire, DE7 5PZ  | Tel: 0115 932 2933

PPG Expression of Interest

Expression of Interest for our Patient Participation Group.

The information below will help to make sure we receive feedback from a representative sample of the patients registered at Aitune.


Under 1617-2425-3435-4445-5455-6465-7475 +

The ethnic background you most closely identify with is:

British groupIrish

White and Black CaribbeanWhite and AsianWhite and Black African



ChineseAny other


Thank you for expressing your interest to join our Patient Participation Group.

Please note, no medical queries or information received via this form will be responded to.

The information you provide us with 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 this information is handled correctly.